Facial Rejuventation Today

Deconstructing the Meghan Markle Effect

December 6th, 2017

First it was Duchess Kate Middleton’s nose; then it was her sister Pippa’s derriere that captivated us. Now, our collective sites are set on the latest addition to the Royal Family, Prince Harry’s fiancé Meghan Markle.

In what’s being dubbed as the Meghan Markle effect, requests for plastic surgery to recreate Markle’s nose started peaking several months back when she began making headlines for dating Prince Harry. These demands peaked when the duo recently announced their engagement.

And in truth, it’s a great nose. It’s perfectly imperfect with a straight-ish profile and refined tip. (There is a slight bump, experts say.)

While the nose is a perfect fit for Markle, keep in mind it’s not exactly a one-size-fits all kind of thing. Celebrity emulation is as old as plastic surgery itself. Many youth and beauty seekers bring photos of their favorite celeb’s body parts to their consult, hoping against hope that they can look more like their idol. (Remember Tobias Strebel, the 35-year-old who reportedly spent $100,000 to look like Justin Bieber?

It’s not always possible to surgically alter an appearance to look like a celebrity (in fact it’s rarely possible), so it’s important to enter into it with realistic expectations. Otherwise you run the risk of setting yourself up for grave disappointment.  Instead of showing up at your consult with photos of the soon-to-be Royal or the celebrity you most admire, consider bringing old photos of yourself to show the doctor as well. From there, your facial plastic surgeon will conduct a thorough exam and help determine a plan that works for you and your nose.

While Markle’s nose may not be right fit for you, there are a lot of things about her that are worthy of emulation.

Show some love

Markle and Prince Harry are often photographed holding hands and/or touching each other, a departure from the stiffness we typically associate with the Royals. We know that affection has some real health benefits and may help increase production of oxytocin, the so-called love hormone. Oxytocin reduces pain levels and overall stress in the body.

Give back

The 36-year-old, in addition to being an actress, was a Global Ambassador for the charity World Vision and travelled to Rwanda with World Vision Canada in 2016.

Put a ring on it

Jewlr.com’s Meghan Markle replica ring, ‘The Duchess,’ has quickly become its best-selling engagement ring outselling other ring styles by 15%. Searches for three-stone rings on Jewlr.com have also risen by 220%.

Get a white wrap coat

Markle posed with her Prince in a cream-colored wrap coat, and the jacket sold-out almost instantly. The brand quickly renamed it the “Meghan” in her honor.

For more information, check out our nose surgery section of the site.

All BROWsers Welcome… Microblading may be THE procedure of 2017

November 13th, 2017

Years of over-plucking to achieve the sort of pencil-thin eyebrows that were in style for what seemed like decades resulted in… overly styled, anemic brows.

No real surprise there, but now that bushy brows and thick arches are back with a vengeance — thanks to the likes, looks and locks of Lily Collins, Gigi Hadid, Selena Gomez, Cara Delevingne and more — many of us are hoping for a do-over.

So what are our options? Penciling is exhausting and the chances of smudging are pretty high. Tattooing or permanent makeup is, well, permanent, and as we know, styles change. Enter the latest craze: microblading. It falls somewhere in-between and is being offered everywhere from med spas to plastic surgeons’ offices. It was even dubbed the procedure of 2017 by one of the hottest online beauty sites in the biz, Byrdie.com.

What Does the Microblading Procedure Involve?

During Microblading, pigment (the application of which resembles eyebrow hairs) is implanted beneath your skin by an expert using a handheld tool. Microblading differs from traditional tattooing in that the pigments are not placed as deep, which keeps the ink from “bleeding.” The process takes around two hours to complete, but results can last up to three years. (Touch-ups may be needed down the road.)

Experts say microblading is great for people with no, sparse, or uneven eyebrows, or really anyone seeking to enhance theirs. After treatment the brow area will be slightly red and the pigment color will appear very dark at first. Some slight scabbing also may occur. It can take up to two weeks to heal, with the full color developing in about a month, on average.

Microblading isn’t the only eyelash enhancement game in town. Eyebrow transplants are an option — albeit a pricey one that does involve some downtime. Some people also see benefits from off-label use of Latisse (bimatoprost ophthalmic solution) 0.03%, the very same drug used to lengthen eyelashes.

