michal-parzuchowski-7TWRwDjfGew-unsplash

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

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

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

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

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

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

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

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

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

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

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

Here’s what to expect from Accutane:

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

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

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

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

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

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

Patient Perspective

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

What It's Like To Take Accutane For Acne

What You Should Know Before Starting Accutane

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

*Patient names have been changed

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

What It's Like To Get Monsplasty For Vaginal Rejuvenation

What It’s Really Like To Get Monsplasty

shutterstock 1708519588

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

shutterstock 1681153804

*May is Mental Health Awareness Month. For so many of us, this last year has been particularly difficult on our mental and physical wellbeing, and it is important to remember that we are never alone. Here, one writer shares her deeply personal experience with stress and depression and the impact it has had on her relationship with her skin during the COVID-19 pandemic.*

Our mental health has been put to the test over the last year, and even people who haven’t suffered emotionally in the past have been finding things difficult recently. Symptoms of depression and anxiety are broad and vary widely from person to person, but many people will experience a sense of lethargy and lack of interest in things they normally take an interest in. 

Like many people reading this, I have dealt with depression on-and-off since I was a teenager, and the uncertainty that the pandemic has thrown our way has certainly made my mental health tougher to manage. I wanted to share how dealing with the effects depression impacts my skin and explore how we can strip back skincare to the bare minimum when the world around us gets to be a bit much.

## **How Stress Affects the Skin** 
Depression, anxiety, and even stress can all affect your complexion, and everyone’s body reacts differently to these factors. People who have [acne-prone](https://aedit.com/concern/acne) skin, for example, may experience more breakouts, and stress can also trigger [eczema](https://aedit.com/aedition/best-skincare-products-to-treat-eczema-flare-ups-in-the-winter) flare ups. Studies have shown that [stress can affect](https://aedit.com/aedition/impact-of-stress-on-skin-acne-wrinkles-dryness) the way the skin’s barrier function regulates water retention, which means your skin may be drier and more sensitive. Since [poor sleep](https://aedit.com/aedition/impact-of-beauty-sleep-on-skin-health-nighttime-skincare-products) is another common symptom of depression, you may find that both your eyes (think: dark circles) and skin looks more tired than usual.

In my case, I find that my skin tends to lose elasticity, which can be attributed to stress-induced changes in the skin’s proteins. When I’m feeling low, I forget about the nice glowy skin I carefully worked on, and my complexion tends to become dull and dehydrated. 

Your skin may also change if, like me, your skincare routine falls to the wayside when you’re not feeling your best. As much as I love skincare — and I will happily indulge in a full-on Korean-inspired skincare routine when I’m feeling well — that routine gets swapped out for a quick cleanse in the shower when I’m not doing so great. Dramatically shifting your skincare routine in this way also impacts your skin, and it may lead previous issues to resurface.

## **Why Routines Can Feel Difficult**
Depression [affects neurotransmitters](https://www.gulfbend.org/poc/view_doc.php?type=doc&id=12999&cn=5) in your brain, and some of these control how motivated we feel. These neurotransmitters are responsible for a wide range of our daily habits — regulating everything from how we sleep to how easily we can recall information. Changes in levels of serotonin and dopamine can impact whether you feel like completing your usual tasks, including your skincare routine. 

When you’re feeling depressed, the thought of having to do a whole number of steps before you hit the hay can feel overwhelming. I can’t tell you how many times over the past few months I have stood in front of my skincare products and just not had the ability to come up with a routine, so I’ve given up and gone to bed. Likewise, if you’re struggling to sleep, getting up to apply products tends to feel pretty unappealing.

In other words, it’s normal to not feel like doing certain things when you’re struggling with depression or chronic stress. This being said, it’s a great idea to try to adapt your old habits, so they feel more manageable while you’re going through a difficult time. In this case, switching out your usual skincare routine for something pared down could be a good compromise.

## **Back to Basics**
If you are someone who is used to taking care of your complexion with a multi-step skincare routine, you may be wondering how to strip it down. The two most important elements are cleansing and sun care. Wear [sunscreen](https://aedit.com/aedition/how-to-apply-sunscreen-and-not-miss-a-spot) during daylight hours, wash it off at night, and you have, theoretically, given your skin the protection it needs. From there, you may consider applying a non-SPF moisturizer before bed to rehydrate the skin and counteract some of the stressors we discussed above.

I personally find that leaving my cleanser in the shower is a surefire way of making sure that I take the time to cleanse regularly. I also leave my sunscreen in the bathroom, so I put it on as part of my morning getting ready routine without going out of my way. 

Finding products that work well for your skin and state of mind is key. This, of course, is always true, but it’s especially important when you’re stripping down your routine. Focus on [ingredient combinations](https://aedit.com/aedition/best-skincare-ingredient-pairings) that can help you to achieve maximum results with minimum effort. In my experience, the actives and products below can target specific skin concerns:

### **For Acne-Prone Skin:**
When it comes to treating and preventing acne, using cleansers with [benzoyl peroxide](https://aedit.com/procedure/benzoyl-peroxide), [salicylic acid](https://aedit.com/aedition/guide-to-beta-hydroxy-acids-salicylic-acid-in-skincare), and pyrithione zinc can all help combat breakouts. I like [Paula’s Choice Skin Balancing Oil-Reducing Cleanser](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.dermstore.com%2Fproduct_SKIN%2BBALANCING%2BOilReducing%2BCleanser_54625.htm), which helps keep the skin clean and clear without being overly drying. There is some debate as to whether [chemical or physical sunscreens](https://aedit.com/aedition/difference-between-chemical-sunscreen-physical-mineral-sunscreen) are best for acne-prone skin. I’ve always found [La Roche-Posay Anthelios](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.ulta.com%2Fanthelios-60-face-sunscreen-combination-skin-spf-60%3FproductId%3DxlsImpprod3840055) to be a lightweight, mattifying option.

### **For Oily Skin:** 
If you have oily skin, you’ll want to look for a cleanser that gently reduces excess sebum (read: oil) production without being too harsh or irritating. Certain types of clay can achieve this, like the kaolin clay and activated binchotan charcoal in the [Dermalogica Dermal Clay Cleanser](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.ulta.com%2Factive-clay-cleanser%3FproductId%3Dpimprod2012947). In terms of sunscreen, something that combines sunscreen with antioxidant protection, such as [Kiehl's Super Fluid Daily UV Defense SPF 50+](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fsuper-fluid-daily-uv-defense-sunscreen-broad-spectrum-spf-50-P429522), can provide additional protection.

### **For Combination Skin:**
It can be tough to find products that work well for combination skin because most ingredients either target dry or oily areas. [Vitamin E](https://aedit.com/aedition/guide-to-topical-vitamin-e-in-skincare) and salicylic acid are actives that can cater to both concerns. You can try either chemical or mineral sunscreen — play around with formulas to find what works best. [Supergoop Unseen Sunscreen SPF 40](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fsupergoop-unseen-sunscreen-spf-40-P454380) is an ultra-lightweight option that combines moisturizing ingredients (meadowfoam seed, red algae, frankincense) with broad spectrum sun protection.

### **For Dry Skin:**
Finding a hydrating cleanser with glycerin, [squalane](https://aedit.com/aedition/benefits-of-squalane-for-skin-hair), or [ceramides](https://aedit.com/aedition/guide-to-topical-ceramides-in-skincare) (like [CeraVe Hydrating Facial Cleanser](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.ulta.com%2Fhydrating-facial-cleanser%3FproductId%3DxlsImpprod4190255))  will help keep your skin nourished. Mineral sunscreens with moisturizing ingredients such as [hyaluronic acid (HA)](https://aedit.com/aedition/guide-to-hyaluronic-acid-in-skincare-dermal-filler) can offer sun protection and a moisture boost. 

