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Dr. Ellenbogen's Plastic Surgery Blog
NEW YORK – Need to re-shape your feet to fit those hot new shoes? Podiatric surgeons across the country are offering cosmetic foot surgery to do just that.
Angela Roy put her toes under the knife.
Jennifer Lopez and Iggy Azalea dropped "Booty" just a couple weeks later, but the bar had already been set so high by Nicki's badonkadonk-fest that there was no way that they could hope to compete.
But with success comes scrutiny and now, more than ever, the world is wondering what's really going on with Nicki's gigantass.
Fortunately, the folks at Radar Online took it upon themselves to consult with a plastic surgeon so that we can finally get to the bottom of Nicki's bottom:
“It does appear that she’s had some sort of augmentation in the gluteal area,” says Dr. David Feldmar, who - it should be noted - has never personally worked on Ms. Minaj.
"It looks like she had gluteal implants placed, or at least got fat injections."
It's not exactly solid evidence, but Dr. Feldmar specializes in gluteal implants, and he says there are some serious drawbacks to fake butts in Nicki's profession:
"For people who move or dance around a lot, you feel the implants," says the doc. "And after ten years, they begin stretching the skin and sagging."
Of course, who would bother getting butt implants if they didn't dance around a lot?
So what does this all mean? Well, for one thing, we could be facing a future in which aging pop stars will only allow themselves to be photographed from the front.
Read more <a href="http://www.thehollywoodgossip.com">celebrity gossip</a> at: http://www.thehollywoodgossip.com/2014/09/nicki-minaj-butt-implant-debate-heats-up-plastic-surgeon-says-da/#ixzz3DaRLbs5d
Shhhh... don't tell CoverGirl!
At 56, Jennifer Lopez is looking better than ever. She looks even more radiant and youthful than she did when she was years younger! Many have tried to discover her secret: is it botox, face lifts, or just good lighting?
The truth is much simpler (and cheaper!) than that, but she is obligated to keep it under wraps due to her relationships with large cosmetics companies. Despite multi-million dollar contracts, it isn't her makeup that is causing her to look decades younger. After many years of trying, our sources finally uncover the truth behind the celebrity anti-aging secret that has taken Hollywood by storm - and it is one that clever women in America and around the world have been secretly using too.
"Dr. Oz Calls It - The Miracle Anti-Aging Breakthrough -
Because It Works!"
Emily Davis, a 53 year-old mother of three from Sacramento, CA, is a perfect example of how a little smart-thinking and ingenuity can help you avoid unnecessary health risks and save you thousands of dollars in doctors' bills.
Like most women, Emily didn't have the extra cash to try out every celebrity-endorsed anti-aging "miracle cream" out there, let alone splurge on expensive elective medical procedures, like plastic surgery or facelifts.
Before trying this simple trick, she admits she used to spend almost an hour every day on an extensive skincare regimen consisting of over 6 different products, with seriously disappointing results. Each product made big claims promising to erase wrinkles and return her youthful skin; and while Emily followed all their usage instructions to the letter, she saw no real results.
Frustrated and let down, she considered going so far as to take out a substantial loan for Botox injections, and even contemplated a highly risky and very expensive facelift procedure. But the high cost (ranging anywhere from $5000 - $20,000+) and the horror stories of unfixable botched procedures convinced her that cosmetic treatments were not the solution she was looking for. She was determined to find a safe and affordable anti-aging solution that would give her real results and not leave her digging her way out of a huge financial debt.
After a year of doing thorough research and speaking to other women about their own skincare habits, she learned of two products that were yielding real results and helping women take years off their skin: Juveliere Anti-Aging Face Serum and Rejuvius Eye Cream.
While each of these products were proven to be effective individually, one night, Emily made an accidental discovery that would revolutionize the whole skincare industry: shecombined them.