Concerned about your brows or lack therof? Check in with a facial plastic surgeon to see what options may work for you. Find one now http://www.facialrejuvenationsurgeons.com

Botox Cosmetic Now Approved to Smooth Forehead Lines: Should you give it a shot?

October 26th, 2017

Have you heard the big news?

The FDA has approved Botox Cosmetic for a third indication. The treatment of horizontal forehead lines is the newest approved application for the popular injectable, joining an indication list that already included the treatment of crow’s feet and frown lines between the eyebrows.

Botox Cosmetic (along with Dysport and Xeomin) is the most popular minimally invasive procedure for women and men, according to the most recent statistics from the American Academy of Facial Plastic and Reconstructive Surgery. Expanding its approved uses will only further this popularity, helping even more people achieve their facial aesthetic goals.

Many experienced dermatologists and plastic surgeons have been using Botox Cosmetic “off label” (outside FDA-approved use) to smooth dynamic horizontal forehead lines for years. So this approval isn’t exactly a seismic shift in the application of Botox. However it does signal the continuing growth of such injectables; and the aesthetic market in general.

Horizontal forehead creases can make us look angry, confused or just plain stressed out. Injections of Botox block the release of acetylcholine, a chemical that causes the muscle contractions that create these wrinkles.

However these injections can do more than just smooth lines if they are started early, which is sometimes called prejuvenation or more specifically, preventative Botox. In such cases, it can prevent the lines from becoming deeper.

Full results from Botox injections are visible within one week after treatment and last a minimum of three months.

Keep in mind that there are a few risks associated with Botox treatments in the forehead if overdone; namely a heavier brow and/or drooping eyelids. Other potential side effects of Botox Cosmetic injections may include headache, nausea and redness or pain at the injection site. Your doctor should go over all of the risks with you as well as share advice on how best to prevent them from occurring.

The Bigger Picture

While this nod is welcome news, the neuromodulator category of injectables lacks the type of innovation that we are seeing with another category — soft tissue fillers. There are so many different fillers available, many with different properties and benefits so that they can be uniquely matched to a wrinkle, fold or cosmetic preference.

The three available neuromodulators are all botulinum-A toxins and are very similar in terms of what they do and how they do it. That said, several companies are developing new forms of botulinum with different properties including quicker onset of action and longer lasting results and some are looking at new ways to deliver the product including topically.

We’ll continue to cover all the breakthroughs and treatment expansions as they develop. Stay tuned.


The Latest Skinny on Probiotics and Skincare

September 22nd, 2017

Probiotics are a staple at most health and natural food stores. These strains of so-called “good” bacteria are available as supplements or in foods such as yogurt, kefir, sauerkraut, tempeh, kimchi and others; and now they’re starting to pop up in skin care lines with experts suggesting they may be a solution to a variety of common skin problems including acne, rosacea and eczema.

How do Probiotics Work?

Probiotics reset the balance of good and bad bacteria within the gut. When this balance is out of whack, your body doesn’t function as it should. Some people may report diarrhea, gas, bloating and/or stomach pain. Eventually the gut lining becomes leaky and toxins are released into the bloodstream causing inflammation throughout the body. This inflammation may manifest on the skin as acne, itching, blemishes or other symptoms.

When it comes application, probiotics are often delivered to the skin via masks, creams or cleansers (as opposed to pills). It is well known that certain types of ‘bad’ bacteria aggravate or cause eczema and acne, for example, but adding protective bacteria to the mix may restore the balance and curb symptoms.

One study out of Korea found that people with acne who drank a Lactobacillus-fermented dairy beverage daily for 12 weeks reduced their total acne lesion count and decreased oil production. These findings appear in the Journal Nutrition. The most common probiotic bacteria belong to groups called Lactobacillus and Bifidobacterium.

That said, it’s important to note that this research is still in its early days. The FDA has not approved any probiotics for preventing or treating any health problems.

Common Sense Advice

“We spend so much time scrubbing and cleansing the heck out of everything, killing microbes indiscriminately and then we’re surprised when these systems (our skin) fail to be able to balance themselves naturally,”  says Alex Lewin, author of
 (Fair Winds Press; September 2017). “Stop cleansing and disinfecting so much. Wash your hands when appropriate, of course, especially if you are cooking for other people,” he stresses.