### **To Combat Aging:**
If you’re looking to address uneven skin tone and/or texture, cleansers with [alpha hydroxy acids (AHAs)](https://aedit.com/aedition/guide-to-topical-alpha-hydroxy-acids-in-skincare), [bakuchiol](https://aedit.com/aedition/guide-to-bakuchiol-in-skincare), and [niacinamide](https://aedit.com/aedition/guide-to-topical-niacinamide-vitamin-b3-in-skincare) can all improve the appearance of the skin (try [Dr. Zenovia Skincare Bakuchiol Hydrating Cleanser](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fdr-zenovia-skin-care-bakuchiol-hydrating-cleanser-P464245)). There are many ‘anti-aging’ sunscreens on the market, which combine UV protection with other ingredients that help with fine lines, pigmentation, and more. 

### **What About Skincare Gadgets?**
The [skincare device market](https://aedit.com/aedition/best-at-home-skincare-devices) is brimming with gadgets that offer technology previously only available in professional settings at home. My personal favorite is the [Foreo UFO](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fforeo-ufo-2-P468652), which features thermotherapy (heating), cryotherapy (cooling), sonic pulsations, and [LED light](https://aedit.com/aedition/difference-between-professional-at-home-led-therapy) settings to enhance the efficacy of serums and face masks. For me, it’s been an absolute asset to keep up with masking and treatments despite really not feeling like it. 

## **Seeking Help**
A lot is going on right now, and it’s normal to feel overwhelmed at times. If you’re struggling, know that you are not alone and there are resources available to help. This content is not intended to be a substitute for professional advice, diagnosis, or treatment. **If you're having suicidal thoughts, call the National Suicide Prevention Lifeline at 1-800-273-8255 (1-800-273-TALK) to talk to a trained counselor in your area.**

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

One writer shares her deeply personal experience with stress and depression and the impact it has had on her relationship with her skin during the COVID-19 pandemic.

Impact Of Mental Health On The Skin During COVID-19

The Relationship Between My Mental Health And My Skin During The Pandemic

febri-sym-c7TpAznuDLw-unsplash

Vanity, thy name is Vivien, and I spent $325 to basically electrocute my face on a daily basis. Now that I have your attention, let’s dive into microcurrent devices. First off, I’ve never had a [professional microcurrent facial](https://aedit.com/aedition/difference-between-professional-at-home-microcurrent-facials), but years of working in the beauty industry and endless conversations with skincare experts have given me enough insight to know that this painless treatment is the real deal. 

Offering [firming](https://aedit.com/concern/facial-skin-laxity), lifting, and [wrinkle-reducing](https://aedit.com/concern/fine-lineswrinkles) benefits, microcurrent uses electric muscle stimulation to essentially ‘work out’ the muscles. According to skincare experts, this technology is a non-invasive way to achieve a youthful contour. As someone who is eager to try [any facial](https://aedit.com/aedition/what-its-like-to-get-a-hydrafacial-for-clear-glowing-skin) or [beauty innovation](https://aedit.com/aedition/brow-lamination-vs-microblading-for-fuller-eyebrows), the microcurrent facial was at the top of my list of treatments to try — then the pandemic happened. 

Despite decreased outdoor activity, the lack of stressors that come with an hour-long commute, and the complete elimination of multiple alcohol-indulging nights out per week, [my skin felt battered](https://aedit.com/aedition/skincare-aesthetic-procedures-plastic-surgery-to-try-in-2021). My way of remedying the situation? Buying the FDA-approved [NuFace Trinity](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.mynuface.com%2Fproducts%2Ftrinity%3Fvariant%3D1138963228) facial toning device in an attempt to undo the impact that months of lockdown was having on my complexion (yes, you can definitely file this purchase under ‘lockdown made me do it’). 

So, did this at-home microcurrent device live up to the hype? Check out my video review below, and keep reading to see my before and afters.

<a href="https://youtu.be/pJ4RoW-db2w" class="embedly-card" data-card-width="100%" data-card-controls="0">Embedded content: https://youtu.be/pJ4RoW-db2w</a>

## **My New NuFace**
The NuFace microcurrent device promises to reduce puffiness, [decrease the appearance of wrinkles](https://aedit.com/procedure/skin-smoothing-solutions), and tone, lift, and firm the neck and facial muscles through consistent use over the span of two months. What can’t it do? I was about to find out. 

[At-home beauty devices](https://aedit.com/aedition/best-at-home-skincare-devices) have become the norm with editors, beauty specialists, and skincare experts, but I hadn't ventured any further than [gua sha and jade rollers](https://aedit.com/aedition/everything-you-need-to-know-about-gua-sha). After doing my research on the microcurrent market and reading reviews, I decided that this ergonomic gadget would be my tool of choice for it’s multifunctional capabilities. The ball attachment can be detached and replaced with other accessories such as an [LED light](https://aedit.com/aedition/difference-between-professional-at-home-led-therapy) (dubbed the [Trinity Wrinkle Reducer](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.mynuface.com%2Fproducts%2Ftrinity-wrinkle-reducer)) or the [Trinity Effective Lip & Eye (ELE),](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.mynuface.com%2Fproducts%2Ftrinity-ele-attachment) a smaller microcurrent appendage to target those hard-to-reach areas. As someone who loves her [beauty tools](https://aedit.com/aedition/beauty-massage-for-face-body), this felt like a no-brainer. 

Needless to say, the at-home version of any in-office treatment isn’t going to be as potent, but that’s not to say you can’t achieve a similar result. All it requires is a bit of consistency and patience, which leads us to...

## **How to Use the NuFace Trinity**
For optimal results, NuFace recommends using the Trinity five times a week for the first 60 days and two to three times per week thereafter to maintain results. I decided that to truly make this a sustainable part of my routine, I would use it once a day, every day, for 30 days. Sure, it was a little high-maintenance for my liking, but it’s certainly more time-efficient and budget-friendly than a ‘lunchtime procedure’ (here’s looking at you, [Botox®](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin)), so I’m not complaining. 

The device comes with a charging station and the signature [NuFACE Hydrating Leave-On Gel Primer](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.mynuface.com%2Fproducts%2Fnuface-leave-on-gel-primer%3Fvariant%3D169149923345) that is formulated with [hyaluronic acid](https://aedit.com/aedition/guide-to-hyaluronic-acid-in-skincare-dermal-filler) to plump and hydrate skin and the [Optimizing Mist](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.mynuface.com%2Fproducts%2Foptimizing-mist%3Fvariant%3D29803930257) to soothe it. After reading the instructions, the tool was out of the box, charged up, and I was ready to zap. 

### **The Process** 
While there is some trial and error to figure out the best routine for yourself, using the NuFace requires just three steps:

1. Start with a clean, dry face
2. Apply the gel primer
3. Massage the device in upward motions over the specified areas

According to the instructions, the tool should be used along each side of the neck, cheeks (this includes the jawline), and forehead. Each section requires three sets of three repetitions, which are timed by the device. The NuFace has several settings that will allow for gradual build-up of microcurrent intensity, and it makes an automated noise to signify that it’s time to move on to the next section. Simple enough, right? 

If I’m being honest, it took me a few tries to get the hang of using it. I found out the hard way that the primer should be applied *liberally* over the entire treatment area to allow the device to glide smoothly and prevent it from drying out. When the cylinders don’t have the lubrication to glide along the skin, it creates an electro-tingling sensation that you may find uncomfortable. This is not meant to be an example of ‘beauty is pain,’ and, without proper priming, the device may irritate the skin. 

