The Latest Trends in Facial Plastic Surgery

Trends in Facial Plastic SurgeryFacial plastic surgery data from 2010 showed that three fourths of the procedures performed were non-surgical, highlighting the trend toward less-invasive treatments. The survey results came from the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS).

Other highlights from the survey included:

  • A 45 percent increase in the number of facial procedures performed annually over the last two years
  • A 16 percent increase in non-surgical facial procedures in the past two years

â??Non-surgical procedures are an excellent option for some people, with the added benefits of lower costs and shorter recovery time; two things that are consistently important to those considering facial plastic surgery, said Dr. Jonathan M. Sykes. We have been seeing a trend over the past few years that people who want to look and feel younger and rejuvenated are turning to non-surgical, less invasive procedures to obtain the refreshed look they want.

The most common non-surgical facial procedures last year, according to the AAFPRS, were Botox and hyaluronic acid injections, such as Restylane or Juvederm, while the most popular facial surgical procedures were rhinoplasty, facelift and eyelid surgery.

Women received the majority of facial procedures â?? 83 percent of all surgical and non-surgical facial procedures in 2010 were performed on women.

The top surgical procedures for women between the ages of 35 and 60 were brow lifts, facelifts and eyelid surgery, while a nose job was the top surgical procedure performed on younger women (under 35).

For men, Botox, hyaluronic acid injections, nose jobs and hair transplants were the most common facial procedures performed last year.

Surgeons surveyed also reported an increase in ethnic patients: two out of five surgeons said they had an increase in their Asian American and Hispanic patients in 2010.

For more information on the survey and results, visit

Study Links Facial Aging to Changes in Facial Bones

facial aging linked to changes in facial bonesA new study in the January 2011 Plastic and Reconstructive Surgery journal says that wrinkles and sags in our face are not just the result of changes in our skin, but from age-related changes in our facial bones as well.

Dr. Robert Shaw, Jr., at the University of Rochester Medical Center, and his colleagues analyzed computed tomographic scans of the facial bones for three age groups: young (age 20 to 40); middle-aged (41 to 64); and older (65 and up). The scans of 20 women and 20 men were analyzed in each group.

Measurements revealed differences in the facial bone structure between age groups. The study found that the eye socket area became wider and longer in both men and women as they aged. Aging also caused reductions in bones in several areas of the face, including the brow, nose, upper jaw and lower jaw.

â??What we [plastic surgeons] focus on is the aging of soft tissue – how skin and fat ages, Dr. Shaw said.Those aren’t the only structures in your face. Bones provide scaffolding and your muscles, fats and skin drape over bones. If you tighten skin, but the scaffolding has deteriorated itâ??s not going to bring patients back to a youthful look.

Wrinkles probably occur from a combination of bones and the skin losing elasticity, according to Dr. Shaw.

The skin aging is a big part of it, he said. It’s not just using creams; it’s taking care of yourself for bone health and skin health. He suggested keeping up on calcium to maintain bone health.

The researchers believe that by using materials and techniques for skeletal augmentation, plastic surgeons can improve the outcomes of facial rejuvenation. Skeletal augmentation offers a permanent rejuvenation of the facial skeleton and may be performed in conjunction with soft-tissue redraping, according to the researchers.

The Seattle Plastic Surgery Center offers several facial rejuvenation procedures, including face lift and brow lift.

Aesthetic Plastic Surgery Society’s Predictions for 2011

2011 plastic surgery predictionsThe American Society for Aesthetic Plastic Surgery (ASAPS) came up with a list of predictions for cosmetic plastic surgery in 2011 based on interviews with leading plastic surgeons around the country.

They highlighted several areas where they expect to see growth: facelifts, injectables and body contouring.

As the economy improves, the Society says the demand for facelift surgery will increase, as those who have been putting off the surgery for the past few years will be ready in 2011.

The growth of injectables, already the most popular non-surgical procedure according to ASAPS’s 2009 statistics, will continue to increase in popularity as they evolve and new products enter the market. Botox, Juvederm and Restylane are a few of the many choices available today.

According to ASAPS, body contouring procedures will also be on the rise as more obese people turn to weight loss surgery and then to cosmetic procedures, such as abdominoplasty, lower body lifts and upper arm lifts, after they lose a significant amount of weight.

The Society also predicts that in coming years patients will be seeking more posterior body lifts, buttock lifts, surgical and nonsurgical buttock augmentations to shape and augment their buttocks thanks in part to celebrities like Kim Kardashian and Jennifer Lopez who have made it a must-have accessory.

One area where they see change ahead is in fat reduction techniques. While liposuction will remain the standard in surgical fat reduction, new non-surgical techniques will continue to be developed, including freezing, zapping and lasering fat, as possible alternatives to surgery.

The Society unfortunately sees consumers looking for bargains on cosmetic procedures, which will lead to an increase in plastic surgery “horror” stories, such as when patients get discount injectables bought overseas and cosmetic procedures performed by untrained practitioners. This can be avoided by choosing a board-certified plastic surgeon.

For the full list of predictions, visit

Facelift Patients Report Higher Self Esteem, Better Quality of Life Post Surgery

woman smilingA new study of 93 facelift patients found that 96.7 percent reported a more youthful appearance after surgery, and they felt that they look, on average, 11.9 years younger after the surgery.