After only a few days of using both products together in her daily skin routine, she saw noticeable results in the mirror. After just two weeks of using Juveliere Anti-Aging Face Serum and Rejuvius Eye Cream combined, the proof was staring her right in the face: this was giving her real results.
Using the two products together, Emily's results were noticeably better than what you'll find at medi-spas for $5,000 or more. This combination removed virtually 90% of all her wrinkles and problem areas. It tightened her face and neck, removing all signs of sagging, aging, and dehydrated skin. Emily was able to see these dramatic anti-aging results simply by using free samples of both products for only 14 days.
Her friends, husband, and family were all shocked. They were convinced she's been secretly getting Botox, because her skin looked 20 years younger almost overnight! Soon, word got around as her friends starting using Emily's method, and not long after, her easy, 2-product trick was featured on The Doctor Oz Show!
Emily is now one of hundreds of women in America that share the same incredible story. Using this method, she effectively erased 20+ years from her skin. It has changed her life and completely astonished everyone around her, even total strangers!
How does it work?
Emily discovered that the secret to cell revival is Hyaluronic Acid, an advanced formula that affects your skin at the cellular level. Hyaluronic Acid allows to lift off layers of dead or dying skin. After removing the top layer of skin, the soft, young skin from underneath is brought to the surface and hydrated. While researching the best anti-aging/skin care products, she discovered celebrities had been using Hyaluronic Acid creams for years to stay and look young. A prominent celebrity skin care doctor also revealed that usingJuveliere Anti-Aging Face Serum & Rejuvius Eye Cream with Hyaluronic Acid was the celebrity secret to success as it contains powerful antioxidants, vitamins, and moisturizing agents.
Dr. Oz calls them "The secret to cheat your age".
"Based on my research, I knew Juveliere Anti-Aging Face Serum & Rejuvius Eye Creamwould deliver incredible results and the fact that I got them both as free trials was the icing on top. I never would have thought that something which is being offered for free could ever yield a better result than the more expensive anti-aging solutions." - Emily
Dr. Richard Peters, a prominent dermatologist based in Beverly Hills, California, revealed to us that using Juveliere Anti-Aging Face Serum and Rejuvius Eye Cream together is the celebrity secret to youthful skin because both products contain the purest and mostpowerful forms of Vitamin C and Hyaluronic Acid. Best of all the products are all-natural, perfectly safe for all skin types, and have no nasty side effects.
"What Juveliere Anti-Aging Face Serum and Rejuvius Eye Cream do is get rid of all the old, dead layers of skin and help your skin generate fresh new ones. Our tests show that you can erase almost 20 to 30 years off your face in less than 14 days. The key is to choose the creams and serums that contain the highest and purest quality ingredients, since they are not all the same." - Dr. Oz
Emily's Story & 14 Day Cell Revival Results:
"How do I do it?"
"The trick is to combine Juveliere Anti-Aging Face Serum and Rejuvius Eye Cream. These two products both contain high concentrations of pure Vitamin C and Hyaluronic Acid in just the right concentrations. I also discovered that they contain all sorts of anti-oxidants, an ingredient called Dermaxyl (also known as facelift in a jar) and Ester-C (the active anti-aging compound in Vitamin C). The instructions were easy to follow but very specific: they're important to follow precisely because it does make a visible difference. You apply just a light coat of Juveliere Anti-Aging Face Serum on your face and neck after washing and drying your face, and gently pat and Rejuvius Eye Cream around the eye area before bed time. I saw results almost overnight, but after 14 days, the results were literally shocking. I looked how I used to look 20 years ago!" - Emily
After the first day of using Juveliere Anti-Aging Face Serum andRejuvius Eye Cream together, I was surprised at how wonderful they both made my skin feel. It felt like every last pore on my face was being tightened and pulled by a gigantic vacuum cleaner.
I don't know how else to describe it! I could feel a warm tingling sensation on my cheeks, around my eyes, and on my forehead. I looked in the mirror and saw that my face looked a bit rosy - the result of revitalizing blood rushing to the surface of my skin to renew my face. After both products were absorbed into my skin, my face looked firmer and had a beautiful glow to it.