Fortunately, the growing pains were short, and it only took a couple of days to get familiar, if not dependent, on ‘Trinny’ (as I lovingly started to call her). After a week, I was able to build up to the highest strength and make it a [daily bedtime ritual](https://aedit.com/aedition/impact-of-beauty-sleep-on-skin-health-nighttime-skincare-products). However, the additional step to my evening beauty routine did lengthen the overall process. Not to mention, applying the primer individually between sections added extra time. Each rep takes approximately five seconds, so, overall, each section should be less than a minute. By taking a break and applying adequate primer to ensure a pleasant microcurrent experience, it lengthened my treatment by a few minutes. Not a problem for me, but, for the sake of transparency, it should be noted that this takes longer than the promised five minutes. 

According to NuFace, leaving the primer on after the treatment is fine because the ingredients are beneficial, but I preferred removing it after each facial massage to proceed with my regular routine.

## **The Results**
I tried this handheld gadget for a total of 30 days, and, while the [before and after photos](https://aedit.com/aedition/importance-of-before-and-after-photos-in-plastic-surgery) below may not show it, I noticed improvements within the short timeframe. My brows arched higher, cheeks felt firmer, and my nasolabial folds were no longer distracting me during my Zoom calls. I felt a boost of confidence and satisfaction in my appearance around the two-week mark, and I can feel the results even more than I can see them. This device may not provide the instant gratification its in-office counterpart does, but, when in lockdown, this facial massage tool felt like the self care moment I needed in my daily routine. 

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/5tbp0U1fPjHeCoweMsG9vR/8a8892a08b3352577654320faf09a539/NuFace-BeforeAfter.png}>
  A look at the writer's skin before using NuFace (top and bottom left) and after 30 days of regular treatment (top and bottom right).
</CaptionImg>

Disclaimer: At nearly 30, I am aware that my skin’s laxity and muscle firmness are still in good condition. My approach to beauty has always been [preventative](https://aedit.com/aedition/i-was-practicing-prejuvenation-before-it-was-a-trend), and I know that genetics have sagging jowls in store for me. So, rather than starting to save up for a [facelift](https://aedit.com/aedition/popularity-of-facelift-cosmetic-surgery-for-aging-sagging-neck) in 20-years time — not something I am opposed to in the future — I decided to splurge a little now (and maybe buy myself a few more years before that surgery). 

The price tag is a hefty $325, but the battery life is extraordinary and the benefits, while subtle, may prolong the time before [I try Botox®](https://aedit.com/aedition/everything-you-need-to-know-before-getting-botox-for-the-first-time). I could go weeks without recharging my Trinity, and, since electric plugs and space are scarce in my New York apartment, these are big incentives. 

## **The Takeaway**
Overall, the pros of the [NuFace Trinity](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.mynuface.com%2Fproducts%2Ftrinity%3Fvariant%3D1138963228) outweigh the cons. It’s light, adjustable, and I could see results after a short period of time. The downsides are the time commitment required to maintain results, the cost, and the need for recurring purchase of the primer once it runs out. 

Would I recommend it to a friend or loved one? Yes – I’ve already purchased the [NuFace Wrinkle Reducer](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.mynuface.com%2Fproducts%2Ftrinity-wrinkle-reducer) attachment for myself and the [NuFace Mini](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.mynuface.com%2Fproducts%2Fmini%3Fvariant%3D4795932740) for my mother. 

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

Microcurrent facials are known for immediate toning and lifting benefits. How does an at-home version compare? See the before and after photos to decide.

What It's Like To Use The NuFace Trinity At-Home Microcurrent Device

I Tried An At-Home Microcurrent Device For 30 Days, Here’s What Happened

jc-gellidon-AlZX3aSW5Iw-unsplash

When I received an email invite from a publicist friend about trying a medical-grade chemical peel in the comfort of my own home, I don’t even think I blinked before writing back that I was in. From [Fraxel](https://aedit.com/procedure/nonablative-fractional-lasers) to [tattoo removal](https://aedit.com/procedure/laser-tattoo-removal), I’ve been a guinea pig for all sorts of skincare treatments over the course of my career — but this was different. 

[Medical-grade chemical peels](https://aedit.com/aedition/difference-between-medical-grade-chemical-peels-at-home-exfoliators) are usually only enjoyed in a professional setting, yet I was being offered the opportunity to mix and apply the peel myself under the close watch of an aesthetician via FaceTime. I’m not sure if I was more excited to play skincare mixologist or to see the results. While there have been plenty of COVID-19 quarantine horror stories about [dangerous DIY dermatology treatments](https://aedit.com/aedition/dangers-of-diy-at-home-dermatology-beauty-treatments), this felt like a unique opportunity to enjoy in-office results at home in a safe and effective way.

Here’s everything you need to know about my experience from the first consultation through recovery and results (spoiler alert: they lived up to my expectations).

## **Step 1: The Consultation**
The plastic surgeon offering this treatment is [Kevin Tehrani, MD](https://aedit.com/provider/kevin-tehrani-md-91), a board certified plastic and reconstructive surgeon and founder of [Aristocrat Plastic Surgery & MedAesthetics](https://www.aristocratps.com/) in New York City. I worked closely with his medical aesthetician, Louisa Agate, who was very empathetic and cared about my results just as much as I did. The process included a [virtual consultation](https://aedit.com/aedition/virtual-consultations-telemedicine-plastic-surgery-dermatology-cosmetic-dentistry), where we spoke about my skin and the concerns I have. My biggest skincare concern has always been [hyperpigmentation](https://aedit.com/aedition/what-its-like-to-treat-hyperpigmentation-with-skincare-cosmetic-treatments), but lately it’s acne (hi, [maskne](https://aedit.com/aedition/how-to-treat-prevent-acne-caused-by-covid-19-masks-face-coverings)) and texture as well.  

## **Step 2: The Prep**
Once I received the products and tools for my customized peel, Louisa and I got back on the phone to discuss the ingredients, pre- and post-peel care, and what I could expect in regards to peeling. I learned the peel would have three layers consisting of:

1. A [vitamin A](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare) solution
2. A kojic acid and [vitamin C](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare) lightening oil
3. A mask made up of hydroquinone, vitamin C, kojic acid, and arbutin  

After application, she told me I would leave the concoction on for six hours.  

## **Step 3: The Treatment**
On our third and final FaceTime, Louisa walked me through applying the peel. Before getting started, she instructed me to wipe my cleansed face with alcohol and apply a bit of Aquaphor to the inner and outer corners of my eyes, corners of my mouth, rim of my nose, and lash line to protect them from any solution that may drip or spread. If the peel were to settle in those areas, it could burn the skin or cause a rash. Together, we mixed and applied the three steps — layer by layer. After 20 minutes of application, it was time to wait. Six hours later, as instructed, I washed it all off.

## **Step 4: The Results**
I expected to start seeing flakes around my mouth on day three and peel for up to 10 days.  However, Louisa mentioned that, since my skin was used to retinol, I may not peel all that much. As a matter of fact, I didn’t peel at all. Instead, I experienced a breakout around my chin, which cleared up in about a week. Overall, I’m really happy with the results. My skin looks brighter and healthier. The tone is more even and my pores appear smaller.

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/2k25y7OiOgAUbV9Z5PlY9a/9e0dbb52d82cc843f911df04b8363f25/AEDIT-Tehrani-Peel.png}>
  The writer's skin before (*left*) and one week after treatment (*right*).
</CaptionImg>

Dr. Tehrani is offering this at-home service to remote patients. If you’re interested in learning more about his medical grade chemical peels and booking your own, [request a virtual consultation](https://aedit.com/provider/kevin-tehrani-md-91).

Typically performed in a doctor’s office, one New York City-based plastic surgeon created a socially distant way to treat his patients virtually.

