The popularity of microneedling (with or without platelet rich plasma (PRP)), microblading, and micro- (or baby) Botox will increase even more in the coming months. The media has been hyping the benefits of these micro-procedures for some time now and many a rising Insta-star has posted about his/her up-close-and-personal experiences with these therapies, creating both dialogue and demand. The results promised by these micro-procedures also dovetail nicely with the natural, subtle results that today's cosmetic patients crave. Micro-Botox involves injecting small amounts of a neuromodulator with longer intervals in between treatments to avoid that frozen look our patients fear most. “Micro” may mean small, but this trend is mighty.
Celebrity feature requests are so 2018, according to the American Society for Aesthetic Plastic Surgery. Sure, there will always be an outlier who wants Meghan Markle's (aka the Duchess of Sussex's) nose or Kylie Jenner's lips, but there's not going to be a run on celeb features anytime soon. This is due largely to social media and the advent of easy-to-use photo editing filters that allow patients to doctor their own selfies. Instead of pointing to magazine images of their favorite celeb features, today's patients can scroll through their own library of doctored selfies on their phones to show us what they want out of a procedure. This is a useful exercise for the most part, but it can set up unrealistic expectations. These apps, like morphing technologies, are not guarantees. Just because it looks good on Instagram doesn't mean it will look good in real life. What's more, there are times that “Snapchat dysmorphia” is at play, and this may trigger body dysmorphic disorder.
As aesthetic doctors, we need to be able to tell the difference and explain to our patients what is possible and advisable and importantly, what is not.