The lines, dark spots, and wrinkles - without question - were visibly reduced in size right before my eyes!
I was astonished by the results, and literally felt 20 years younger again. It was like watching all my wrinkles and fine lines vanish right off!
After 14 days, not only had all my doubts and scepticism absolutely vanished - SO DID MY WRINKLES!
The lines on my forehead, the loose, sagging skin on my neck, my crows' feet - even the age spots on my face had COMPLETELY disappeared. I've never felt or seen anything tighten my skin with this kind of force before, no matter how expensive the product!
After the 2 weeks, my skin not only stayed that way, it actually improved every day until it became as beautiful and radiant as it was 20 years ago. By this point, all my friends and family were shocked. They couldn't believe the difference, and were convinced I was lying about not getting botox!
Will This Work For You?
There are plenty of skincare gimmicks out there, and most of them are ridiculously expensive. With so many options it is only natural for you to be skeptical about the results, and so I challenge you to do what I did: try it for yourself! Conduct your own study and see the incredible results in your mirror at home. You won't believe YOUR before and after!
Once you've experienced this anti-aging skin savior for yourself, please leave your comments below and share your success story with others, like Emily did. Document the progression and prove to the world that you don't need to spend thousands of dollars to LOOK AND FEEL GREAT.
For your convenience, we have provided the links that Emily used to sign up for herFree Trials of both Juveliere Anti-Aging Face Serum Anti-Aging Treatment and Rejuvius Eye Cream. Use the links below and you will get the lowest possible shipping price as well.
Remember, to get the BEST results you will want to try BOTH products together. Both creams come with a 100% satisfaction guarantee or full money back. With the discounted shipping costs you will be on your way to smooth skin for under $5. But hurry, these incredible free trials won't last forever.
Fans speculated that Jessica Simpson got lip injections after she posted a snap on Instagram on September 15, showing off her plump, red lips. We asked expert plastic surgeons their opinions. See what they had to say.
Did Jessica Simpson, 34, get work done? Her lips appeared fuller in a Sept. 15 snap, compared to a Honeymoon selfie she posted back in July. We reached out to multiple plastic surgeons, who all agree it looks like she’s had volumizer injected into her lips! What do YOU think?
Jessica Simpson’s Lip Fillers — Doctors Speculate On Plastic Surgery
Dr. Norman Rowe, a NYC board-certified plastic surgeon who has not treated Jessica, toldHollywoodLife.com exclusively:
“Jessica definitely injected a volumizer into her lips. Especially with her recent weight loss, her lips may have become drawn and gaunt. There are a variety of lips volumizers (a.k.a. fillers) ranging from hyaluronic acid (Restylane, Juvaderm), which are naturally found in the body and maintain the effect for 9 months.
Other volumizers include silicone and even a small amount of the patient’s own fat. These fillers last much longer and give a much larger look to the lips. Jessica looks as if she had one of the hyaluronic acid fillers. There is little to no downtime and the cost begins at $750 and can go up from there depending on how big the patient may want to go to. By the way, she also needs to wear smaller earrings, or soon her earlobes will be split.”
Dr. Michael Salzhauer, leading board certified plastic surgeon in Miami, FL, says this may not be the first time Jessica has gotten work done.
“Jessica got greedy with the fillers again. I believe she injects her lips religiously. This time she might have injected more too soon or just too much at once. But don’t worry — it will go down with time.”
More Expert Opinions On Jessica Simpson
Beverly Hills Board Certified plastic surgeon Dr. William Bruno, who had not treated Jessica, told HollywoodLife.com:
“It appears her upper lip is fuller and has a more consistent shape throughout compared to the photo two months ago. This is likely due to a filler such as Juvederm, which can range from $450-600 per syringe. This procedure is done in the office in about 15-20 minutes with very minimal downtime (swelling for a few hours with minimal to no bruising). Concealer can hide bruising as well as the lipstick.”
