The New Face-Lift: Fill'er Up!

Forget the drastic plastic surgery of old—now maintenance is the main event. Here, the ultimate pros-and-cons guide to the latest treatments and procedures.

By Jennifer Scruby
plastic surgery face lift needle knife more magazine
Photograph: John Teate

No. 2
WHAT ARE MY OPTIONS?

Fillers
What’s new:
Temples have become the hottest new area to treat. “If you work out and are thin, your temples start to get really sunken,” says Brandt. “It’s incredible what a difference it makes to fill them in a bit—it balances everything out.” At the same time, doctors are injecting volumizers much deeper, closer to the bone, to make the complexion extra smooth. “In the eye and cheek area, the skin is pretty thin,” Rodan explains. “Fillers have a tendency to migrate or create a bump there if they’re placed too close to the surface.”

And most women are asking for subtler lip injections, if any. (That’s good: The experts agree that lips are where things can start to go off the rails.) There’s also buzz about stem-cell face-lifts—injecting your face with fat from your own body. Why would this help? Fat is rich in active cells that can promote tissue repair, cell growth and new collagen. Little research has been conducted so far to back the regeneration theory, “but that’s where we’re headed,” says Wells. “The potential for engineering tissue with stem cells is huge.”

What goes right: Opting for subtle maintenance with volumizers rather than a total overhaul with fillers. “The whole key is doing subtle, incremental things that keep up with the aging process rather than going out for a home run,” says Manhattan plastic surgeon Alan Matarasso. In other words, people who demand a drastic change don’t end up looking the best.

What can go wrong: Beyond overinflating, the real minefield is assuming that all problems can be fixed with a filler. “The amount of volume you had in your face when you were 20 will look weird on you when you’re 55,” says Haideh Hirmand, MD, another New York plastic surgeon. “We have all these people now who look overly filled, and it’s almost worse than when people looked overly lifted. Patients think that if they do fillers instead of surgery, they’ll by definition look more natural. But you have to combine things in the right proportions to get the best results and make the work look invisible.”

Botox and similar injections
What’s new: Botox recently won FDA approval as a treatment for chronic migraines. But it can help you feel better in other ways, too. “A lot of people hold tension between their eyebrows without realizing it. There’s actually a mood-elevation effect that can happen with Botox—possibly because frowning sends feedback to your brain that you’re feeling bad,” says Adam Scheiner, MD, a plastic surgeon in Tampa, Florida. Block the frown, the thinking goes, and you’ll bring on the Zen. Meanwhile, Dysport, a relatively new neurotoxin, is gaining popularity. “It’s almost identical to Botox but diffuses more easily, so it gives a slightly softer, smoother effect,” Wells notes.

What goes right: Erring on the light side. Botox is intended to smooth mild to deep-set frown lines, crow’s-feet and furrows while leaving your face capable of moving. Injected correctly (and conservatively), it does just that. Another clever trick: Injecting the platysmal bands in the neck—the ones that stand out when you grimace—can lift the corners of the mouth and diminish jowling, no surgery required.

What can go wrong: “A doctor has to be really careful injecting Botox into the forehead,” says New York dermatologist
Brad Katchen. “If you relax that area too much, you can get a waxen look, and your brows drop.” Nerves connect in the face even when they’re far apart—which means that if Botox is injected too deeply between your eyebrows, it can give you a saggy eyelid; if your crow’s-feet are overtreated, you may end up with a droopy lip.

First Published April 25, 2011

What’s your reaction?

Comments

myjd 06.23.2011

Really? A physician's assistant points out the two in the room who haven't had something done and, by doing that, discloses everyone who has! A clear violation of the physician/patient relationship. Am I alone in thinking that whatever I have done in any physician's office is my business and not to be chatted about by the office staff or the physician? And it then becomes a reference point in a More article! No wonder recognizable people wait too long to see their physicians or go to extremes to have their healthcare delivered under tight security. If the young assistant calls me by my first name, I'm offend. If she/he tells you why I'm there, the doctor has a problem...Me.


DE-AGING BEAUTY!...WE ALL WANT TO SLOW DOWN THE AGING PROCESS, YES, IT IS POSSIBLE TO DO THAT!, THERE ARE SOME MANY DE-AGING TREATMENTS OUT THERE, BUT FEW WILL BRING THE SATISFACTORY AND PROPER RESULTS TO PATIENTS/CLIENTS..MY SELF BEING IN THE BEAUTY BUSINESS FOR 20 YEARS, IT JUST FACINATES ME, THAT WE HAVE THE ABILITY TO SLOW DOWN THE AGING PROCESS AND IN SOME CASES REVERSE IT, BY USING NEW TECHNOLOGY AND ADVANCED MEDICAL FORMULATIONS..IN MY PRACTICE I ADVICE MY PATIENTS THE IMPORTANCE OF STIMULATING COLLAGEN AND ELASTIN FIBERS PRODUCTION WITH TREATMENTS THAT HAVE A DELIVERY SYSTEM TO PENETRATE RIGHT INTO THE LAYERS OF THE SKIN, LIGHT THERAPIES IS ANOTHER TOOL TO HELP STIMULATE THE COLLAGEN LEVELS IN YOUR SKIN UP TO TWO MONTHS...HIGH FREQUENCY THERAPIES ALSO IS VERY BENEFICIAL IN RESTORING ELASTICITY...MESOTHERAPY TREATMENTS ARE USUALLLY A COCKTAIL OF VITAMINS, MINERALS AND AMINO ACIDS, WHICH IS EXTREMELY REJUVENATING TO THE SKIN..SOME TIMES I USE A DE-AGING COCKTAIL WHICH IS THE COMBINATION OF VITAMINS TOGETHER WITH GROWTH HORMONE STIMULATORS..
TO BE ABLE TO DE-AGE YOURSELF IS NOT JUST DOING EXTERNAL TREATMENTS, IT TAKES A HOLISTIC APROACH TO RESTORE AND DE-AGE YOUR BODY, IT IS VERY ESSENTIAL TO HAVE ANTI-AGING INTERNAL TREATMENTS AS WELL, TOGETHER WITH A GOOD QUALITY ORGANIC DIET, WORKOUTS AND A BALANCED LIFE STYLE..
Clarisa Patterson/Medical Cosmetologist/Nutritionist

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