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Category : Cosmetic Surgery

Has Cosmetic Surgery Become The New Makeup?

plastic surgery conversation ends stigma

The “face” of the plastic surgery conversation is changing. Slowly, cosmetic surgery discussions are becoming more frank, and the details of Botox, filler, and cosmetic surgery – which used to be the secret of the Manhattan and Los Angeles elite – are becoming less secret. In his recent TIME Magazine article entitled, “Nip. Tuck. Or Else.”, Joel Stein comments that, “cosmetic surgery has become the new makeup”.  While I think this is a bit of an overstatement, there is a kernel of truth in it. Little tweaks of Botox and filler, even rhinoplasty, and facelift surgery, are becoming more talked about, thus losing their stigma. Celebrities and civilians alike are speaking more openly about the procedures they’ve had done. We can thank Betty Ford (facelift and blepharoplasty), Joan Rivers (lots!), Ashlee Simpson (rhinoplasty), Renee Zelwiger (blepharoplasty), and most recently, Caitlyn Jenner (facial feminization and breast implants) for speaking frankly about cosmetic surgery.  We can thank sites like RealSelf for helping demystify the logistics of cosmetic procedures, as well as helping people become more educated cosmetic consumers.

Have No Doubt:

Cosmetic surgery is happening all around you. According to the International Society of Aesthetic Plastic Surgery (ISAPS), more than 20 million cosmetic surgical and nonsurgical procedures were performed worldwide in 2014, with the United States ranking number one for most cosmetic surgical and non-surgical procedures performed in 2014 (Brazil was briefly number one in 2013, but Brazilian Butt Lift be damned, we managed to regain the number one spot this past year). Cosmetic surgery technology is advancing, and procedures are becoming more minimally-invasive, with short, or no, recovery time required. As the technology advances, procedures become more common, and the cost is coming down, making procedures affordable to more people. Surgeons are also becoming more skilled, and more subtle, making results more predictable and less scary.

Along The Beauty Continuum

More and more in my practice, I see cosmetic procedures, particularly Botox and filler, regarded as regular maintenance rather than narcissistic indulgences. I even have many patients that come in for treatments with friends and make a day of it. I’ve seen that, with time, the idea of beauty and personal upkeep is becoming a continuum, with haircuts and shopping on one end and facelifts on the other. There are no longer any hard stops. If you have no reservations about coloring your hair with chemical dyes when it turns gray, why shouldn’t you take advantage of anti-aging treatments for your face? If you buy clothing and accessories in order to convey your personal style – to portray to others the way that you see yourself – why not take advantage of available procedures to do the same for your face and body?

The Shame Of Beauty Routines Is Long Gone

As Stein points out, in the 19th century, makeup was often sold under the counter because it was considered a tool of prostitution. In the 1930s, when hair dyeing was new, women got their color done in the basements of beauty parlors so no one would see them and continued to do so for decades. The shame of these beauty routines is long gone, and I hope that in the same way, we can soon say that the days of plastic surgery shaming are over.

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Your Beach Body Courtesy Of Charlotte’s Book

your beach body courtesy of charlottes book

As soon as I booked my family’s beach vacation, I ran out to buy some new bathing suits…as any woman would, right? Now, being of a certain age, and having had two kids, I can’t complain much about how I look in a bikini. That doesn’t mean, however, I don’t see some room for improvement here and there! If bikini season has got you thinking about some physique tweaks, I cannot recommend Charlotte’s Book enough as an invaluable resource for all your aesthetic options.

Here are a few of Charlotte’s recent posts on protocols and procedures to optimize your body. If you are looking to stock up on some of the best luxury body care products, shop now at Travel Beauty.

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#ASKCHARLOTTE: WHAT ARE THE BEST TREATMENTS FOR CELLULITE?

Bathing suit season is here and it’s no wonder cellulite is on the minds of many. One reader reached out asking how to deal with the dimply issue: 

“I’ve tried all sorts of anti-cellulite creams and massages, but nothing has really worked yet. I think I want to try a procedure. What are the best treatments for cellulite? Read more.

#ASKCHARLOTTE: WHAT ARE THE BENEFITS OF DRY SKIN BRUSHING?

Dry skin brushing has long been a staple of many spa treatment menus because it works wonders on your skin and is a great way to prep your body for a wrap, mask or moisturizer. Dry skin brushing is a form of body exfoliation and lymphatic drainage using a dry natural bristle brush to gently brush the skin all over your body. Read more.

ARE GUMMY BEAR BREAST IMPLANTS THE SWEETEST?

Gummy bears may very well have been your favorite candy as a kid, but if you’re now considering breast augmentation, you’ll soon be talking a lot about them once again, just not the fruity, chewy edible kind.