Dr. Elan B. Singer, MD in New York adds: “Although red lipstick can give the illusion of plump lips, it does look like Jessica had her lips injected. The hyaluronic acid class of facial fillers are safe and typically last approximately 6-8 months. One common misconception is that if you get your lips injected, you’ll look like a duck. This is only true if the lips are over-injected. The more material that is injected, the plumper the lips will become; so, if only a small amount of product is used, there should only be a small change in lip volume. If patients aren’t happy with the injection, there is an enzyme that can be used to dissolve the product, so patient’s don’t even have to wait the full 6-8 months for the product to go away.”
“Wow! Her lips do seem dramatically bigger in the recent picture. It could be the very bright lipstick with lip liner or the use of a hyaluronic acid filler like Juvederm or Restylane,” says Dr. Yael Halaas, M.D., F.A.C.S.
Do you think Jessica got fillers to plump up her lips, HollywoodLifers?
Los Angeles–based plastic surgeon Dr. Chia Chi Kao (KaoPlasticSurgery.com) has seen many stars enter his office, but now he’s noticing an influx of a different type of clientele. “A lot of corporate executives in their 40s and 50s are coming in,” he says. “They want to compete against the younger guys and relate to them, too. In some companies, you might have a 30-year-old boss, so the way you portray yourself can affect the upward mobility of your job.” In other words, it’s hard to command and conquer with heavy bags under your eyes.
Here, Kao outlines the most coveted procedures and the latest technology to keep you on top of your game.
Got a saggy one? An endoscopic temporal brow rotation involves making a small incision behind the hairline to lift the skin and removing a sliver of flesh from the upper eyelid. Be sure your surgeon doesn’t extract too much—you might end up Clockwork Orange–ing it, unable to shut your eyes.
Recovery time: 10–14 days
To fix them, a little skin under the eye is pinched, the lower
lid’s muscle is tightened, and fat from the bag is repositioned.
Recovery time: 2–3 weeks
Chin and jaw
The angle of the mandible can be fixed with fillers, implants, or fat grafting (the best method). If there’s a marked deficiency in the jawline, a small implant will get you 80% of your desired volume, and the remaining 20% can be obtained using concentrated fat.
Cost: $3,000–$8,000 (jaw); $5,000–$8,000 (chin)
Recovery time: 7–10 days (jaw); 10–14 days (chin)
The neck lift is more difficult for men, whose skin tissue is tougher and more fibrous. The “Rolls-Royce” of procedures is the endoscopic vertical lift, a brow-and-neck lift combo that removes excess skin. But beware of horizontal face-lifts: The sideburn skin shifts into the ear area, so hair could start growing on your lobes.
Cost: $25,000–$35,000 (neck only); $60,000–$80,000 (vertical lift)
Recovery time: 2½–3 weeks
The fat extracted from your love handles can be used as filler in the face or buttocks, while laser-assisted liposuction can sculpt abs.
Cost: $3,000–$6,000 (liposuction); $3,000–$6,000 (ab sculpting)
Recovery time: 2 weeks
Fat transfer trumps implants, but you’ll need a lot of fat to get that Rafael Nadal bubble butt look. Ask for a silicone block to be placed at the top of your buttocks for more bounce. Warning: Your tush will be very sore for a while.
Recovery time: 4 weeks
BARBRA Streisand’s 16-year marriage to James Brolin suffered another blow after she was caught “in a big lie” over her friendship with ex-President Bill Clinton, as The National ENQUIRER reported in last week’s issue.
Now, in another exclusive, we reveal more shocking scandals. While filming the 2004 hit comedy “Meet the Fockers,” the Oscar winner admitted she was a binge eater, after gaining 30 pounds in just six months to weigh in at 175 pounds.
And after years of insisting she’d never go under the knife, Barbra, 72, had a secret facelift and neck lift in 2003.