What It's Like To Try A Medical-Grade Chemical Peel At Home

What Happened When I Tried A Medical-Grade Chemical Peel At Home

ariel-pilotto-wmnxo5 jYXM-unsplash

Despite the fact that I have heard from many friends and colleagues that they felt perfectly safe [going to a nail salon](https://aedit.com/aedition/what-its-like-to-visit-a-nail-salon-during-covid-19) for a manicure and/or pedicure during the COVID-19 pandemic, I haven’t made it in for a service. In fact, I haven’t had a professional pedicure since the summer of 2019. Yes, I am a beauty editor who loves to paint her [fingernails](https://aedit.com/aedition/how-to-treat-damaged-dry-brittle-finger-nails-cuticles) on a weekly basis and methodically layers creams and balms on her hands every night while pretty much neglecting everything that happens below the ankles.

For context, I live in New York City (which means I walk just about everywhere) and my go-to form of exercise during the pandemic has been socially distanced runs around my neighborhood. Needless to say, my [feet](https://aedit.com/aedition/cosmetic-treatments-procedures-for-feet-nails-toes) have seen better days. So, you can imagine my delight when I was invited to [Medi Pedi](https://medipedinyc.com/) — the midtown Manhattan mecca for medical-grade pedicures — to try the signature “medicure” service that is customized for every client depending on their needs.

## **What Is a Medical Pedicure?**
For starters, you might be wondering what differentiates a medical-grade pedicure from one you would get at your local nail salon. Perhaps the most obvious distinctions are the lack of water and nail polish, though there is plenty more that make medical pedicures unique. “Medical nail technicians are trained to detect and treat harder to deal with ailments like athlete’s foot, fungus, corns, and more,” explains [Marcela Correa](https://medipedinyc.com/about-1), a licensed professional medical pedicurist and founder of Medi Pedi. “Even when it comes to basic nail cutting, knowing the proper technique will prevent the nail from getting ingrown and causing the client more trouble in the end.” 

Whether you take great care in tending to your feet or treat them more as an afterthought, little issues can turn into bigger problems if they are not addressed properly. “More often than not, the reason why small ailments turn into more dangerous ones is due to lack of knowledge,” Correa says. “When getting a medical pedicure, not only do your feet get the makeover they need, you leave with the knowledge of how to maintain them healthy for a longer period of time.” 

A medical pedicure also has both immediate and long-term effects. “The treatment has many amazing benefits, with the main one being the prevention of serious infections,” Correa shares. The hygienic standards are — surprise, surprise — medical-grade, which assures the treatment is safe and effective for everyone (including those with underlying medical conditions like diabetes, she says). “Not worrying about if your tools are clean or if your nail tech knows about that weird thing on your nail gives you room to relax and enjoy the experience,” Correa adds.

## **The Treatment**
When I arrived at Medi Pedi, I was greeted by the masked office manager who immediately took my temperature and offered me hand sanitizer. I was then whisked away to my treatment room as to avoid unnecessary interaction with other clients. While Correa and her team have made some adjustments during the COVID-19 pandemic, hygiene and privacy have always been a priority.

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/5WMx2Li4jlZNhQJIzig8Oc/b43d674cabd8a47b7adee6c3f989590d/AEDIT-office-3.png}>
  A look inside a Medi Pedi treatment room
</CaptionImg>

Correa describes her signature service as “a facial for your feet.” I would liken it to a no-frills facial —  you know, the kind that is all about results — in the best way. The non-invasive, dry treatment lasts about an hour and focuses on the hygiene and aesthetics of the toenails and soles of the feet. It can target and treat athlete’s foot, corns, calluses, dry and cracked heels, ingrown and overgrown toenails, [nail fungus](https://aedit.com/aedition/what-your-nails-say-about-overall-health), nail discoloration, and more.

### **Step 1**: Cutting & Filing the Nails
Correa’s long-time associate Alejandra began my treatment by asking me if I was experiencing any pain, as she creamed my heels and placed (ingenious) silicone slings on top. I was not, and she quickly got to work manually cutting and filing my nails and cuticles. When she noticed pesky corns on each of my pinky toes, she cut them out with ease.

### **Step 2**: Buffing the Nails & Cuticles 
Next up? The electric nail file to buff my nails and remove the buildup of dry, dead skin. There were different attachments used for different toes, and she asked me to tell her if I experienced any pain or discomfort along the way (I didn’t). I had a small crack in my right big toenail that she was able to smooth, and the file removed all traces of surface stains from the nail plate. A dollop of cuticle oil on each toe started to rehydrate the freshly filed skin around my nail beds, and she finished up this part of the process by removing the silicone slings from my heels.

### **Step 3**: The Diagnosis 
At this point, Correa came into the room and immediately detected the very early stages of athlete’s foot on my soles. She recommended I pick up an over-the-counter antifungal cream on the way home to nip it in the bud (needless to say, I took her advice). She also asked if I walk around barefoot at home. I sheepishly told her I do. She thanked me for my honesty and told me she could tell. Even so, she said my feet were in good shape. I thought she might be trying to make me feel better, but Alejandra confirmed the damage was mostly cosmetic.

### **Step 4**: Buffing the Bottoms
Now it was time to focus on the bottoms of my feet. Correa applied moisturizer (a must before buffing, as not to damage healthy skin) and got to work on my heels with a single-use foot file. She recommends her clients do this once a week at home, filing in the same direction as the cracks. Her one rule? Skip the pumice stone because it harbors bacteria. She buffed my soles as well, and it’s safe to say they’ve never been smoother. All the while, she placed my shoes under a UV lamp for 15 minutes to kill any bacteria that was causing them to be, in her words, “sick.” 

### **Step 5**: Finishing Touches
As I mentioned, there is no polish with this pedicure, but that doesn’t mean your feet don’t look fabulous when you leave. Alejandra finished my treatment by giving my nails one last buff and shine that made them gleam more than any high-shine top coat ever has. 

## **The Verdict**
Nearly two months later, all traces of athlete’s foot are gone, my cuticles remain crisp, and my toenails are still shining bright like diamonds. Correa says she sees clients with painful ingrown nails and corns every four to six weeks — but every three months will do for most. I, for one, can’t wait to go back.

“To maintain an independent and pain-free lifestyle, our feet must be in tip-top shape,” Correa insists. What may seem like a mild concern (think: discoloration or peeling) can worsen into time-consuming conditions that were easily preventable. “Things like ingrown nails, thick nails, and cracked heels can cause pain that eventually affects every aspect of your life,” she explains. “Unbeknownst to many, most back problems start with the way we walk. You can think about that next time you shift your weight to avoid that painful nail that's been bothering you.” 

Her main advice? Wear comfortable shoes and don’t neglect your feet. “Caring for your feet is as vital as caring for your teeth, skin, or any other part of your body,” she says. Noted.

After 18 months without a pedicure, one writer tried a medical-grade treatment to transform her tired feet.

The Benefits Of A Medical Pedicure For Feet, Toes, And Nails

How A Medical Pedicure Revitalized My Neglected Feet

Priori2

The gadget you are about to see is not a time-traveling device from the future but is, in fact, the [Priori Skincare UnveiLED Mask](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.skinstore.com%2Fpriori-skincare-unveiled-mask%2F12708864.html) featuring light emitting diode (LED) technology. Priced at $395, this silicone mask is meant to use the power of red LED light to reduce facial lines and wrinkles, brighten skin, and improve texture in 10 minutes a day. Since that all sounds fairly amazing and I had some time on my hands during lockdown, I figured I’d offer up my face as a guinea pig for the mask that the brand sent over to try. Here’s what happened after a few weeks of use.

## **The Potential Magic of LED**
First, a bit of background on [LED light therapy](https://aedit.com/aedition/everything-you-need-to-know-about-the-benefits-of-light-therapy). I knew that, in theory, it really could make a difference in my skin. [Studies have shown](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5843358/) LED light to have various benefits ranging from lessening acne and rejuvenating aging skin to assisting in wound healing after surgical and resurfacing procedures. I reached out to New York-based board certified dermatologist [Dendy Engelman, MD](https://aedit.com/provider/dendy-engelman-md-312), (who I’ve seen as a patient myself over the years) to find out a bit more about it. She explains that LED light works by “emitting infrared lights — causing heat — in different wavelengths and spectrums, which have different skincare benefits.” 