The newest generation of breast implants is made of a firmer form of silicone gel which bounces back to its original shape after being touched, just like the consistency a gummy bear…hence, their popular nickname: gummy bear breast implants. Read more.

THE ABCC’S OF BREAST IMPLANTS

People throw around the phrase “boob job” very casually these days, which is no surprise as breast surgery has become the most performed plastic surgery procedure in the United States. But even though it seems like everybody and their mother is trading up, the reality is that getting breast implants is still a serious surgery and not to be taken lightly. Navigating and researching the decisions that need to be made can be overwhelming. Read more.

Hungry for more? Subscribe to Charlotte’s Book.

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Do Away With Your Double Chin

double chin injectable treatment kybella

According to a 2014 survey conducted by The American Society for Dermatologic Surgery, 68% of those interviewed were bothered by “submental fullness”, a fancy term for a double chin. If you’d count yourself among that 68%, chin up!  The FDA has just approved a brand new non-surgical double chin destroying treatment called Kybella (aka ATX-101). Kybella is a patented synthetic form of deoxycholic acid that promises to melt your chin cares away. The drug is a man-made version of a naturally-occurring substance in the body, deoxycholic acid, that normally aids in the breakdown of dietary fat.

What You Need to Know

The treatment is performed in the office, by a plastic surgeon or dermatologist. It takes about 20-30 minutes and does not require anesthesia. The drug is injected in the area of unwanted fat (10-20 separate needle sticks). When Kybella comes in contact with fat cells, it disrupts the cell’s membrane and causes the cell to “lyse”, or burst.  The fat cells release their fatty contents into the surrounding area, and all that unwanted junk is cleaned up and carried away by your body through its normal process for such things. As for recovery, you should expect some swelling and tenderness at the site of the injections for the first 2-3 days after treatment, and some people may have some temporary numbness in the area. Multiple treatments will likely be required for optimal results. During clinical trials, participants received injections once per month for up to six months.

Say Goodbye to Your Double Chin

The reality is, although a small amount of submental fat is – literally – a small thing, it can make you look older and heavier than you are. Though excess fat under the chin can be associated with weight gain, genetics also play a huge role, and for some people, though they may be at a healthy weight, they still have that extra padding under the chin. Before Kybella, the only options for reduction of submental fat were surgicam, liposuction, or surgical neck lift. Kybella is exciting because it represents the first effective treatment for the double chin without the anesthesia and downtime required for conventional surgery.

Is Kybella for You?

Not everyone is a candidate for Kybella. For example, Kybella melts fat, but does nothing to tighten redundant skin under the chin, and it is not approved for patients under the age of 18 (duh!), so an in-person consultation is a must before scheduling the treatment. Nonetheless, welcome, Kybella! Our newest tool in the non-surgical arsenal in the battle against submental bulge!

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Charlotte’s Book Round Up

charlottes book roundup

The amount of beauty-related blog posts, articles, videos and general content floating around cyberspace is nothing short of bewildering. Unfortunately, there’s not a lot of quality to go with all that quantity. We are thus forced to sort through the schlock to find the crème de la crème content on face creams and more.

While we here at Travel Beauty do our best to provide you with relevant, high-quality content, we can’t cover every beauty base.

Enter Charlotte’s Book

Charlotte’s Book is a wealth of information on beauty, health, wellness and much more. Team Charlotte publishes articles daily, covering topics such as how to choose the best herbal supplements, facial fillers…and everything in between.

Intrigued? We thought so! Here are some of our favorites covering SEX (yes sex), Breastox, natural nails and eating your way to beautiful skin. Enjoy…and let us know what you think!

C’EST CHIC: NATURAL NAILS LOOK LUXE AT VERA WANG

Eye candy nail polish colors—think bright reds and corals, cool hues of green and blue, dazzling metallics and shimmery pastels—have been the nail trend for so long now, that it was very refreshing to see natural nails on models at the Vera Wang show during the Fall Winter 2015 Mercedes Benz Fashion Week in New York City. It’s no news that healthy skin is in, and now natural nails are following suit. Read more.

INTERNAL AFFAIRS: THE COLLAGEN BOOSTING DIET

The foundation of youthful skin hinges upon one key factor: collagen.  It is what gives elasticity, firmness, resiliency and suppleness to the skin, which is the body’s largest organ.  As we age, however, production of this essential protein decreases and sagging, thinning skin is the result.  To maximize stimulation of collagen production and guard it from breakdown, slathering your skin with the usual anti-aging creams and serums isn’t enough. Read more

BREASTOX: THE NEW BOTOX BOOB JOB

Have you noticed a perkier than usual Red Carpet this year? You might be seeing the rise of a new trend in breast enhancement: the Botox boob job. Many A-list celebrities in the UK are now opting for the convenience of instantaneous injectable breast enlargements, over traditional surgical augmentation. Read more

WHAT KIND OF MILK SHOULD I BE DRINKING?