When she headed to a hotel to recover, she was caught by The ENQUIRER wearing a bizarre beekeeper-like disguise!
In 2004, Babs secretly underwent surgery on her colon during a cancer scare. She also revealed she was a hoarder in 2009 when she auctioned off more than 500 items she collected over the years.
Christopher Andersen’s 2006 bio “Barbra: The Way She Is” revealed a startling list of lovers.
In addition to husbands Elliott Gould and James Brolin, the notches on her designer belt include Elvis Presley, Prince Charles, Princess Diana’s lover Dodi al-Fayed, Andre Agassi, Warren Beatty, Ryan O’Neal, Steve McQueen, Kris Kristofferson, Don Johnson, Jon Voight, Richard Gere, Omar Sharif, Liam Neeson and ABC newsman Peter Jennings.
Well, now that we're "officially in the era of the big booty" it comes as no surprise that the latest plastic surgery craze is all about the tush.
Let us introduce you to "banana roll lipo," a procedure that involves removing a pocket of fat that builds up just underneath the buttocks with the use of cannulas. This fat deposit is known in the plastic surgery world as the "banana roll," hence the procedure's name.
According to the Daily Mail, clinics have seen a huge increase in the number of female patients requesting this treatment. They believe that celebs like Kim Kardashian and Nicki Minaj (and we'd argue, Beyonce) are the main source of inspiration for getting the perfect backside.
This area of fat that forms below the buttocks is common for women, claims Dr. Dennis Wolf, a cosmetic doctor at The Private Clinic of Harley Street.
And judging by the number of online forums and discussion boards asking how to get rid of this little fat pocket (our favourite being, "Can Lipo Help with Banana Roll Deformity?", because yes, someone actually considers this tiny bit of extra fat as a deformity), the commonality is clear.
Dr. Wolf also notes that while the surgery can help, the results are not always permanent.
"Patients also need to be prepared to put in some hard work themselves. By toning up the glutes you can help prevent the bottom from drooping and to keep the area tight," he explained to the Daily Mail.
If liposuction just isn't your thing, LocateADoc.com explains that there are also body shaping treatments available that can hep tone and sculpt the "problem area."
And don't forget there's always good old fashion exercise and healthy eating, you know, the things that require a little bit of work and a lot less money.
To each their own!
What do you think of the "banana roll lipo" procedure? Would you ever go under the knife? Let us know in the comments below and click through the gallery above to check out more weird beauty treatments from around the world.
On a scale of 1 to 10, how much do you care whether Kylie Jenner's had her lips done? (One being complete and total apathy, and 10 being you lie awake at night wondering how in the world she expects people to believe that her pout's sudden fullness has been accomplished with makeup magic.) To be completely honest, I'm a pretty solid "1" when it comes to this situation. But, here I am, writing about the great Lipliner-Versus-Plastic-Surgery Debate of 2014, starring 17-year-old Ky-Jen — because the Internet seems like it's about to spontaneously combust, thanks to a recent selfie. Meanwhile, our whole team is asking: "Really?"
Visual evidence suggests that she might have gotten injections (Those before-and-after pics! #wow), but if you zoom in, you can kind of see the line where her lips end and the lipliner begins. However, if you do find yourself zooming in on her face, let's take a moment to consider the fact that you're zooming in on Kylie Jenner's face — instead of, you know, reading the news or, like, working. (In case you're curious: In preparation for writing this, I totally zoomed in on her face. And then, I felt bad about myself.)
Aside from the fact that we have her makeup artist on record describing how he uses lipliner to exaggerate her lips, the big-picture issue here is how much energy people are spending scrutinizing the girl's face — and arguing about whether she's made a personalchoice that she's entitled to.