If you’ve seen other LED devices, you might have noticed an array of colors ranging from yellow and green to red and [blue](https://aedit.com/aedition/how-your-phone-might-be-aging-you). The [Priori](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fprioriskincare.com%2F) mask employs red light, which she says is most commonly used to promote circulation as well as “building, strengthening, and maximizing cellular structure.” 

As is the case with most at-home offerings of in-office treatments, the [DIY versions](https://aedit.com/aedition/maintaining-skin-with-devices-skincare-products-between-cosmetic-procedures) tend to be less effective, though she insists at-home masks will get you noticeable results with continued use. And, most importantly, she assured me that it’s safe. “The light doesn’t cause any burns or skin damage,” Dr. Engelman explains. “It’s virtually painless, and, for some, the colors are very relaxing.” But, as always, tell your doctor about any and all your conditions (like photosensitivity) just in case.

## **Going for Silicone**
There are several LED masks on the market these days, but the Priori model caught my attention because it’s made of a flexible silicone. That means it can mold more effectively to the face than the hard-shell styles out there. I’ve got a small mug and a Roman nose, so I need something that bends to hug my contours. It also claims to help super-charge skincare ingredients, which is why I smeared the [Priori Skincare DNA fx221 Recovery Serum](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.skinstore.com%2Fpriori-skincare-dna-fx221-recovery-serum-50ml%2F12515023.html) on before every session.

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/3BtwLq67osQGtse2CPjbiZ/a24b23e379e02bb3fc3161d6a630b507/AEDIT-PrioriMask.png}>
  A look at the outside and inside of the Priori Skincare UnveiLED Mask 
</CaptionImg>

As for the experience of using the mask itself, well, there’s not much to report — and I mean that in a good way. It stays on via a Velcro strap around your head and isn’t hot to the touch or uncomfortable to wear. It has a built-in timer, so it shuts itself off after 10 minutes. The lights don’t hurt my eyes at all. The most I can say about them is that they’re distracting, so I gave up quickly on trying to get anything done while wearing it. It’s for the best, since the Priori folks had suggested I relax with my eyes closed while wearing it to get the most benefit on my eyelid lines anyway. Sometimes I combined it with a guided meditation session because who doesn’t love multitasking? 

## **The Results** 
Before we get into the before and after, I want to be upfront with the fact that I got a fresh round of [Botox®](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin) about half-way into my trial, which softened the lines on my forehead. All the rest of my skin changes, however, were thanks to the mask. In fact, the only thing I’ve got on my skin in the before-and-after pictures below is moisturizer ([Crème de la Mer Moisturizing Cream](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fcreme-de-la-mer-moisturizing-cream-P416341), if you’re curious).

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/3Y1x67KAi7WIYf8AFuluhz/7c863f132ae3ddc9e5dde05b1617da9d/BeforeAfter.jpg}>
  A before-and-after look at the writer's skin after four weeks of use
</CaptionImg>

The first benefit I noticed? About two weeks into my month-long trial, my skin looked glowier. Like, a lot glowier. But it wasn’t until I did a side-by-side comparison at four weeks that I realized how much it’s improved my skin tone. The ruddiness on and around my nose has softened significantly, and my pores are less noticeable.  

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/4EyLGCRJUZsylnxHE1Ke7c/72a781a9951ac166de922945c956fd50/After.jpg}>
  The writer's complexion after using the LED mask for a month
</CaptionImg>

I can’t say that I’ve noticed any line softening yet. But, with having to discount my forehead because of the Botox®, I’m obviously not the best example of what it can do in that category. I plan to continue using it to see if it eventually helps my marionette lines. Even if it doesn’t, the glow and skin tone changes are enough to keep me going. 

So, beam me up, Priori. I’m now an LED believer. 

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

One writer test drives the $395 at-home LED light therapy mask for a month to see if she'd have smoother and more even skin.

What It's Like To Use The Priori Skincare UnveiLED Mask For At-Home LED Light Therapy

What Does A $400 LED Face Mask Actually Do?

sincerely-media-lQ3go6MNPzo-unsplash

New Year’s resolution season is upon us. Here at AEDIT, we are dreaming up ways to improve our skincare routines and try new aesthetic procedures. From resuming in-office procedures (with the [proper COVID-19 protocols](https://aedit.com/aedition/how-plastic-surgeons-and-cosmetic-surgery-patients-are-coping-with-covid-19), of course) to trying out an [at-home beauty tool](https://aedit.com/aedition/beauty-massage-for-face-body) (or two!), 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 treatments we’d like to try in 2021.

### **1. Kristin, Sr. Growth Marketing Manager** 
I'm planning to get more consistent with my in-office skincare treatments (with all the necessary COVID-19 precautions), which means more regular facials (I particularly like the [HydraFacial®](https://aedit.com/procedure/hydrafacial)) and potentially starting a [superficial chemical peel](https://aedit.com/procedure/superficial-chemical-peels) regimen to combat aging and boost collagen production.

### **2. Matthew, CTO**
I have lost weight during the pandemic, but I still am not happy with my chin. I tried [Kybella®](https://aedit.com/procedure/kybella) a few times, but it didn't work. I am looking at alternatives like [CoolSculpting® CoolMini](https://aedit.com/procedure/cool-sculpting).

### **3. Cynthia, Account Manager**
In addition to my existing skincare routine, I plan on using a rose quartz [gua sha](https://aedit.com/aedition/everything-you-need-to-know-about-gua-sha) tool (like [this one](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fgua-sha-facial-lifting-tool-P432823%3FskuId%3D2113561) from Mount Lai) to massage serums and [face oils](https://aedit.com/aedition/benefits-of-face-oil-for-all-skin-types) into my skin to improve circulation and promote lymphatic drainage. I start with cleanser, use toner, and then apply eye cream, serum, and face oil. I will use the gua sha to thoroughly massage my skin in upward motions, especially on the neck, and then will follow with moisturizer and mineral sunblock to seal it in. One in-office treatment I am seriously considering is [lip augmentation and filler](https://aedit.com/procedure/temporary-lip-fillers). I believe it will make my overall smile and mouth area more symmetrical and boost my confidence. 

### **4. Vivien, Editor**
This year, I want to be more diligent with at-home products that aren't skincare related. The first is to be consistent with my [NuFACE](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Ftrinity-facial-toning-device-P383183) microcurrent device on a daily basis because saggy jowls are something I've noticed in my family; the second is to integrate more [haircare](https://aedit.com/aedition/at-home-hair-care-tips) products to help with hair loss and thinning hair. I am turning 30 this year, so my plan is to try more in-office treatments like Botox® (it will be [my first time](https://aedit.com/aedition/everything-you-need-to-know-before-getting-botox-for-the-first-time)) and to get a light chemical peel. Quarantine has made me feel as though I've aged five years, so it's time to put my skin into the hands of a board certified professional.

### **5. Austin, Provider Solutions**
I am considering [jawline fillers](https://aedit.com/aedition/8-ways-to-get-a-more-defined-jawline) going into 2021. My main motivation is my upcoming wedding. One issue I've found is that I am never happy with my side profile or chin in candid pictures — engagement photos being an example. I don't want to be over-analyzing pictures that I will have for the rest of my life, so I'm considering fillers as an option in March or April.

### **6. Jenny, Senior Director of Product** 
I have a three-year-old son, so not falling asleep with my makeup on is an aspirational goal for 2021! I want to keep up the habit of using [my Paula's Choice retinol cream](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.paulaschoice.com%2Fclinical-1pct-retinol-treatment%2F801.html) at night because of the [scientific evidence](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare) of its effectiveness for skin rejuvenation. Also, I'm trying to be obsessive about applying [sunscreen](https://aedit.com/aedition/how-to-apply-sunscreen-and-not-miss-a-spot) every day. I'm data and research obsessed, so now that I'm working at AEDIT, it's my goal to up my knowledge on the most science-backed treatments to invest in. 

