Can something as good as Botox get even better?
Revance, Bonti and Evolus, three California biotechnology companies, are counting on it!
Aside from Galderma’s Dysport and Merz’s Xeomin, three new Botox offspring are about to hit the market. First up is Jeauveau by Evolus which received FDA approval on February 1, 2019. “European and Canadian studies showed a 4.4% statistical superiority of Jeauveau to Botox.” Next will likely be RT002 which promises a longer duration of action than Botox (about 6 months). And, finally, EB-001A offers a short onset of action (within 24 hours), and an associated shorter duration of action (one month instead of 3+ months) making it ideal for first time users, of for scar optimization after surgery.
Are you a member of the “newer is better” team or are do you belong to the “if it ain’t broke, don’t fix it” group? Undecided? Ask Dr. Yagoda which one is right for you. And, fingers crossed, perhaps more products will lead to more competitive pricing!
The results are in: Americans spent a LOT on plastic surgery! It was predicted in 2013 that more and more Americans would continue to undergo cosmetic procedures, and that that they have! The American Society of Plastic Surgeons has released new data it compiled throughout 2014, and the findings are very comprehensive. Some are old and some are new… but all are interesting!
Approximately 16 MILLION cosmetic surgery procedures were performed in 2014. This number includes cosmetic surgery (1.7 million), minimally
invasive procedures (13.9 million), and reconstructive procedures (5.8 million). Overall, this was a 3% increase from 2013, as well as the largest number that has been recorded thus far. These 16 million procedures equated to $12.9 BILLION spent: Beauty doesn’t come cheap!
As can be expected, women were the vast majority of cosmetic procedure patients (92%). For the ninth year in a row, breast augmentation was the most requested procedure. Rhinoplasty, blepharoplasty, facelifts, and liposuction were the runner-ups in the popularity contest! In terms of minimally invasive procedures, Botox and injectables reigned supreme; both women AND men love their instant results!
Speaking of men, don’t think guys didn’t visit plastic surgeons! There was an increase in men requesting cosmetic procedures, too, and rhinoplasty was the most common. Interestingly, there was an increase in lip reductions and augmentations for both men and women, and sources say this likely attributes to celebrities (Kylie Jenner, for example) and social media. Although teens and young adults make up a large majority of these platforms’ audience, they were the smallest group in terms of percentage to undergo cosmetic surgery. Middle-aged women– between the ages of 40 and 54, specifically — were the majority.
There is a reason these numbers keep growing! Even though the Fountain of Youth hasn’t officially been found, plastic surgery technology is rapidly improving. Visit an experienced plastic surgeon to find out your anti-aging options — and soon enough you will be part of next year’s growing statistics!
Dermatologist or Plastic Surgeon?
Why is it that almost everyone is okay with going to the dermatologist — there are even celebrity “derms” that people clamor for! — but many are self-conscious about seeing a plastic surgeon? Perhaps this is because the media portrays dermatologists as miracle workers who “fix” all sorts of skin and cosmetic issues! Magazine editors and celebrities note that it has become de rigeur to have a dermatologist on speed dial — especially once you’ve hit 30! On the other hand, the media portrays plastic surgeons as the ones to avoid. After all, it’s the plastic surgeons who provide unnatural and sometimes even downright scary results, right?
Well, let’s examine this media myth a bit more closely! Wherein lies the truth? Who is it that is making the majority of the overly-plumped cheeks, the bobble-head faces, and the frozen, over-Botox-ed foreheads? Well, it stands to reason that if most people see dermatologists for fillers and injectables, these unnatural and overdone results are mainly coming from dermatologists, based purely on statistics!
If you are contemplating an anti-aging procedure, trust your face to a facial plastic surgeon who employs an integrative approach to providing natural results using a combination of non-surgical and surgical treatments. Long gone are the over-pulled, windswept facelifts of yesteryear. Dare to discover the subtle and meaningful results of a stepwise and combined approach!
Eyes: They are the focal point (no pun intended) of your face. You can dress them up with makeup, but if you have serious cosmetic problems in your eye region, you probably look older than you should! Dr. Michelle Yagoda sees all different types of patients who would like to look younger and more refreshed, and, oftentimes, it is all in the eyes! Eyelifts provide permanent and natural solutions to various eye problems and concerns. Think about getting a blepharoplasty – or eye lift – if you…
- Want to get rid of bulging fat bags. Dr. Yagoda’s signature Tr-EYE-umph! non-surgical eye lift can temporarily remove fat bags that accumulate under the eyes, but only a surgical blepharoplasty will provide permanent results. Thickened skin and “bags” (pockets of fat) are some of the most common complaints for women in their 30s and 40s. With the tiniest of incisions, the bags will be gone!