Lindy West wrote on Jezebel a few months back: "Why do we teach women that staying young and beautiful is the most important thing, and then shame them for attempting to adhere to our mandate?" This is especially true of Jenner's world, where, as a member of the Royal Contour Family, "beautiful" means plump lips, full lashes, and bronzed everything. So, why are we so surprised that she's following their example? And, with everyone and their mom taking to Twitter to discuss the intricacies of her mouth, that pressure is also coming from the public in a less-than subtle way.
The bottom line (beyond "Who cares?") is that we need to either a) stop expecting everyone to look a certain way or b) stop punishing them for signs of effort. Yes, I'm a wishful thinker — but, it sounds nice, doesn't it?
- Binky creates a high-impact glamour for her big night out
- She went for the classic Hollywood blow dry to create film star waves
- She was joined by an equally glam Rosie and Louise for the evening
When it comes to those big nights out, less is definitely not more. You need to turn up the volume (not just on your hair) but on your whole look so you can stand out from the crowd.
Last week I had a big red-carpet event that I was attending with Made In Chelsea colleague Rosie Fortescue, so we both popped down to Duck & Dry, the recently launched Kings Road hair salon that specialise in blow-drys and up-dos.
For big night hair, getting someone else to do your blow-dry really helps to nail your look. Most salons will happily do this for around £15-£20, but if you are working to a budget call a friend and get ready together.
SCROLL DOWN FOR VIDEO
Binky opted for classic Hollywood glamour for her beauty look
I went for cascading volumous curls – bigger the better. My hair was dried gently including the roots by Duck & Dry Creative Director Snowden Hill and he used O&M Rootilicious Root Lift, but I’ve not seen this product on-sale in shops, so my choice for home would be Schwarzkopf Professional Osis + Blow and Go Thick Spray.
Massage this into the roots to give lift and volume, and tease in a good styling mousse for the main body of your hair that adds body – one of my favourites is Bumble and Bumble Curl Conscious Holding Foam.
Snowden then blow-dried my hair with a large round brush (remember be careful not to damage your hair with too much heat) and then put it in large Velcro curlers in sections for about 15 minutes.
Binky was joined by her pals Louise Thompson (centre) and Rosie Fortescue (right)
Binky rocked a £500,000 ring and £50,000 bracelet to ensure she was looking red carpet chic
He then used heated tongs on all sections, and back-combed, starting from the nape of the neck, sides and then into the sides and finally the top sections and then smoothed and styled. I normally use Sexy Hair – Big Sexy Hair Spray and Play, it does what is says on the tine and has super firm hold that lasts all night.
Rosie had curlers on the top section to give lift but then had the side sections blow-dried tight to the sides and back, and back-combed sections at the bottom by the nape of the neck to give lift at the back.
It was a really sleek look and it requires quite a bit of Schwarzkopf Professional BC Bonacure Oil Miracle Divine Polish Shine Spray which created a glossy finish which had a real cutting-edge catwalk feel.
Binky had her hair styled at the Duck & Dry on the Kings Road
For my night out I was also lucky enough to have jeweller to the stars Vashi Dominguez – owner of top diamond retailer Vashi.com – lend me some beautiful jewellery for the occasion.
He adorned me with a pair of sophisticated 15 carat drop chandelier diamond earrings worth £50,000, a dainty 25 carat diamond tennis bracelet worth £80,000 and a massive 60 carat Burmese sapphire diamond ring worth a whopping £500,000!
The stunning Vashi.com jewellery complemented my outfit perfectly and made me feel like a million dollars (quite literally!).
Binky says it's important to opt for a high quality lipstick in order to prevent bleeding and fade
Clearly I can’t afford to keep these jewels and on most occasions I wear some statement costume jewellery to add a bit of bling to the finished look.
Now on to the make-up. If you go big with the hair you really have to follow suit with the make-up.
DiorSkin Forever Flawless Perfection Fusion Wear Make-Up: Flash photography and the harsh lighting at big events can show up even the tiniest imperfections, so a flawless-looking complexion is essential. This fluid foundation melts into the skin to create a perfect complexion that should easily last for the whole evening.
