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In celebration of World Plastic Surgery Day, we spoke to 11 leading plastic surgeons about their favorite trends of the last 10 yearsits incredible to think how the field has evolved since then. One thing stands out among all the responses we received: The move toward less-invasive and more natural is the trend thats changed the plastic surgery industry and is here to stay for good.
1. One of the biggest trends is microfat injections to the face, which allow for better contouring, either alone or with facial surgery, to prevent an over-operated, pulled look. Another trend I like is using an individualized approach to get the most natural result, in spite of the most extreme results you see on social media. Most patients want a natural appearance that doesnt say plastic surgery all over it, rather than excessive pulling and tightening. The combination of adding where its deficient and removing where its redundantmakes for a natural-looking outcome. La Jolla, CA plastic surgeon Robert Singer, MD
2. My favorite trend is blepharoplasty and the correction of festoons and malar bags (the puffiness below the lower eyelids and the bags between the lower eyelids and midface). These are challenging and difficult procedures, and most plastic surgeons do not want get involved with them. Festoons and malar bags could present in childhood, but the majority of them present later in life because of the laxity of the muscle around the eyes (orbicularis muscle). For their correction, we make an incision below the eyelashes, release ligaments that are boundaries of the festoons, and tighten the orbicularis muscle. New York plastic surgeon Mokhtar Asaadi, MD
3. The biggest trend over the past decade within the area of facial plastic surgery is the continuous shift toward a desired natural appearance after surgical rejuvenation. Many of the most popular cosmetic facial procedures are now minimally invasive. Patients are gravitating toward these types of treatments, which improvethe appearance of theface and skin, making them look younger but not different. New York facial plastic surgeon Konstantin Vasyukevich, MD
4. The use of PRP (platelet-rich plasma) in facial rejuvenation because it allows us to harness the regenerative properties of the patients own blood to restore youthfulness to their face in the most natural-appearing way. It is such a powerful anti-aging tool. Johns Creek, GA plastic surgeon Myla Bennett, MD
5. My favorite plastic surgery trend for the last decade is body contouring using minimally invasive techniques. This allows us to sculpt the body by removing unwanted fat from areas of the body using modern liposuction techniques and add it to other areas to augment and accentuate the curves of the body. The combination of subtraction in some areas and addition to adjacent areas is much more powerful than the traditional methods 10 years ago, which focused on only removing fat from unwanted areas. New York plastic surgeon Craig A. Baldenhofer, MD
6. My favorite plastic surgery trend has been the shift toward a more holistic approach to our field, including adding diet, skin care, wellness, and noninvasive treatments to what we offer and recommend to patients. Troy, MI plastic surgeon Anthony Youn, MD
7. I have enjoyed the trend of more natural-looking plastic surgery, especially with regard to breast implant sizing. Since bigger is not always better, its important toconsider each patients body type. Careful exam, breast measurements and 3-D video-imaging help us determine the ideal breast implant size to meet our patients goals. Houston plastic surgeon Kriti Mohan, MD
8. Im seeing more people combining surgery with nonsurgical treatments to create more comprehensive facial rejuvenation. Tremendous advances have been made in the last decade, improving skin care and nonsurgical treatments of the face and neck. These treatments include better, longer-lasting fillers, neurotoxins such as Botox, lasers, and radio-frequency devices. Another highly-effective complement to body-contouring surgery is the use of a persons own fat to improve fullness in areas where fat is lacking. Fat grafting is now a common addition to facial rejuvenation surgery, restoring areas of loss due to aging. Houston plastic surgeon Christopher Patronella, MD
9.By far, the greatest innovation and trend that I have seen over the last decade include combination of nonsurgical techniques and threadlifting. The use of combination approaches, or Stackable Treatments, have revolutionized nonsurgical enhancement to the face and body, and I am proud to have been part of the conceptual development and advancement. Threadlifting fits into this category as well, and it really has changed the way I do facelift surgery to create a more natural result, and my colleagues have benefited from the lessons threadlifting has taught us about natural movement of the face and neck. The technical advancement that my research has shown paves the way for future advancement and innovation in nonsurgical lifting of the face, neck and body. Chicago plastic surgeon Julius Few, MD
10. Reoperative breast implant surgery has become a trend over the last decade with regards to women wanting to maintain their outcomes or upgrade to the newest-generation silicone gel implants from aging saline-filled implants of yesteryear. Eugene, OR plastic surgeon Mark Jewell, MD
11. My favorite plastic surgery trend over the past decade has been the use of noninvasive treatments combined with surgical procedures. At Ciaravino Total Beauty, our breast augmentation patients will often get lip injections, skin-care treatments, Botox, CoolSculpting or Emsculpt, too. These combined treatments can make for really beautiful transformations. Houston plastic surgeon Michael Ciaravino, MD
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