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2004 Plastic Surgery Trends
Wrinkle Fillers, Brow Lifts and More: Cosmetic Surgery to Soar in 2004
By Denise Mann
Dec. 17, 2003 -- New, longer-lasting wrinkle fillers will be plentiful in the coming new year, top plastic surgeons predict.
Buoyed by the recent FDA-approval of Restylane, an injectable gel that temporarily corrects moderate to severe facial wrinkles and nasolabial folds, many companies will get in on the game, according to a list of predictions for cosmetic surgery in 2004 published by the American Society for Aesthetic Plastic Surgery (ASAPS).
But that's not all we can expect to see. ASAPS also predicts an increase in post-bariatric (weight loss) surgeries, including total body lifts, to get rid of excess skin and flab and procedures to enhance the brow, the hands and the toes. And not just for women either, more men will take steps to look more youthful in the coming year.
Wrinkle in Time
Restylane is the third injectable wrinkle treatment to gain FDA approval, joining botox (botulinum toxin) and collagen injections. But the pipeline is bursting. Some doctors are now using hydroxyapatite (Radiance) off-label to erase fine wrinkles and deep folds. Radiance is FDA approved to treat certain vocal cord problems and bladder spasms. And the FDA is expected to approve Hylaform, an injectable gel like Restylane, soon.
Robert W. Bernard, MD, a plastic surgeon and ASAPS president says that, "within the next five years, we are going to have some [wrinkle-filling treatments] that are biologically acceptable, safe, and are very long-lasting."
He says that "there is always a spurt of others that follows an approval because it incentivizes other companies," he says. "Collagen is not the best bang for buck because you have to come back frequently, but some of these other newer biologic fillers may last longer," he says.
Undoubtedly, "the approval of restylane will add a new dynamic to the filler market and I am very interested to see how it shakes out against collagen -- the gold standard," adds plastic surgeon Leroy Young, MD, chairman of the nonsurgical procedures committee and co-chair of the breast surgery committee at ASAPS. "We know it flows better and it's easier to inject, but it may not yield superior results," he says.
Gleaning his crystal ball, Young also says that there will be an increase in the number of post-bariatric surgeries.
"What's happening is that revision following weight reduction is going to be really big because obesity is such an epidemic in the U.S. and bariatric procedures are growing exponentially as insurers realize that its cheaper to pay for surgery than complications of obesity," he says.
However the onus and challenge will be on surgeons to really craft the best approach to these surgeries including how to sequence, combine, and time the procedures for the best results with minimal downtime and risk, he points out.
These procedures may not be as straightforward in post weight loss surgery patients who have lost 100-150 pounds as they are in the general population, he says.
Everybody's Doing It
Cosmetic surgery, that is.
"Baby boomers have moved from diapers to cosmetic surgery," Young says. There will be an increase in body contouring in 2004 including liposuction, tummy tucks, buttock lifts, and inner-thigh lifts, ASAPS predicts.
Cosmetic surgeons will no longer ignore the top third of the face -- the brow.
There will be minimally invasive techniques that leave smaller scars or botox to help lift this common trouble area.
And men too will be trying to look younger, ASAPS predicts. "Men are under more pressure at work because more women work, [so] more people are competing for the jobs," Young says. Looking younger is considered a major plus in today's job market, he adds. Men may opt for facials and other light cosmetic procedures such as microdermabrasion to polish the skin.
Hand rejuvenation and procedures that deal with feet will increase in popularity, Young says. "A lot of people have a face that looks great, but have old looking hands and fat injections to improve this will become more common," he says. "More people will have surgery to straighten their toes because people don't want to surrender to age and they want to continue to look as good and as youthful as they can."
The dark side is that as such procedures become more and more popular, "more fringe people will try and do them. There will be dentists doing facial surgery and it's very clear that even with injectable materials, the results are very technique-dependent," he says.
"The lay public is going to have to be increasingly aware of checking on credentials of the person who is doing the treatment," he says. To choose a plastic surgeon that is certified by the American Board of Plastic Surgery (ABPS), visit the ASAPS web site at www.surgery.org and click on 'find a surgeon.'