The secret to really luscious lashes is fresh mascara. As soon as it starts to dry out, it will become less effective, so I always invest in a brand new wand before a special night, and this is my current favourite.
Volumising, curling and lengthening your lashes, all in a single sweep of the brush, it gives you deliciously dark and smoky eyes without smudging, flaking or fading during the evening.
Clarins Rouge Prodige True-Hold Colour & Shine Lipstick:
For those of you who thought one lipstick is the same as another – well, think again. Poor quality lip products can fade, slide or bleed mere minutes after you’ve applied them. This Clarins lip colour, however, really lasts, without drying out your pout like some long-hold lipsticks can.
The formula boasts botanical waxes to nourish, pearl polymers to give intense colour and hold, and plant oils for shine and moisture. I chose a soft raspberry shade called Tea Rose, and it kept my lips looking kissable right through to the final “mwah”!
Narciso Rodriguez Narciso Eau de Parfum Spray:
For me, the final piece of the beauty puzzle is always a spritz of delicious perfume. This new fragrance from fashion designer Narciso Rodriguez is strikingly sexy – just the thing to boost your confidence and make you feel irresistible as you arrive at a big event.
Featuring notes of vetiver, Bulgarian rose, musk and amber, it is inspired by women’s powers of seduction! It certainly made me feel desirable, though with Rosie at my side how could the boys resist. Talk about devastating double act!
You’ll find all the products I’ve recommended at online beauty boutique Escentual.com. Here’s hoping your big night is as much fun as mine!
Until next week, stay gorgeous
It never ceases to amaze me how some people can take injections so lightly. Yes, they are cosmetic and non-invasive, but these treatments require the training and skill only an experienced dermatologist, plastic surgeon, facial plastic surgeon or oculoplastic surgeon possess. Every week I have at least one patient that comes to me to correct filler injected by an inexperienced or inartistic doctor.
It saddens me that they wasted their time and money, but at least most of them have been treated with hyaluronic acid fillers like Juvéderm, Restylane, Perlane and Voluma, which I can reverse. (Semi-permanent fillers like Radiesse and Sculptra and permanent ones like silicone cannot be corrected.)
We have all heard about “silicone” injections administered by bogus aestheticians and other uncertified providers in the back of a salon or in someone’s home. Shockingly, some doctors are using fillers that are not FDA approved, which means they are illegal and have not been proven to be safe or effective. One example that has caught the eye and scrutiny of the FDA is an injectable product called Expression.
Consisting of hyaluronic acid like many cosmetic fillers, Expression was approved as an “intranasal splint to minimize bleeding and swelling and to prevent adhesions in the septum and nasal cavity.” But some unscrupulous doctors are using it to fill wrinkles because it is cheaper and they make more money. Though it contains hyaluronic acid, Expression is not meant for injection into the skin. Side effects of improper Expression use include swelling, tenderness, firmness, lumps, bumps, bruising, pain, redness, discoloration, itching and the development of hard nodules.
The FDA requires safety and efficacy studies before new drugs and devices are brought to market. I perform many of these Phase 3 dermal filler studies in my research center (including those on Juvéderm, Restylane Silk, and Voluma) and they can go on for years to evaluate a product’s safety. Once an injectable filler is approved for use in tissue augmentation, it is often used “off label” in different areas of the face and body. However, injecting a product that is not approved for anything close to wrinkle improvement is risky, negligent and illegal. The FDA just put out a warning about Expression injections and instructed doctors to cease using it for facial wrinkle correction.
This is just another unfortunate example that proves how important it is to select the proper provider for any type of medical or cosmetic treatment. If your doctor has offered you Expression for anti-aging or used it for that matter, I highly suggest you find another doctor. You can email me if you need a help finding a board-certified dermatologist in you’re area, and you can also check aad.org.
Dr. Leslie Baumann is a board-certified dermatologist, best-selling author and CEO of Baumann Cosmetic & Research Institute in Miami.