### **7. Chris, Sr. Software Engineer**
With the significant increase to the frequency and intensity of [handwashing](https://aedit.com/aedition/how-to-wash-hands-best-creams-tips-to-prevent-dry-skin) due to the pandemic, my hands have been taking a beating that's been amplified by my seasonal dry skin. As such, I'm going to make hand moisturizing ([this is the good stuff](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.kiehls.com%2Fbody%2Fhand-creams-hand-salves-and-soaps%2Fultimate-strength-hand-salve%2F3700194708399.html)) part of a daily routine to try to get ahead of it instead of just using it reactively when my hands get bad. 

### **8. Témi, Assistant Editor**
In 2021, I want to try [laser hair removal](https://aedit.com/aedition/laser-hair-removal-vs-electrolysis-whats-the-difference)! I’m tired of razors and depilatory creams, but I know I’ll need to search extensively to find a place that can safely remove dark hair from dark skin.

### **9. Rebecca, Brand Marketing Manager**
I would love to learn how to incorporate more ‘good acids’ into my skincare routine, as well as making sure I wear an [eye cream](https://aedit.com/aedition/eye-creams-serums-to-treat-crows-feet-dark-circles-puffiness) and [SPF](https://aedit.com/aedition/best-lightweight-non-greasy-sunscreens-to-wear-indoors) everyday. I started using [hyaluronic acid](https://aedit.com/aedition/guide-to-hyaluronic-acid-in-skincare-dermal-filler) and [glycolic acid](https://aedit.com/aedition/guide-to-topical-alpha-hydroxy-acids-in-skincare) to slow down small signs of aging [in my thirties](https://aedit.com/aedition/best-skincare-routine-products-ingredients-for-30s). I really miss getting facials, so I would love to give myself at least one facial a week to help address any seasonal skin needs.

### **10. Harlan, Talent Acquisition Partner**
I want to add some sort of moisturizer to my regimen. I know I need to get a good moisturizer to use every day, and I just haven't done it yet. 2021 will be the year I do it!

### **11. Revati, Front End Developer**
In 2021, I want to try nutritional supplements to improve my skin from the inside out. My skin started looking really pale and dull during quarantine, so I've been eying the [HUM Glow Sweet Glow Gummies](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.humnutrition.com%2Fproduct%2F42%2Fglow-sweet-glow). I've had good luck with their other supplements in the past, so I hope this makes a difference!

### **12. Anne, User Researcher**
A weekly bath and face mask sounds nice and achievable. I used to do it religiously in NYC, but I’m now remote from my family home in central Pennsylvania, and I've lost track of that good habit. Maybe a ‘blocker’ is sourcing a good face mask. I used to pick up random sheet masks while on lunch breaks in the city, but I'll ask our editorial director Meg (sorry, Meg!) or my older sister — those are my two beauty resources — for recommendations. Now that I think about it, the real ‘blocker’ is the lack of ambiance in my childhood bathroom. Just putting those words together sounds so unappealing, and the tub shape doesn't allow for me to use my little [wooden bath tray](https://aedit.com/aedition/best-bubble-bath-products-for-adults) or set a candle nicely on the bathtub edge. Now I have a new project! I'd also like to become a woman who gets a facial every season. The last one I got was before I started my job at AEDIT. It was a treat from my older sister (the beauty resource mentioned earlier). This goal may be slightly delayed until I can [safely enter a spa](https://aedit.com/aedition/what-its-like-to-get-a-facial-during-covid-19) and feel relaxed in the world.

### **13. Chris, Engineer**
I've found the water I use to be rather hard and it dries out my skin much quicker than I expected, so I am going to try using a night cream to help soothe my face and keep it from drying out and cracking after cleansing. I would also be interested in trying a facial to see what it can do for my skin. Depending on how that goes, I would potentially try a chemical peel as well. The benefits seem quite rewarding, and I think it's worth it for the new year. 

### **14. Yan, Product Designer**
I’m adding some anti-aging and acne treatment products to my skincare routine. I've tried retinoids before, but it caused a little bit of purging with redness, peeling, and even more acne. Then I found that bakuchiol products — like the [Ole Henriksen Glow Cycle Retin-ALT Power Serum](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fglow-cycle-retin-alt-power-serum-P434545) or [REN Clean Skincare Bio Retinoid Anti-Ageing Cream](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fbio-retinoid-anti-ageing-cream-P380810) — can be good substitutes for retinoids. They’ve worked well so far, and I’ve also experienced less breakouts since I started to use them. I'm planning on adding the [REN Bio Retinoid Anti-Wrinkle Concentrate Oil](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fbio-retinoid-anti-wrinkle-concentrate-oil-P311126), which is more hydrating than cream, to my 2021 routine, as my skin gets drier in winter.

### **15. Nikan, Computer Vision Engineer**
I’m not a big fan of supplements and am hardly able to stick to a regular plan! Per a friend’s suggestion, I used to take [these gummies](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.walgreens.com%2Fstore%2Fc%2Fvitafusion-gorgeous-hair%2C-skin-%2526-nails-multivitamin%2C-gummies-natural-raspberry-flavor%2FID%3Dprod6310367-product) to maintain healthy hair and skin. I could see the difference in a few weeks of taking them before losing track. I recently decided to use a plant-based [vitamin C](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare) serum, [TruSkin Vitamin C Serum](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Ftruskin.com%2Fproducts%2Fbest-vitamin-c-serum-for-face), a few times a week after getting out of the shower. This helps me have hydrated and fresher skin, and I’ll hopefully continue using it next year!

### **16. Alyssa, Lead Product Designer**
I've never been to a dermatologist before, and I think it's high time I do! I'm interested in exploring anti-aging options such as [Botox®](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin) or laser treatments as I look toward my thirties — once I [find the right provider](https://aedit.com/aedition/finding-the-right-plastic-surgeon-dermatologist-or-cosmetic-dentist) for me, of course.

### **17. Marie, Product Designer**
Next year, I would like to get a facial every few months. I also recently started taking vitamins for hair, skin, and nails — plus taking [collagen](https://aedit.com/aedition/guide-to-collagen-in-skincare-supplements-aesthetic-medicine) — so I will continue that through 2021. Hoping for great results!

### **18. Meg, Editorial Director**
In 2021, I am going to continue to get Botox® every four to six months. Not only does it smooth my horizontal forehead lines, soften my glebellars, and provide a [subtle brow lift](https://aedit.com/procedure/chemical-brow-lift), but it also relieves my tension headaches. I am turning 30 in January, and I anticipate my skin starting to change. To combat any early signs of laxity, I resolve to start using my [ZIIP Beauty](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.violetgrey.com%2Fproduct%2Fziip-device-with-80-ml-gel-bottle%2FZIP-Z003) microcurrent device more regularly — if not daily, then at least a couple times a week.

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

From supplements to superficial chemical peels, check out the skincare habits #TeamAEDIT is planning to adopt and the cosmetic procedures they’d like to try in the New Year.

2021 Skincare And Cosmetic Procedures To Try

18 Skincare Resolutions The AEDIT Team Is Making For 2021

matheus-ferrero-TkrRvwxjb 8-unsplash

While it may not be as readily discussed as [Botox® or gynecomastia](https://aedit.com/aedition/top-surgical-non-surgical-cosmetic-procedures-for-men), the rise in men seeking cosmetic treatments extends below the belt. When it comes to getting surgery ‘down there,’ [scrotal lift surgery](https://aedit.com/procedure/scrotal-lift) (a.k.a. scrotoplasty), a procedure that removes excess scrotal tissue to leave the area tighter and more lifted, is increasingly popular. Aside from the aesthetic appeal, the procedure can also resolve functional concerns such as discomfort while exercising and during sex. Here, we answer the most common questions about scrotoplasty and speak to two patients who have undergone the procedure. 