The study also found that:

  • 82 percent had an improvement in self-esteem
  • 69.6 percent reported an improved quality of life

The study’s author, plastic surgeon Dr. Eric Swanson, writes that patient satisfaction and the effects of surgery on quality of life are two of the most important factors in determining if a surgery is a success, but they had not been previously prospectively studied in patients undergoing facelifts alone or in combination with other facial procedures.

Swanson conducted interviews with the patients, whose mean age was 56.6 years, one month after surgery. The patients had a deep plane facelift or a facelift along with another surgery, including eyelid surgery, forehead lift and endoscopic forehead lift. Other commonly performed procedures done at the time of the facelift included laser resurfacing, fat injection and chin augmentation.

The author concluded, With proper patient preparation and education, facial rejuvenation effectively meets patient expectations. These findings support the recommendation of surgical facial rejuvenation to patients who wish to look younger.

Despite the substantial recovery time the patients reported for facelifts, the majority of patients (83.9 percent) said they would have the surgery again, and 93.5 percent said they would recommend the surgery to someone else.

The study will appear in the next issue of Plastic & Reconstructive Surgery journal and the abstract is available online.

Experts Speak Out Against Stem Cell Facelift

bottom half of woman's faceExperts are skeptical about a cosmetic procedure called the stem cell facelift that claims to rejuvenate the face in a less invasive manner than a traditional facelift. The procedure, which is being performed by a small number of plastic surgeons in the U.S., involves isolating stem cells from a patient’s own fat and injecting them into the face.

Experts say there is little evidence of whether the stem cell facelift is effective and how it works. Dr. J. Peter Rubin, an associate professor of plastic surgery and co-director of the Adipose Stem Cell Center at the University of Pittsburgh, says that while he’s excited about the potential of stem cells for cosmetic uses, there are many unanswered questions, and that claims are being made that are not supported by evidence.

Rubin think it’s possible that injected stem cells could create new collagen and blood vessels, which theyâ??ve been shown to do in animals studies, but such results havenâ??t been proved in humans. He says that no one really knows how the stem cells are behaving, and points out that fat injections on their own alone can improve a person’s appearance without stem cells.

Plastic surgeon Jeffery Kenkel, MD, agrees with Rubin. “We simply don’t know enough about the safety and efficacy of these procedures. One of the major unanswered questions is whether the stem cells actually contribute to any of the positive effects that might be observed, or whether we are simply seeing the effects of injecting fat cells into the face, which can give the face a younger look,” he says.

“Stem cells have incredible potential. But nobody knows exactly what they can do. So they’re marketed to do everything,” says Michael McGuire, past president of the American Society of Plastic Surgeons (ASPS). “In time, maybe a decade from now, science will tell the real story, but until then, marketing regarding stem cell face lifts should be considered fiction.”

New Beauty reports that ASPS and the American Society for Aesthetic Plastic Surgery will be working together to test the legitimacy of the stem cell facelift. The L.A. Times article on the topic, “Stem cell face-lifts on unproven ground,” is available online.

Facial Plastic Surgery Statistics for 2009

Survey results from the American Academy of Facial Plastic and Reconstructive Surgery were recently publicized. Although their data sample is relatively small, the statistics provide some insight about the future of facial plastic surgery and some trends we have seen during the past two years.

With the obvious growth in non-surgical cosmetic enhancement, the overall number of procedures performed by facial plastic surgeons increased considerably (47 percent). In 2009, facial surgeons performed more facelifts and laser skin resurfacing procedures and fewer lip augmentation and rhinoplasty procedures than in 2008.

Read more about this survey on the American Academy of Facial Plastic and Reconstructive website.

Good Patient Health is Step 1 for Cosmetic Surgery

Facial cosmeticd surgery should first go through a sort of â??lifestyle makeover,â?? modifying their habits until they have reached a state of satisfactory health.

Smoking not only increases the likelihood of complications due to poor healing, it typically works against the goals of cosmetic surgery as well. It’s bad for your skin and in the lips it can contribute to the formation of fine wrinkles. If you’re getting lip enhancement with a wrinkle filler, that’s bad news. As San Francisco plastic surgeon Sirish Maddali explains “smoking causes lip lines and will certainly decrease the amount of time Juvederm will last in the lips.”

At Seattle Plastic Surgery, we want our patients to have the best surgical experience and outcome possible, so we ask them to focus on being healthy first. The ideal patient refrains from smoking or using illegal drugs, has a stable weight, and realistic expectations about cosmetic surgery.

For more specific information on health and surgery outcomes, contact us for a consultation.

Eyelid surgery more popular for Seattle men

Wishing to rid themselves of baggy, tired skin under their eyes, more and more men are choosing cosmetic surgery. Blepharoplasty, commonly known as a eyelid surgery, can give men or women back the smoother, more awake appearance they lost with age. If you live in or near Seattle, contact Dr. Craig Jonov for a consultation to see if eyelid surgery is right for you.

A recent study found that those undereye bags are the result of fat deposits near the lower eyelid that accumulate as we age. In contrast, the rest of the face loses fat with age. Previous theories said undereye bags might be due to fluid buildup or sagging skin. Blepharoplasty helps correct undereye bags by removing excess fat from under the eyes.

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