“Once you’ve done all of the above, then adding probiotics to your skin care mix might be worth considering,” he suggests. Take an ad hoc approach with things like yogurt and kefir masks, kombucha and so on.


Blue’s Clues – Is exposure to blue light from smart phones causing wrinkles and brown spots?

September 8th, 2017

You’ve likely gotten the message that it’s essential to wear your sunscreen when you hit the beach, the slopes or even the highway, but should you also be slathering it on when you check your emails, shop on Amazon, or scan Facebook or Instagram?

Surprisingly enough, the answer is maybe.

New research suggests that the blue light emitted from our digital devices does more than affect our vision and sleep patterns, it may also wreak havoc on our complexions, causing (or worsening) pigment problems and/or fine lines and wrinkles.

The good news is that one risk not associated with blue light exposure is skin cancer, because unlike the sun’s ultraviolet A and B rays, blue light doesn’t appear to cause the genetic changes that lead to skin cancer, nor does it cause reddening or swelling of the skin.

Instead, a small yet growing body of evidence suggests that exposure to blue light (A.K.A high-energy visible light or HEV) weakens our skin’s barrier function, accelerating aging. It tends to go deep, striking our collagen, elastin and hyaluronic acid supply. These are the all-important substances that give our skin the elasticity and supple properties associated with youth. (If the name hyaluronic acid sounds familiar, it’s because many of today’s top-selling wrinkle-filling injectables are composed of this molecule.)

Blue light also targets the formation of melanin (the pigment that gives skin, hair and eyes color.) One study in Pigment Cell & Melanoma Research showed that blue-violet light induced a significantly more pronounced hyperpigmentation that lasted up to three months compared with ultraviolet light.

What to do?

To stave off the effects of blue light on our skin, many sunscreens, foundations and other cosmetics now boast HEV blockers. There’s even an ingredient (Liposhield) that, when added to moisturizing creams and lotions, sunscreens and the like, will protect the skin from damaging HEV light.


If you are noticing brown spots or other skin discoloration and tend to spend a lot of time in front of your devices, check out one of the many products designed to block blue light and/or talk to your dermatologist about what else could be causing the pigment problems, and what you can do to address them.

Certain physical blockers in sunscreens such as titanium dioxide and zinc oxide can also protect against HEV light, so if you’re already using them, you are ahead of the curve. Just make sure they offer broad-spectrum (UVA and UVB) protection, have an SPF of 30 or higher, and are water resistant.

Follow this advice and you should be good to go… online.

PRP: Is it Hope or Hype in a Syringe?

August 17th, 2017

Platelet rich plasma (PRP) is generating a lot of buzz lately. It’s been widely used to treat joint, tendon, and tissue injuries among pro athletes and weekend warriors. But a new application is gaining steam.

It’s being touted as a possible cure-all for baldness, and an all-natural alternative to facial recontouring, lip enhancement and even vaginal rejuvenation. Growing numbers of cosmetic doctors are offering PRP for its aesthetic benefits and many a celebrity has professed their undying love for it, including Kim Kardashian, Bar Rafaeli, Tiger Woods and Angelina Jolie.

But what exactly is PRP and can it possibly live up to all the hype?

PRPBlood (a.k.a. plasma) contains platelets that are rich in growth factors. These platelets are separated from other blood cells and their concentration is amplified via centrifugation. The PRP is then combined with the remaining blood and re-injected into the body to work its magic.

PRP injections can be used in place of Botox or fillers — and possibly some types of energy-based skin rejuvenation to fill in lines and folds, and stimulate collagen. It’s collagen that gives our skin the supple, elastic properties of youth, and we know that our natural supply dips with age. PRP can supplement this dip to help sustain those youthful aesthetics we all want to cling to.

For hair loss, PRP serves as something of a fertilizer in the sense that it’s helping to spur hair growth. It can be used alone or with other hair restoration treatments such as transplants or topicals.