The nutrition world is flooded with opposing recommendations, making it confusing for clients and consumers to make informed choices about food. Eat this. Don’t eat that. Drink this. Abstain from that. The list goes on and on. In particular, I’m often asked about milk. Read more

JUST DO IT: SEX IS GREAT FOR YOUR SKIN

Love (and lust!) is in the air. That’s good news for dull winter complexions, as it turns out that a Valentine’s Day tryst isn’t just helpful for your mood; sex is great for your skin too. Read more

Hungry for more? Subscribe to Charlotte’s Book

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Curious about Nose Jobs? All Your Rhinoplasty Questions Answered

nose jobs rhinoplasty basics

Curious about nose jobs? Get all your nose-y questions answered here.

Nose reshaping is extremely common. Chances are that you know someone who has had a nose job…you may have even contemplated changing your own nose. According to the American Academy of Facial Plastic and Reconstructive Surgery statistics, rhinopalsty, or the “nose job”, has remained the most requested surgical procedure for both men and women for five years in a row.

Rhinoplasty procedures, including primary (first time) nose jobs, revision nose jobs, functional nose surgery, and “liquid rhinoplasties” (nose reshaping without surgery) occupy the majority of my time. There are many options available for improving the nose – in both form and function. The terminology, however, can be confusing. Here I will explain the different options as simply as possible.

Liquid Rhinoplasy

The least invasive option is the non-surgical, “liquid” rhinoplasty.  During a liquid rhinoplasty, a combination of Botox and facial fillers like Juvederm are used to reshape the nose. This treatment is best suited to camouflage a “dorsal hump”, or bump on the profile view of the nose, but works well for some other issues as well. Not all nose concerns are amenable to liquid non-surgical rhinoplasty, but if you are among the lucky (or unlucky, depending upon how you look at it) ones whose nose can be improved with non-surgical treatment, the results are dramatic and instant, and are achieved without the pain and downtime of surgery. The in-office procedure takes about 20 minutes, and there is no need for anesthesia. Results are not permanent, however; they last between 1-2 years depending on the filler used.

The Traditional “Nose Job”

Rhinoplasty surgery (a “nose job”) and revision rhinoplasty surgery (second- or third-time surgery), can alter almost any aspect of the nose, and does so permanently. During surgery, a huge variety of techniques can be used to address the different parts of the nose.  Some common reasons people seek rhinoplasty include a crooked nose, wide (or “bulbous”) nasal tip, and dorsal nasal “hump”.

What Is Involved

In my practice, rhinoplasty surgery is performed under general anesthesia in an operating room. On average, the surgery usually takes between 2-3 hours, depending upon the particulars of the surgery. Surgery can be performed with incisions completely inside the nose (endonasal), or with a small incision on the outside of the nose, across the bottom (external). Choice of endonasal or external approach is based on the aesthetic goals of the surgery.

Recovery Time

Recovery from the surgery is not painful, but people look much worse than they feel during recovery. Most likely, you will want to give yourself 10 days or so before you rejoin society. After surgery, patients wear a small plastic cast on the bridge of the nose for one week. More often than not, the nasal bones need to be broken during surgery, which results in some nice shiners that stick around for 7-10 days. Swelling inside the nose, as well as stuffiness, are common for the first few weeks following surgery. You’ll look and feel pretty well after about 10 days to 2 weeks, but your nasal bones won’t be fully fixed into place for 6 weeks. Overall, healing from rhinoplasty is a gradual process: I advise people to expect to see 85% of the final result one month following surgery, 95% 6 months following surgery, and the final cosmetic result 1-2 years after surgery.

Functional Nose Surgery

A well-trained surgeon should be as interested in the function of your nose as the look of it, and should be well-trained to address both. Functional nose surgery may include septoplasty (straightening the wall between the left and right side of the nose), opening up the breathing passages, and/or reinforcing the walls of the nose to prevent collapse of the nose. Old school rhinoplasty was about cutting away bone and cartilage to make the nose smaller. This philosophy is what produced the pinched in, ski-sloped noses of old you can see on Madison Avenue. Modern rhinoplasty is as much about improving and maintaining the breathing function of the nose as it is the cosmetic look of the nose. Good nose jobs don’t look like nose jobs; they look natural, not plastic.

Now you know the nose basics.

A Note from Travel Beauty: As a trained ENT surgeon as well as a cosmetic surgeon, Dr. Dara Liotta is especially skilled in the art of rhinoplasty. Interested in learning more? Call or email her for a consultation: (212)288-2222.

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