## **What Is Scrotoplasty?**
A scrotoplasty, also known as scrotal lift surgery, is a procedure designed to reduce the size of and reposition the scrotum. Due to genetics, aging, or trauma, the scrotum can become elongated. An elongated scrotum can impact both aesthetics and function. 

Depending on the patient, the surgery, which is generally performed under local anesthesia on an outpatient basis, may involve removing excess tissue, tightening the cremaster muscle, and/or tissue grafting for structural support. There is usually minimal scarring, and it will fade with time. 

### **Candidates for Scrotoplasty**
Men who are experiencing a loss in elasticity in their scrotal tissue that is leading to discomfort, pain, or loss of confidence may all be candidates for the procedure. Not all men will experience this pain or discomfort as they age. It’s thought that both genetics and lifestyle play a role in determining whether or not an elongated scrotum will develop. 

The procedure can also be prescribed for men who have certain medical conditions. Varicocele, for example, causes blood to pool in the testicles, which, in turn, leads to sagging. The combination of stretched scrotal tissue and a short spermatic cord can cause painful ejaculation. For those with these types of medical concerns, a urologist may need to provide treatment before plastic surgery is an option. 

### **Scrotoplasty Recovery & Results** 
You will generally be advised to rest up for three days following a scrotal lift. Pain and swelling are common, but it should be mild and manageable with the medication. During the initial downtime, physical activity should be limited. Some swelling may persist for about three months post-op. Around this time, you should be able to see the final results of the surgery. Any scarring will continue to fade for about a year. 

The results of a scrotal lift are permanent, though the natural aging process will continue. As long as aftercare instructions are followed carefully, there should be no need for revision surgery.

## **Patient Perspective**
Like many penile enhancement and genital rejuvenation procedures, scrotoplasty is gaining popularity for men seeking both functional and aesthetic benefits. We spoke to two patients about their experience with the procedure. Their names have been changed.

### **Jon, New York City**
*Jon opted for scrotal lift surgery after a medical condition led to his scrotum losing elasticity at a young age.*

<Dialogue>
  <Question party={The AEDITION}>
    How was your scrotal lift surgery?
  </Question>
  <Response party={Jon}>
    The main thing I would like to flag to anyone reading this and considering having the procedure is that it doesn’t hurt all that much. When my doctors first mentioned the prospect of potential scrotal surgery my first thought was: *This is really going to hurt.* The procedure is very quick. I believe my surgery took around an hour. I was sedated but did not have general anesthesia, and I went home as soon as the RN was okay with me leaving.
  </Response>
  <Question party={The AEDITION}>
    What did the recovery process entail?
  </Question>
  <Response party={Jon}>
    The first two days were uncomfortable. I was also sleepy. I just took it easy, kept putting ice packs on my crotch area that was sore, and took pain meds. After those first two days, it got a lot easier. I had occasional discomfort for a couple of weeks or so and then it settled down pretty much completely. I had the surgery six months ago, and I’m seeing the final result of it now. There is a small scar, but it’s not obvious.
  </Response>
  <Question party={The AEDITION}>
    Are you happy with the results?
  </Question>
  <Response party={Jon}>
    My expectations were somewhat different because I had the surgery as a result of another medical condition, not to simply change the appearance of my genitals. I’m really happy with the ‘functionality’ that has been restored. I’m in very little to no pain whatsoever now. Before the surgery, I would struggle with working out, sex was painful, and I was generally self-conscious of how I looked. It’s been a success when it comes to resolving those issues for me.
  </Response>
</Dialogue>

### **Sydney, Atlanta, GA**
*Sydney was undergoing a series of rejuvenation procedures as part of a birthday gift to himself when he turned 60. He chose a scrotal lift because he wasn’t happy with the appearance of the area as he aged.*

<Dialogue>
  <Question party={The AEDITION}>
    How was your scrotal lift surgery?
  </Question>
  <Response party={Sydney}>
    I had the procedure as part of a couple of others, so I had general anesthesia and stayed in the hospital for a couple of days afterward. I believe this isn’t necessary for everyone, particularly if you have it as a standalone surgery. I was generally in a fair bit of pain after the surgery, but I can’t remember that area particularly standing out. For me, the main piece of advice I would share is to be sure you have clear notes from the hospital with aftercare instructions and be clear on who will be there to help you with that.
  </Response>
  <Question party={The AEDITION}>
    What did the recovery process entail?
  </Question>
  <Response party={Sydney}>
    I was fortunate to have loved ones around to look after my wellbeing while I got back on my feet. There was general pain and discomfort but nothing too bad. The scar is small and healed quickly. It has now faded well.
  </Response>
  <Question party={The AEDITION}>
    Are you happy with the results?
  </Question>
  <Response party={Sydney}>
    I am. I had the procedure as part of a few other surgeries and the whole process has given me back confidence and made me feel much less depressed at the prospect of aging. My genital area does not look like I’m young again, but it’s now not part of my body that I’m ashamed of. I think that’s something people deserve at any age.
  </Response>
</Dialogue>

## **The Takeaway**
Whether it’s performed to restore function or to improve the aesthetic of the area, a scrotoplasty is a genital rejuvenation procedure that lifts and tightens the scrotum. Consulting with a board certified urologist or plastic surgeon will determine if you are a candidate for the surgery.

We're answering the most common questions about scrotoplasty and speak to two patients about their experience with the procedure. 

Scrotal Lift Surgery, Scrotoplasty To Correct An Elongated Scrotum

What It’s Really Like To Get A Scrotal Lift

shutterstock 743659255

One writer seeks to revive her ‘lackluster lashes’ with an array of at-home lengthening and volumizing options. From mascara to falsies, here’s her honest take.

How To Use False Lashes, Mascara, Lash Growth Serum For Thicker, Fuller Eyelashes

8 DIY Eyelash Techniques For Length And Volume

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Psoriasis is a chronic skin condition that is believed to impact two to three percent of the population. It causes patches of inflamed, red, and flaky skin on the face and body that tend to have a silvery appearance. These symptoms are caused by the overproduction of skin cells, and, for those who suffer from psoriatic arthritis, it can also lead to joint pain and stiffness. What causes someone to develop psoriasis remains somewhat of a mystery, and there is currently no cure. Treatments are highly personalized in nature and often require quite a bit of trial and error to determine what works best.

In honor of World Psoriasis Day, we spoke to New York City-based board certified dermatologist [Morgan Rabach, MD](https://lmmedicalnyc.com/dr-morgan-rabach/), and two psoriasis patients to better understand the skin condition and how to manage it.

## **What Is Psoriasis?**
Not to be confused with [eczema](https://aedit.com/aedition/best-skincare-products-to-treat-eczema-flare-ups-in-the-winter) or [rosacea](https://aedit.com/aedition/what-its-like-to-live-with-and-treat-rosacea), psoriasis is a chronic skin condition that causes patches of red, dry, flaky skin. It most commonly appears on the elbows, knees, lower back, and scalp, but the patches can show up anywhere on the body. No two psoriasis cases are the same, and the condition usually manifests in unpredictable cycles that alternate between periods of no (or minor) symptoms and more intense flare-ups. During these relapses, the patches of irritated skin can be large, itchy, burning, and even painful.

The severity of the condition varies by patient. For many, psoriasis patches are more of a cosmetic concern than anything else. But, for others, the discomfort and appearance of large areas of irritation can affect their quality of life — causing physical pain and discomfort.