Some doctors are using PRP with another red-hot treatment called microneedling. During microneedling, your doctor makes tiny pinpricks on your face using a pen-like device. These “wounds” help to kick start the body’s own natural healing process which in turn spurs collagen production. Microneedling creates small channels and PRP is then slathered on the face so it can go where it’s needed most to further amp up collagen production from within.

Some people may be gravitating to the “natural aspect” of PRP because the idea of injecting a foreign substance into their body is not appealing. With PRP injections, there is no risk of allergic reaction because it is created from your own blood. In general, results appear gradually over time and can last as long as 18 months. Although keep in mind that several treatments may be needed. The cost of PRP is comparable to off-the-shelf injectables like Botox and Juvederm.

Many studies assessing PRP and its potential cosmetic uses are now underway. Until these studies are completed, the jury is still out, but it looks like it will be a unanimous vote in favor of its aesthetic applications.

If you are interested in PRP, consult with a board-certified plastic surgeon or dermatologist who has experience with this innovative procedure.


Selfies May Improve Healing After Cosmetic Surgery

August 2nd, 2017

Our obsession with snapping selfies led to an uptick in facial plastic surgery procedures — a fact that has been well documented in consumer surveys and anecdotal evidence alike. It also gave rise to a cottage industry hawking selfie sticks and other apparatus that aim to make taking selfies simpler.

Fully 87 percent of U.S. adults aged 18 to 34 have taken a photograph of themselves and uploaded it to a social media website, according to Statista. On top of that, the American Academy of Facial Plastic and Reconstructive Surgery reports that one in three facial plastic surgeons report an increase in requests for procedures due to “selfie” awareness. So the selfie craze clearly is have some surprising effects.

Case in point, there’s a new selfie study published in the Aesthetic Surgery Journal that is getting a bit of attention in the world of plastic surgery. A potentially life-saving use for selfies tied to improved post-op care.

Approximately 96 percent of people who sent selfies of themselves to their surgeons in the first few days following their plastic surgery procedure reported a better post-op experience. And in three cases, doctors detected early complications thanks to the images.

Selfies may show the early signs of dangerous post-surgery infections, including redness, swelling and pus. Sending a selfie to the doctor can also reassure nervous nellies who are concerned that their swelling or bruising is out of the ordinary or taking too long to subside.

This sort of telemedicine will never take the place of in-person post-op care, but it does have a role to play — especially during the post-op period.

In an interview with Cleveland Clinic’s Consult QD, lead study author James Zins, MD, Chairman of the Department of Plastic Surgery at Cleveland Clinic, points out that “research suggests patients do not like to use telemedicine if it replaces an office visit, but this was an adjunct interaction that was able to allay worries until the regularly scheduled postsurgical visit. This is a very important issue and points to an opportunity to bring patients and physicians closer together and improve the quality of care.”

Speak with your surgeon about whether or not a selfie or two might be incorporated into your treatment plan as a supplement to your post-op care.

Is Sushi Face Really A Thing?

June 22nd, 2017

Ever look in the mirror the morning after an indulgent sushi dinner only to realize that you look like a blow fish? It turns out there’s a name for this affliction: Sushi face! At least that is what actress Julianne Moore called it during an interview with New York Magazine.

To get the scoop on sushi face, we reached out to Nigma Talib, ND, a naturopathic practitioner in London, to find out the real deal with sushi face; specifically and how we can enjoy our favorite rolls and sashimi without waking up to the bloating and under-eye bags. Dr. Talib is the author of Younger Skin Starts in the Gut: 4-Week Program to Identify and Eliminate Your Skin-Aging Triggers – Gluten, Wine, Dairy, and Sugar, and has coined such terms as “wine face” and “sugar face.” So who better to ask about sushi face?

Most people might immediately pin the blame on the soy sauce (which is packed with sodium), but you might be surprised to learn that fish and rice also contain some salt. The reality is there are a number of elements in the sushi feast work together to make you retain fluid, says Dr. Talib. “Post-sushi, we all get an inflamed face because the sodium is causing water retention and even the rice plays a role,” she says. “Rice gets broken down into sugar by the digestive enzyme amylase which is found in our saliva.” This feeds bad bacteria in the gut and increases bloating.

So the bad news is that sushi face is really is a thing. But the good news is that it only lasts less than 24 hours.

