- My Take: Is the Hippocratic Oath at Risk?
- News + Trends
- New in My Practice | Cosmeceuticals: Alastin’s Restorative Neck Complex with TriHex Technology
- New in My Practice | Devices: Emsculpt from BTL Aesthetics
- Beauty Counter MD
- Women in Aesthetics: Cynthia Rager
- In Focus: Winning Moves
- The Shape of the Contouring Market: Expert Tips on Energy-based Body Treatments
- On the Bubble: Could Brazilian Butt Lifts Be Banned?
- New in the Toolbox
- Neurotoxins on the Horizon: Bonti and Beyond
- Lip Lifts: Rethinking the Role for this Important Procedure
- Cutting Edge Marketing for Surgical Procedures
- Get to Know Your Potential Patients
- Board Forum: A Practical Assessment of Minimally Invasive Approaches
- Three Ways: Chatting About Chatbots: Are They a Necessity?
- Business Advisor: Improve Employee Retention
- Aesthetic Marketing Management: Webinars 101
- Financial Planner: Time in the Market: More Important Than Timing in the Market
- Virtual Voice: Three Medaesthetics Myths We Need to Bust
- Coming & Going
Coming & Going
By: Miles Graivier, MD
Thread lifting 4.0
Once a media darling touted by Oprah, thread lifts fell from grace rather unceremoniously in the early 2000s after reports of scarring, infection, and lumps under the skin with the then-used non-absorbable threads.
Fast forward at least 10 years and there are now two new thread-ish lifts making the rounds. Approved for midface suspension, the Silhouette InstaLift uses resorbable suspension sutures with bi-directional cones to redefine the contours of the face. The sutures lift and reposition tissue while the cones anchor the suture and facial skin in an elevated position. The cone material, also made of glycolide/L-lactide (PLLA/PLGA), stimulates fibroblasts for neocollagenesis. And then there’s the Nova Thread Lift. Nova’s sutures are composed of polydioxanone (PDO), which has been used in cardiovascular surgery for years. These PDO threads don’t require anchoring and are being increasingly used for midface lifting and even non-surgical nose jobs.
Thread lifts are back, better, and safer than before and will likely find a place in our toolboxes, but these minimally invasive lifts will never replace surgical facelifting or rhinoplasty.
Botox for Bat Mitzvahs
Cross Botox off of your list of high school graduation specials and distance yourself from lip fillers for Sweet 16 and other not quite so appropriate or safe cosmetic procedures for teens and tweens. Partially driven by social media and the selfie craze, growing numbers of adolescents are seeking cosmetic enhancements to keep up with reality or Instagram stars.
New guidelines created by two Dallas plastic surgeons—Rod J. Rohrich, MD and Min-Jeong Cho, MD—aim to reign in inappropriate teen cosmetic surgery. The guidelines, which appear in the September issue of Plastic and Reconstructive Surgery, urge surgeons to take age, maturity, growth, development, and other factors into consideration before saying yay or nay to a procedure.
In general, rhinoplasty in teens is OK once nasal growth is complete—typically age 15 to 16 in females and age 16 to 18 in males. Breast reduction is acceptable in teen girls with back and neck pain once the breasts are fully developed, which typically occurs between 12 and 19. Otoplasty can be performed as young as age five, as this is when the ear is almost fully grown.
The new guidelines do take a hard stand against lipo, injectables, and cosmetic breast augs in tweens. Chemical peels and cosmetic lasers and injectables should be reserved for those 18 and older (unless the patient has early tear troughs, small lips, weak cheeks, or premature frown lines).