Category: Facelift

Botox: Might Be Good for Curing the Blues

40s BotoxDepression may be improved with the use of Botox, according to a report in The New York Times, March 23, 2014 edition. Since Botox can prevent frowning and unhappy facial expression, it was theorized that if you can’t frown it may be harder to be depressed. Researchers wanted to study the idea that facial expressions may feed information back to our brains that influence our mood.

74 patients with major depression received injections in the forehead muscles responsible for frowning. The shots were randomized to either Botox or a salt water solution, placebo. Six weeks later 52% of those who received Botox showed improvement in their depression, as compared to only 15% of those with the salt water injections.

Only half of those in the Botox group were correct in guessing that they had received Botox, which is no better than the toss of the coin. Presumably, knowledge of receiving the Botox could not influence emotional response.

Botox for depression is part of a tradition of “Outside In” therapies that aim to improve the psyche by external manipulations. Acupuncture treatment of anxiety, and exercise for the production of endorphins are other examples of successful use of this methodology. Light therapy sends signals to the brain that can effectively counter Seasonal Affective Disorder. We all recognize that when we look better we have a better sense of self esteem. The concept rings true.

It will take more science to show whether Botox is an effective treatment for depression, and which types of depression it works best for. In the meantime, if you are getting Botox to look a little better, pay attention to whether the absence of frowns puts you in a better frame of mind!

Anti-aging, Beauty, Doctor-Patient Relationship, Facelift, Personal Fitness, Skin Care

JUVEDERM VOLUMA XC: The New Injectable for Improving Cheek and Midface Contour

Juvederm VolumaThe 2013 calendar year saw a whopping increase of 18% in the number of people seeking injectable fillers to smooth wrinkles and enhance contours of the face. There were 1.7 million injection sessions of hyaluronic acid, a naturally occurring substance in all human tissues. The filler contains a numbing agent, lidocaine, so the injection is only a minor discomfort.

Voluma is a  new product developed to be thicker than its cousin Juvederm so it lasts longer.  It is intended to fill in the cheekbones and chin when these start to lose fullness. The FDA approved its availability to Plastic Surgeons in the final quarter of last year and it is becoming readily available.

As the face loses volume and skin begins to lose its elasticity, the cheek bone region flattens and folds of skin develop in the lower cheek from nose to mouth. None of us like it. With Juvederm, the injection is placed into the creases to camouflage the skin relaxing as the volume goes away. With Voluma, the injection is placed in the mid cheek, elevating the nasolabial skin folds to their natural position. With the skilled hands of a Board Certified Plastic Surgeon it can give an immediate improvement in fullness.

Voluma has been used extensively in Europe, Latin America, Canada, the Middle East and Asia since its introduction in 2005. It is finally available here in the US.

Voluma can last up to two years, whereas Juvederm has an average duration of six months. Longer lasting—wouldn’t that be nice? For a low maintenance product and no more upkeep than your skin care routine, you can experience improved facial fullness for up to two years!

Anti-aging, Beauty, Doctor-Patient Relationship, Facelift, Fat Transfer / Fat Grafting, Skin Care

A Well Defined Chin Contributes to Facial Harmony

Studies have shown that beauty is hard to define, but there is a universal consensus on what constitutes the beautiful face. Balance, or facial harmony, is seen as beautiful when the face is divides into roughly equal thirds of the brow, mid face, and jaw line. A poorly defined neck or jaw line is considered less attractive than one that is well defined and represents a proportional third of the face.

So chin and neck aesthetics are important. Statistics from the American Society of Plastic Surgeons showed that in 2011 there was a big increase in the number of people that chose to have chin augmentation. No one knows for sure what prompted this increase, but it does reflect an awareness of how the lower face is a huge contributer to attractiveness. 

A small chin or a “weak” chin is seen in our society as indecisive, less confident. Poor definition of the jaw line accompanies sagging  of skin from aging. The neck can reveal things that the face is trained to hide.

A chin augmentation (enlargement) is a great way to enhance facial harmony and balance. It is a procedure that is often combinrd with a facelift or a rhinoplasty to improve the overall results.  

Chin and jaw line contouring can be accomplished by a variety of techniques. The jaw bone can be made larger by repositioning of your own bone, placement of a scaffolding that will allow your bone to grow into (cancellous bone chips), biocompatible implants, or fat grafting of your own tissues. The best choice should be individualized with you and your plastic surgeon.  

A beautiful neck may require removal of excess fat, repositioning of musles,or tightening of stretced out skin. There are anumber of ways to accomplish this improvement and each person should have a very individualized plan that considers the interplay of the variables.  

If your neck and chin seem to be a detracting factor  for  you, a considered consultation can help you develop a plan personalized to yourown needs. Dr. Peters can help you think through the possibilities.

Also, for additional information read more at Hive Health Media.

Beauty, Facelift


“Research finds that cosmetic surgery patients do not differ from nonpatients in body satisfaction, except that they are more likely to express dissatisfaction with the specific body region targeted for surgery.”

MSNBC conducted an online study of 50,000 volunteers to research how satisfaction with body image correlated with interest in plastic surgery. A 27 point questionnaire posed questions like:

*How comfortable are you in a bathing suit?

*Do you like your face?

*How many times a day do you check yourself in the mirror?

*Are you self conscious about your weight?