Now before you go throwing in the towel on your favorite food altogether, here are some tips from Dr. Talib to help you avoid the extreme post-sushi bloat:

1. Choosing another cuisine the night before / day of a big event. (Save the sushi for a meal before a lazy weekend.)

2. Consuming more potassium to balance out all the sodium. Avocado — a popular ingredient in many rolls — is potassium-rich. Other good sources of potassium include nuts, bananas, oranges, broccoli, greens, potatoes and tomatoes.

3. Asking for low-sodium soy sauce. Many restaurants do carry low-sodium varieties, and if enough people ask for them, others will start too as well. If you are feeling adventurous, skip the soy sauce altogether and savor the natural taste of the sushi. See if this makes a noticeable improvement in your appearance the following day.

Fillers R Us
With about 30 to choose from, do we really need any more?

June 2nd, 2017

It seems as though a new anti-wrinkle treatment is approved or launched on a weekly basis, which begs the question: do we really need more fillers to help soften fine lines or add volume back to deeper folds?

And the answer is a resounding YES, according to top facial aesthetic doctors.

For a time, all doctors had in their wrinkle-filling-toolbox was collagen — and it was good (depending on who you ask). The greatest risk was allergic reaction, though the cosmetic results tended to vary as well.Fillers

The newer options are safer and the effects last longer. As it stands there are about 30 fillers with the U.S. Food and Drug Administration’s stamp of approval — and far more available outside the U.S., as well as in the pipeline. Many are hyaluronic acid-based (HA) fillers. HA is found naturally in all cells of the body, but our supply dwindles with age. There is no risk of allergic reaction with HA.

In some instances, the differences between HA filler A and HA filler B may be marginal, but it other cases, they can be much more significant. For instance, Juvederm (an HA filler) may be great for smoothing marionette lines around the mouth, while Juvederm Voluma actually recreates cheeks — and the results last much longer than regular juvederm. Juvederm Volbella and Restylane Silk are exclusively for the lips. Future HA fillers may improve skin quality by adding moisture back. (Think of it as an internal moisturizer with external effects). Some are premixed with pain-killing lidocaine to reduce the “ouch” factor. Results may last from 3 to 18 months depending on the specific filler. And all HA injections can be reversed if you are unhappy with the results.

Other types fill in lines and folds from the inside out and the outside in by plumping lines and boosting our natural supply of collagen, the protein that gives skin its supple and elastic properties.

The development of all these different fillers has allowed for an a la carte approach to facial rejuvenation. While liquid facelift is a misnomer, mixing and matching fillers can achieve results that are closer to what was once seen with a surgical facelift.

Thanks to all of these filler choices, we have evolved from chasing lines and filling folds to recontouring faces for a more complete facial rejuvenation using an entire palate. It’s no longer one-size fits all. More choices often means better results. Choose a facial plastic surgeon or dermatologist who has experience with all the different types of fillers and filler families so he or she can make the best choices based on your anatomy and goals.


April 19th, 2013

KYI_AlmondOil_GroupMany of us can barely even pronounce the names of some of the chemicals listed on labels of the creams and lotions we slather on our bodies and those of our children!

But corporate-lawyer-turned-savvy-“mompreneur” Samantha Addonizio is doing something about it.

Her brainchild is KYI, a whole foods skincare line. KYI stands for Know Your Ingredients. Addonizio’s main go-to ingredients are argan oil, shea butter masks and sweet almond oil.

So how does a lawyer morph into a skin care afficionado?

“About 8 years ago, when I first became a mom, I became more aware of eating healthy and being healthy for myself and my first son,” she says. “It was easy to find and feed my son nutritious foods — healthy foods were everywhere — and it was easy to find unprocessed, or minimally processed, whole foods. But he had bad eczema and after a few trips to the dermatologist, nothing she recommended worked, and some products made him scream.”

Even products that said that they were all natural or organic were not.

So she made her own. At first, Addonizio just shared the products with her friends, but demand grew, and that’s when she knew she was on to something bigger.

And so far, so good.

Today, KYI is more than a growing skin care company, it’s a mission. Addonizio is is dedicated to raising consumer awareness regarding the health benefits of selecting and using skincare products that are good for you.

Check them out!