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ASAPS Trends: Non-Surgical Cosmetic Procedures

Every year the American Society for Aesthetic Plastic Surgery compiles statistics on the year’s before trends in cosmetic surgery. The statistics vary through the years but typically include “Plastic Surgery Timelines”, “Top 5 Surgical and Non-Surgical Cosmetic Procedures”, “Economic, Regional and Ethnic Information” and “Top 5 Cosmetic Surgeries for Women and Men”. These statistics are great for understanding the Plastic Surgery industry and even for consumers to know the most popular treatments offered in the industry. The following is a quick rundown of the top non-Surgical treatments in the plastic surgery industry and why they rank at the top of the list.

Since the ASAPS began the statistic of “Top 5 Non-Surgical and Surgical Cosmetic Procedures” in 2000 there have been three major contenders that have ranked the top three within the non-surgical category for at least 9 years. These top contenders include Botox, Hyaluronic acid (Dermal Fillers), and Laser hair removal known for their effectiveness and low cost. The last two places in the top 5 rankings usually change between different laser treatments, microdermabrasion, and chemical peels known also for their value and effectiveness. The 4th and 5th positions in the ranking can be determined by new trends within the industry in those years as laser technology has soared in the most recent years.

Botox and Hyaluronic Acid

Botox and Hyaluronic has continued to rise to the top of the ranks every year popular for its cosmetic uses particularly as the number one solution for wrinkles, crow’s feet, and other unsightly facial lines. Botox is a prescription medication while hyaluronic acid (dermal fillers) does not require a prescription. Hyaluronic acid as actually found naturally in the body which makes it a good choice as a dermal filler because of its compatibility with your body. Botox is also FDA approved for migraine headaches and excessive sweating but also used for other surprising uses not FDA approved such as Gummy Smile, Botox “boob job”, and hair rejuvenation.  Botox is ranked #1 and used widely for many different reasons because of its easy access, application, length of treatment benefits, and the effects of the treatment. Hyaluronic acid is found in naturally in the soft connective tissues and in the fluid surrounding your eyes. When this gel is injected it behaves like cushion or pillow to support your facial structure that might have lost volume and elasticity due to aging. Hyaluronic acid is also currently used to treat aching joints of those with arthritis to ease pain. Botox is supplied in almost every city, has an 82% improvement rate within a week, takes 30 minutes to apply, and lasts an average of 4 months. Dermal fillers are also immediately available in most cities. Hyaluronic acid comes in a few different forms unlike Botox such as Juvederm, Radiessse, Restylane, and Sculptra. The application is similar to Botox, taking only 30 minutes however the efficacy of the treatment can last from 9-24 months depending on the hyaluronic acid brand. The usability, accessibility, and ease of Botox and hyaluronic acid makes it easy to see why Botox and hyaluronic acid still ranks in the top 3 non-surgical treatments for the last decade.

Chemical Peels and Microdermabrasion

Chemical Peels and Microdermabrasion have also landed a few spots on the ASAPS Top 5 Non-Surgical Cosmetic Procedures over the last decade however their strength is not as great as that of Botox and hyaluronic acid. They are however still on the top 5 because of their ease of access and they are the least invasive procedures to improve the appearance of your skin. Chemical peels improve acne and acne scars, age and liver spots, fine lines and wrinkles, freckles, irregular skin pigmentation, rough skin and scaly patches, scars, and sun-damaged skin. Chemical peels use a gentle chemical solution to smooth skin while Microdermabrasion uses a minimally abrasive instrument to gently sand the skin to remove the thicker, uneven outer layer. Microdermabrasion is used to treat light scarring, discoloration, sun-damage, and to lessen the appearance of stretch marks.  Unlike chemical peels, the microdermabrasion technique also helps to thicken collagen, resulting in a younger complexion.  Both microdermabrasion and chemical peels work to make your skin look smoother, younger, and smooth by gently removing the damaged outer layers. Microdermabrasion application can last for about 30 minutes with very minimal discomfort while a chemical peels, depending on the strength can last from 10 minutes to 2 hours with some resulting temporary redness, hyperpigmentation and stinging.  Microdermabrasion and chemical peels are widely used and continue to rank on the top 5 lists because of their ease of access, no downtime and effective results.

Laser Treatments

Laser treatments have also been a staple of the ASAPS Top 5 Non-Surgical Cosmetic Treatment Statistics. More specifically, Laser hair removal has continuously ranked on the chart at the # 3 top ranked non-surgical procedures over the last few years. Other laser treatments such as the IPL treatment and laser skin resurfacing treatment have grazed the charts over the last few years as advanced laser technology begins to soar. Laser hair removal is an obvious choice for a top rank on the ASAPS statistics as men and women from young to old benefit from the treatment effects. Laser hair removal works by producing beams of highly concentrated light into hair follicles. The pigment in the follicles then absorbs this light destroying the hair. Laser hair removal is so common because of its precision, speed of treatment, and predictability. The laser can treat an area the size of a quarter every second while some areas can be treated in less than a minute and a larger area up to an hour. 90% of patients have permanent hair loss after an average of three to five sessions making laser hair removal more appealing than waxing, shaving, or tweezing. Laser skin resurfacing such as the Fraxel re:store Dual system has grazed the statistics with its presence here and there over the years however, time will tell as this laser has a 66% “worth-it” rating from, a educational community of patients, dermatologists and cosmetic surgeons. The Fraxel laser skin resurfacing provides skin resurfacing with minimal downtime using wavelength technology used to address pigmentation, acne scars, photo-damage, and discoloration with fast recovery pain-free.  This laser skin resurfacing is similar to the benefits of a chemical peel or microdermabrasion with less redness and pain.