- Want to tighten your lower lid area and correct tear flow. If you have tear trough depression and a hollow look under your eyes, consider fixing it with non-surgical blepharoplasty. Fillers can be used to eliminate the hollows under the eyes and plump up the tear troughs. Not only will you look refreshed, but volume will be restored in the space between the lower eyelid bags and the upper cheeks, providing symmetry.
- Improve your vision. Advancing years often bring reading glasses, uncomfortable dry eyes, and more serious concerns, such as an increased risk of glaucoma, cataracts, and age-related macular degeneration that can make even everyday tasks such as reading and driving next to impossible. Dr. Yagoda will help you decide if your vision can be improved through an eyelift procedure and, if so, what the best one is for you. Eyelifts not only address cosmetic concerns, but they can improve eye health, too.
- 4. Improve your overall appearance. It is a well-known fact that the eyes are the first thing most people notice about each other. If you are not happy with how your eyes, eyelids, or under eyes look, you might feel less confident in your daily life. Restore your confidence with a surgical or non-surgical blepharoplasty!
- Want to have a double eyelid. After spending time at the prestigious Otsuka Academy in Tokyo, Japan to operate with the late, expert surgeon Dr. Hidetada Ishii, Dr. Yagoda has perfected the incisionless Asian double eyelid surgery. Hidden, permanent sutures are used to create the upper eyelid crease that many Asian patients desire, and the entire operation is done under local anesthesia in Dr. Yagoda’s office.
- Want to repair skin cancer defects. If you had or have skin cancer around the eye area, any residual defects should be fixed by an expert plastic surgeon. Dr. Yagoda will help determine which surgery is right for you.
- Eliminate dark circles. Part of the difficulty in treating dark circles is figuring out their cause! It could be genetics, lifestyle, allergies, sinus problems, or just a good old lack of sleep. Dark circles make people look much more tired (and older) than they really are, and they are very hard to cover up. Both surgical and non-surgical blepharoplasties are options: In the former, surgical eyelid surgery will provide permanent, rejuvenating results, and, in the latter, Dr. Yagoda uses filler to plump up the circles without any downtime.
- Want to stay competitive in the workplace. Although this one could be used when talking about any cosmetic surgery, it is especially true for the eyes! Since your eyes are the most important features of your face – and they are what your coworkers and bosses see when they look at you – it is important to feel confident with your eyes and eyelids. If you don’t, that lack of confidence might transfer over to your day-to-day life!
The Genetics of a “Gummy Smile”
When you smile, do you see just your teeth, your teeth and a little gum, or mostly gum? If it is the latter, you can thank your genetics! Many people find themselves bothered by a “gummy smile.” Often due to small teeth, a short upper lip, or excessive gum tissue, there is a way to correct the proportions.
Surgery, called a gingivectomy, used to be the most common corrective treatment. Although effective, it can be costly and painful. Now, many plastic surgeons use Botox! By injecting Botox into the upper lip to paralyze the muscles — and prevent them from rising so high — gummy smiles become just smiles.
Dr. Michelle Yagoda has over twenty years experience working with gummy smiles, and the results are always gorgeous and natural!
ASK DR. YAGODA
Question: I am a 48 year old woman living in Manhattan and am not ready for a facelift just yet. Are there any non surgical options for facial rejuvenation?
Answer: Absolutely! You can look younger and refreshed with any one (or a combination) of these non-surgical options: 1. Fillers —Restylane, Perlane, LaViv, Juvederm, Radiesse and Sculptura— can soften nasolabial folds, make cheeks more defined, restore hollowed cheeks and under eye areas, and even make the jawline and chin more prominent; 2. Neurotoxins—Botox, Dysport and Xeomin—can erase the angry and worry lines in the brow, and the crows feet around the corners of the eyes; and 3. IPL — Lasers and Chemical Peels can make the skin tone and texture even and tighter while minimizing fine lines and wrinkles, erasing brown spots, and vaporizing broken blood vessels. If you are not quite ready for a facelift, but willing to do some minimal surgery that will give you amazing and natural results, consider these two alone or in combination: 1. Liposuction under the chin to get rid of turkey gobble and drooping jowls; and 2. i-Guide neck lift to improve the definition and angle of the neck without any tell-tale incisions at all around the ear.