## **Who Does Psoriasis Affect?**
According to the World Health Organization’s [2016 Global Report on Psoriasis](https://apps.who.int/iris/handle/10665/204417), the condition affects men and women equally. It is thought that some 100 million people worldwide have been diagnosed with the condition, and it would appear that it is gradually becoming more common.

There are slightly higher numbers of cases of recorded cases in Caucasian patients compared to other ethnicities, but this disparity may be due to differences in the number of people seeking treatment in different demographics. There are no clear factors that make one group more susceptible to the condition than others, though there is often a misconception that psoriasis is a contagious skin condition. Psoriasis is not contagious, and it is thought to be triggered by certain infections, genetics, and injuries to the skin.

## **What Causes Psoriasis Flare-Ups?**
Psoriasis flare-ups can be caused by a variety of triggers, Dr. Rabach says. She lists medications, stress, illness, changes in weather, alcohol consumption, and smoking as some potential culprits. There are no specific irritants (such as ingredients in foods, cosmetics, or detergents) that are known to trigger psoriasis relapses. As a result, treatment plans for patients with psoriasis may include lifestyle changes that help manage and prevent future relapses. Dr. Rabach advises that people eat a [well-balanced diet](https://aedit.com/aedition/best-diet-for-healthy-beautiful-skin), [maintain a healthy body weight](https://aedit.com/aedition/best-fitness-classes-workouts-exercises-to-try-at-home), and [destress](https://aedit.com/aedition/impact-of-stress-on-skin-acne-wrinkles-dryness) whenever possible to stay on top of symptoms. 

### **The Relationship Between Psoriasis & Arthritis**
Around a third of people who have psoriasis will develop psoriatic arthritis. The condition can develop up to 10 years after a person first experiences skin complaints linked to psoriasis, and experts believe it happens because the immune system begins to attack healthy tissue by mistake. Not everyone who has dermatological symptoms will go on to develop arthritis, but it’s not clear why some people do while others don’t.

To treat psoriatic arthritis, patients are advised to first consult with their primary care physician before being referred to an internist or rheumatologist to manage the condition moving forward. Treatment usually includes the use of non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and disease-modifying anti-rheumatic drugs (DMARDs), which can be particularly effective when taken early on in the degenerative process.  

## **How Is Psoriasis Treated?**
Courses of treatment for psoriasis often involve a combination of topical creams, [light therapy](https://aedit.com/aedition/everything-you-need-to-know-about-the-benefits-of-light-therapy), and lifestyle modifications. “The standard of care for patients with psoriasis are topicals consisting of different strengths of steroids and vitamin D cream,” Dr. Rabach explains. “Depending on how much of the body’s surface area is affected, we use light therapy — usually narrowband UVB.” For smaller areas, she uses an excimer laser. 

There is more recent research into whether biological medications, which alter the immune system, can help treat psoriasis, but Dr. Rabach cautions that there is a lack of long-term data to support such options.

## **Patient Perspective**
We spoke to two people who have different experiences of living with psoriasis. Joey is managing an increasing number of relapses, while Sue is experiencing the onset of psoriatic arthritis. 

### **Joey, 32, New York City**
*Joey was diagnosed with psoriasis three years ago. Her first flare-up occurred during a stressful period when she was completing her PhD. Relapses have become increasingly frequent, but she is able to keep symptoms under control working closely with a dermatologist.*

<Dialogue>
  <Question party={The AEDITION}>
    What does psoriasis look like for you?
  </Question>
  <Response party={Joey}>
    My psoriasis symptoms are mostly patchy red rashes that tend to be pretty flakey and sore. I usually get them on my hands, forearms, and back. The ones on my knuckles, in particular, get very painful. It’s something I have lived with for a little while now, so I can spot the very first signs that a relapse is on its way. Because we still haven’t found a treatment that works well for me, I have to see my dermatologist regularly. It also has an impact on me emotionally. It’s a condition that’s not really severe enough for me to consider myself ‘ill,’ but I don’t feel like a completely healthy 30-something anymore, which can be tough at times.
  </Response>
  <Question party={The AEDITION}>
    What treatments have you tried?
  </Question>
  <Response party={Joey}>
    So far, we’ve managed to find some creams that make me more comfortable, but they do not seem to shorten the length of time my flare-ups last. Each time I have a flare-up, we decide whether to stick with what kept me comfortable last time or if we should try something new. It’s quite experimental, but I’m pleased I’m able to manage the discomfort now. On the other hand, the fact that my particular case affects my hands and forearms means that I am self-conscious a lot of the time. It’s something I am working on with a therapist as well as with my dermatologist to approach things from both perspectives.
  </Response>
  <Question party={The AEDITION}>
    How does psoriasis impact your daily life?
  </Question>
  <Response party={Joey}>
    Initially, the impact showed through in my confidence levels. I went from wearing sleeveless tops and dresses to wanting to wear long sleeves all the time. I would dread hot summer days when I’d have to show my skin. These days, it means I spend a lot of time taking care of myself. I have overhauled my diet to eat clean and unprocessed foods. I practice yoga and meditation to manage stress. It isn’t always easy, but I’m finding it easier the longer I live with it. It’s like anything: It’s a shock and quite strenuous to begin with, but, over time, you adapt.
  </Response>
</Dialogue>

### **Sue, 45, Denver, CO**
*Sue was dealing with dermatological symptoms of psoriasis for close to a decade before she began experiencing joint pain. She received a diagnosis of psoriatic arthritis after a series of tests and has been adapting her lifestyle and adjusting medication ever since.*

<Dialogue>
  <Question party={The AEDITION}>
    What does psoriasis look like for you?
  </Question>
  <Response party={Sue}>
    Psoriasis has been a part of my life for quite some time, and it’s something I knew I may be at risk of developing because I have a family history of the condition. In the beginning, it was mostly just a few flakey patches of skin from time to time. Gradually, it developed into a more significant problem for me, with the patches getting larger during flare-ups. More recently, joint pain is something I have to live with.
  </Response>
  <Question party={The AEDITION}>
    What treatments have you tried?
  </Question>
  <Response party={Sue}>
    The treatment is two-fold. I see a dermatologist who has found great solutions for the dermatological side of the issue. I have light therapy and also apply a couple of steroid creams that appear to work very well. The joint pain is managed with some relatively mild anti-inflammatory drugs for now, but I have a treatment plan set out in case things get worse.
  </Response>
  <Question party={The AEDITION}>
    How does psoriasis impact your daily life?
  </Question>
  <Response party={Sue}>
    It’s quite a variable thing. I can be fine on some days and in a lot of pain on others. That’s probably the most difficult aspect — not knowing when I’m going to feel alright or not. I have already adapted my lifestyle significantly to prepare for the bad days to become more frequent. I now work for myself so I can set my own pace. When I recently moved, I opted for a single-story house as opposed to one with stairs. On good days, there is no difference between my abilities and anyone else’s, but it’s something that is there in the background that I have to be aware of.
  </Response>
</Dialogue> 

## **The Takeaway**
Like so many skin conditions, living with and treating psoriasis is a very personal experience. Some patients only experience mild dermatological symptoms, while others have more severe flare ups and develop psoriatic arthritis. If you think you might be experiencing skin concerns related to psoriasis, it is important to consult with a board certified dermatologist to create the best treatment plan for your needs.

In honor of World Psoriasis Day, The AEDITION speaks with a board certified dermatologist and patients about their experiences living with and treating the chronic skin condition.

How To Treat And Manage Psoriasis

What It’s Really Like To Live With And Treat Psoriasis

AEDITION expert perspective-min

Patient Perspective Collection | The AEDITION

shutterstock 1074678923-min

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

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

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


## **Elizabeth, 52**


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

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

### **The Immediate Warning Signs**

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

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

### **Second Time Around**

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

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

### **Lessons Learned**

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

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

How I Found My Plastic Surgeon: Trust Your Gut

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.

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