Well, there you have it, the most common treatments in the non-surgical cosmetic statistics by the ASAPS and why they make the charts. Only time will tell what will be on the charts next year but we have a very good feeling that Botox, hyaluronic acid, and laser hair removal will still rank top 3 on the statistics. With laser technology advancing, it’s very possible next year we will see a bigger trend in the laser non-surgical cosmetic industry.



The Effects of Stress on The Aging Process

It's not exactly clear whether or not chronic stress can cause wrinkles and grey hair but it certainly does seem to be the case.  When you look at photos of presidents as they start their presidency versus the end of the term, the differences are amazing (and not in a good way).  In just four years President Obama looks like he's aged at least 8 years.  George W. Bush looked as if his 8 years in office aged him 16.

So what do you do if you have a high stress job, or just a stressful life for some reason?  Are you doomed to looking old and wrinkly because of your stress?  Not if you know a good doctor who knows how to wield weapons of anti aging like dermal fillers or even Botox Cosmetic.

Dermal Fillers and The Fight Against Aging

Juvederm is a dermal filler used the most and your doctor can use it to fill in those laugh lines, wrinkles and even those marionette lines around the mouth.  Juvederm can erase the visible signs of stress and aging by simply filling in those little tell tale signs.  Even if you don't have a stressful job (or life for that matter) you will undoubtedly still show the normal wear and tear on your face as you age.

Age Gracefully or Fight it With Your Doctor?

That's the question.  You've seen it done well either way, right?  You've seen some people who wear wrinkles and aging well.  Think Clint Eastwood, he looks rugged and still good with these visible signs of aging.  You've also seen the people fighting it too much as well.  Think Bruce Jenner or any of the Real Housewives of Beverly Hills, they look strange and it's obvious they've simply had too much Botox.

Find your balance with it...  find a good doctor who won't let you overdo it.  Keep some of the fine lines and smooth out only those that detract from your overall appearance.




What’s the difference with the ‘Toxins on the Market?

When doctors, nurses and injectors use the term 'toxins' they aren't referring to anything bad for you.  Well, at least we don't think so.  What they are referring to are a class of neurotoxins affectionately referred to as toxins.  Currently the neurotoxins on the market are Botox Cosmetic, Dysport and Xeomin.

So What's The Difference Between Botox, Dysport & Xeomin?

For starters they are each made by different manufacturer's, although they are each considered large pharmaceutical companies.  Allergan makes Botox Cosmetic, Medicis makes Dysport and Merz Aesthetics makes Xeomin.  The way they work is the same though which is why they are all in the same class of drug.  They paralyze the nerve endings in the areas in which they are injected (frown lines, crows feet and between the eyebrows).

It's tough to say which one works the best as it really just depends on which product your body happens to respond to best.  Botox and Xeomin are dosed at the same strength while Dysport normally takes twice as much product to get a good effect.  Again, it just depends on your body and which particular product you respond to the best.

Where Do You Get Botox, Dysport or Xeomin?

See your doctor, dermatologist and/or medispa.  These products are administered only under the care of a qualified injector so you'll want to do your homework.  The skill level of the injector will play a role in how good your result is.



A Quick Guide to Dermal Fillers

Dermal fillers are bio-compatible material used for facial aesthetic treatments and are injected into the skin to smooth facial wrinkles around the eyes, mouth, and forehead and enhance lips. Dermal fillers La Quinta can be used to revitalize and add volume to the skin, instantly reducing the appearance of wrinkles and lines with a natural look. The result of a single treatment can be seen almost instantly and can last between 6 to 9 months.

Each year a growing number of plastic surgeons and dermatologists who specialize in injecting dermal fillers are offering to patients advanced non-invasive techniques using a mix of dermal fillers to gently lift and contour facial features. These new types of cosmetic procedures, frequently named Liquid Facelift, are becoming a popular alternative for the traditional surgical facelift.

A wide range of dermal fillers are available to patients looking to slow down the aging process without undergoing surgery. Broadly, dermal fillers can be divided into 4 basic categories: autologous fat, collagens, hyaluronic acid, and synthetic. There is no one ideal filler for everyone, nor can one single filler meet every patient’s expectations and wishes.

The most common dermal fillers are based on hyaluronic acid and calcium hydroxylapatite, some of them are made from the patient’s own skin cells, and others work stimulating collagen production gradually over time to renew volume and fullness.

Patients, who want to skip this complexity of human fat, can opt for the synthetic fillers. Several options of synthetic fillers are available which include collagen, hyaluronic acid, calcium hydroxylapatite and polylactic acid. Collagen and hyaluronic acid are natural compounds also found in a human body, which makes them the most commonly used synthetic dermal fillers.
The procedure is relatively safe and although side-effects can occur, complications are rare. Topical anesthetic cream or local anesthetic via injection may be used for patient’s comfort. Some products are already mixed with lidocaine, this serves as mild local anesthetic making the treatment more comfortable.  The injections take a matter of minutes and in most cases patients can return to their normal routine immediately. Treated areas remains soft and liquid can be felt inside the area for a few days. Patients are instructed on protecting the area of filling from any external pressure as it may change the position of filling.
It is important for patient’s to know that dermal fillers effects are not permanent and re-treatments are required to maintain the desired results. If the patients do not repeat the treatment once results begun to diminish, or as directed by the doctor, the appearance will return to its pre-treatment state.