Wrinkle Fillers, Brow Lifts and More: Cosmetic Surgery to Soar in 2004
By Denise Mann
Dec. 17, 2003 -- New, longer-lasting wrinkle fillers will be plentiful in the coming new year, top plastic surgeons predict.
Buoyed by the recent FDA-approval of Restylane, an injectable gel that temporarily corrects moderate to severe facial wrinkles and nasolabial folds, many companies will get in on the game, according to a list of predictions for cosmetic surgery in 2004 published by the American Society for Aesthetic Plastic Surgery (ASAPS).
But that's not all we can expect to see. ASAPS also predicts an increase in post-bariatric (weight loss) surgeries, including total body lifts, to get rid of excess skin and flab and procedures to enhance the brow, the hands and the toes. And not just for women either, more men will take steps to look more youthful in the coming year.
Wrinkle in Time
Restylane is the third injectable wrinkle treatment to gain FDA approval, joining botox (botulinum toxin) and collagen injections. But the pipeline is bursting. Some doctors are now using hydroxyapatite (Radiance) off-label to erase fine wrinkles and deep folds. Radiance is FDA approved to treat certain vocal cord problems and bladder spasms. And the FDA is expected to approve Hylaform, an injectable gel like Restylane, soon.
Robert W. Bernard, MD, a plastic surgeon and ASAPS president says that, "within the next five years, we are going to have some [wrinkle-filling treatments] that are biologically acceptable, safe, and are very long-lasting."
He says that "there is always a spurt of others that follows an approval because it incentivizes other companies," he says. "Collagen is not the best bang for buck because you have to come back frequently, but some of these other newer biologic fillers may last longer," he says.
Undoubtedly, "the approval of restylane will add a new dynamic to the filler market and I am very interested to see how it shakes out against collagen -- the gold standard," adds plastic surgeon Leroy Young, MD, chairman of the nonsurgical procedures committee and co-chair of the breast surgery committee at ASAPS. "We know it flows better and it's easier to inject, but it may not yield superior results," he says.
Gleaning his crystal ball, Young also says that there will be an increase in the number of post-bariatric surgeries.
"What's happening is that revision following weight reduction is going to be really big because obesity is such an epidemic in the U.S. and bariatric procedures are growing exponentially as insurers realize that its cheaper to pay for surgery than complications of obesity," he says.
However the onus and challenge will be on surgeons to really craft the best approach to these surgeries including how to sequence, combine, and time the procedures for the best results with minimal downtime and risk, he points out.
These procedures may not be as straightforward in post weight loss surgery patients who have lost 100-150 pounds as they are in the general population, he says.
Everybody's Doing It
Cosmetic surgery, that is.
"Baby boomers have moved from diapers to cosmetic surgery," Young says. There will be an increase in body contouring in 2004 including liposuction, tummy tucks, buttock lifts, and inner-thigh lifts, ASAPS predicts.
Cosmetic surgeons will no longer ignore the top third of the face -- the brow.
There will be minimally invasive techniques that leave smaller scars or botox to help lift this common trouble area.
And men too will be trying to look younger, ASAPS predicts. "Men are under more pressure at work because more women work, [so] more people are competing for the jobs," Young says. Looking younger is considered a major plus in today's job market, he adds. Men may opt for facials and other light cosmetic procedures such as microdermabrasion to polish the skin.
Hand rejuvenation and procedures that deal with feet will increase in popularity, Young says. "A lot of people have a face that looks great, but have old looking hands and fat injections to improve this will become more common," he says. "More people will have surgery to straighten their toes because people don't want to surrender to age and they want to continue to look as good and as youthful as they can."
The dark side is that as such procedures become more and more popular, "more fringe people will try and do them. There will be dentists doing facial surgery and it's very clear that even with injectable materials, the results are very technique-dependent," he says.
"The lay public is going to have to be increasingly aware of checking on credentials of the person who is doing the treatment," he says. To choose a plastic surgeon that is certified by the American Board of Plastic Surgery (ABPS), visit the ASAPS web site at www.surgery.org and click on 'find a surgeon.'