The respondents were heterosexual men and women between 18-65 years of age There were equally divided between men and women. The large sample size allowed for statistical significance. 71% of women and 40% of men expressed interest in cosmetic surgery. Here are some of the interesting findings of this large scale survey.

  1. Body image satisfaction was gauged by self rated attractiveness and comfort in a swimsuit.  There was no difference between those women interested in plastic surgery and those not interested. 
  2. Men interested in plastic surgery were not any different in body image satisfaction than those with no interest. 
  3. Appearance investment was gauged by self reported mirror checking. Both men and women that monitored their appearance in the mirror frequently showed more interest in plastic surgery.
  4. Relationship status did not correlate to interest in plastic surgery. Those who were married, co-habitating, or dating seriously were no more interested in cosmetic surgery than singles.
  5. The study subjects were divided into five age groups. The percentage of men and women interested in plastic surgery was relatively constant across the entire spectrum.

The study suggests that plastic surgery has become a widely accepted form of enhancing physical attractiveness, and that those interested in this type of body change have much in common with those with no interest.

Anti-aging, Beauty, Doctor-Patient Relationship, Facelift, Mommy Makeover

Why Baby Boomers Are Getting More Plastic Surgery


Madonna brings up the rear of the baby boomer generation.

Here are a few “Baby Boomer” facts:

  • Those born between 1946 and 1964 constitute 28% of the US population.
  • 76 million Boomers will hit 65 over the next two decades, at a rate of 10,000 a day.
  • Boomers account for half of all consumer spending.
  • The typical Boomer feels 9 years younger than their chronological age, according to Pew Research Council data.
  • Elective cosmetic surgery is up 65% in this age group since 2005.
  • Non-invasive plastic surgery procedures are up 87% in the same time period.

So what is contributing to the upsurge in plastic surgery in this demographic? Boomers have chosen to redefine what it means to age. They are re-inventing themselves. Sixty is their new forty. They pay more attention to health, diet, exercise and general sense of well being. They are not afraid to spend money on improving quality of life. They expect the quality of the last third of their life to be high.

 Americans are living longer.  For women, life expectancy has lengthened 34 years over the last fifty years. But the focus for Boomers is not so much on life span as it is getting to the end of their health span in better shape. They are working longer than anticipated. Older workers want to look better to fit in with younger co-workers. Boomers want to stay active, relevant, and engaged with society in important ways. Their outlook on life is to do what they can to enjoy the years they have left.

Pablo Picasso once said, “It takes a long time to become young.” Boomers are taking their time and savoring it.

Beauty, Breast Implants, Facelift, Mommy Makeover, Skin Care

Want the Highest Standard in Plastic Surgery?

In this country a medical license does not indicate whether a doctor is qualified to practice in a specific specialty, such as plastic surgery. Any doctor is free to designate himself as a specialist in his own office without government interference. In 1933 The American Board of Medical Specialties was established as a non-profit organization with the purpose of creating nationally recognized standards for education knowledge, experience and skills to provide high quality care. The American Board of Plastic Surgery was established as one of the founding members 75 years ago.

The American Board of Plastic Surgery continues to be the organization that sets high standards for the type of training, and the demonstration of competence for Plastic Surgeons. Board Certification in Dermatology or Otolaryngology is not plastic surgery. Those calling themselves plastic surgeons are “alternate” practitioners of the art. 

The New York Times January 31, 2012 Health Section described how non-specialists have expanded into the field of cosmetic surgery.  Visit Non-Specialists Expand Into Lucrative Cosmetic Surgery Procedures – for their discussion.

If you want to know if your doctor is certified by the American Board of Plastic Surgery, you can visit

Beauty, Facelift, Rhinoplasty

What Is the Best Age For a Facelift?

How Long Will My Facelift Last?

FaceliftColleen is 48 years old, in the prime of her career, and particular about her appearance. Her face has changed as she has aged. The lines and sags create a tired appearance when she actually feels energized. Botox and chemical peels have erased a few wrinkles, but she has been wondering whether this might be time for a face lift to keep ahead of the curve. Should she do it now before her changes become extreme or wait until she can really tell more of a difference. If she waits until she is older will the result last longer?

A recent study published in Plastic and Reconstructive Surgery (Vol 129.no1.p263) looked at the age a patient chose to have a facelift and compared it with their long term satisfaction and results. The results were surprising. Younger patients had longer lasting effects from their surgery and were more satisfied. Independent surgeon rating of the results also favored the younger patient.

The women in the study were grouped by age, under 50, 50-60, and over 60. The over 60 group consistently rated their early and long term satisfaction as lower than those in the two younger groups. The surgeons examined before and after photographs of these women to see if the facelift provided long lasting consistent change in five areas.

  1. The junction between eyelid skin and cheek skin
  2. The fold from nose to corner of the mouth, nasolabial fold
  3. The fold from corner of lip to jaw line, “marionette” line
  4. The jowls, excess skin that hides the jaw line
  5. Neck muscle bands and extra fat

A minimum of ten years of follow up was required to be part of the study. Women who had undergone facelift before the age of 50 had maintenance of their youthful appearance for many more years than those in the two older categories. The surgeon’s observation of the 5 anatomical areas was consistent with the patient satisfaction survey.

So Colleen might well choose to have the facelift she is considering for her early signs of aging so that she will have many years ahead to enjoy its benefits. The “maintenance” facelift while tissues are healthier has been shown to be more long lasting and more consistently satisfying both at year one and year ten.

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Anti-aging, Beauty, Facelift

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