Plastic Surgery Favorites Change with the Times

"Nip-Tuck Coach Michelle Farber shows her website picture"

Michele Garber

Hello, Dr. Kotler patients and fans. Did you know that cosmetic plastic surgery favorites change with the times? I’m Michele Garber, a Nip-Tuck Coach, editor of Beauty News Talk and today’s guest blogger.

Cosmetic surgery is no longer for the rich and famous.  Today, Plastic Surgery transcends age, gender and income barriers. According The American Society of Plastic Surgeons (ASPS), there were nearly 1.6 million plastic surgery procedures performed in 2011, along with 12.2 million minimally invasive procedures. So, is that to say we as a society are obsessed with beauty, perfection and the “fountain of youth”?

Actually, it’s a personal choice. Almost everyone I know has had some type of cosmetic enhancements like tummy tucks, breast implants and others including:

It’s far more acceptable today to go under the knife than it was even 10 years ago, although many of my friends still prefer to deny the truth behind their “refreshed” looks.

Just like fashion changes in cycles, so does cosmetic surgery. The trend 10-12 years ago in breast augmentation was the bigger the breast implant, the better. As a beauty publicist, I worked with many East Coast plastic surgeons. Most often, the women who worked in these offices were walking advertisements for the practices.  A good percentage of them had breast implants that were so big, they often looked cartoonish, unnatural and disproportionate to their physical statue.

The trend today is smaller, more natural-looking breasts. Many women are opting to have smaller implants and those with large implants are switching them out for smaller sizes.  I suspect that — just like the length of dresses going up and down — so will breast sizes.

Face lift trends have also shifted from the overly pulled, tight look of the 70’s and 80’s to a more natural appearance. Today’s face lift techniques combine fillers or fat transfers to achieve a more realistic look. Some face lifts seem so natural that only “your hair stylist” knows for sure.

Rhinoplasty is another cosmetic procedure, commonly known as a “nose job”, which has evolved over the years. Growing up on the East Coast of Jewish heritage, a nose job was the rite of passage for most 13-year-old girls in the 70’s. You had a Bat Mitzvah and rhinoplasty.  It was the top fashion trend.  But certain surgeons were known for their signature cute “couture” noses. You knew the surgeon’s name by the shape of the nose.

In those days, insurance companies often paid for rhinoplasty, because it usually involved correcting a deviated septum. Once you received the diagnosis from two ENT specialists, your rhinoplasty was medically covered.

As other cosmetic surgery trends have shifted, so has the nose job. Noses today are more natural, enhancing a person’s face and profile. Many patients prefer their ethnic noses and only want a slight change. There is no longer one type of nose to fit one type of look.

Rhinoplasty also seems to be one of the more traditionally acceptable cosmetic surgery procedures today, many of my sources and clients say.

Wondering what the next trends in cosmetic surgery will be? While the current trend is toward non-surgical procedures, I guess we’ll just have to wait and see about the rest!

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About Michele GarberMichele Farber: she’s been in the medical aesthetics industry since 1997 and was the founder of dMK Communications, a Lifestyle Communications firm.  Michele has worked behind the scenes with both skincare manufacturers and with surgeons. Currently, she is the founder of The NipTuck Coach, an independent cosmetic procedure consultancy and, editor-in-chief of Beauty News Talk, a beauty blog. Coming soon is a new cosmetic surgery blog called Talk Plastic Surgery.  Michele is already a frequent guest blogger and speaker on blog talk radio.

 She can be reached at www.niptuckcoach.com

Male Breast Reduction Surgery: Guest Post

"Elliot Jacobs, M.D. is shown in surgical scrubs"

Elliot Jacobs, MD, Park Avenue Plastic Surgeon

Hello fans of Dr. Kotler! I’m Elliot Jacobs, M.D. a Park Avenue board-certified plastic surgeon in New York City.  Dr. Kotler asked me if I would pen a guest blog for him. So what you are about to read is it! Hope you enjoy.

Although I perform many types of plastic surgery, I’ve become widely known as a leading provider of the type of surgery that reduces large, female-like breasts on teen boys and men. It’s also known as gynecomastia surgery because gynecomastia is the medical name for the condition.

Early on in my practice, I could not help but feel especially sorry for teens who were teased, ridiculed, belittled, tormented and, yes, bullied only due to their large fleshy chests.

Any teen’s overwhelming desire is to fit in with his or her peer group. So when something – most especially a secondary sexual characteristic – is amiss, a lad can be made to feel shame about the appearance of his chest. For instance, junior high and high school bullies often feel free to grab and twist one of the boy’s breasts.

Some boys try to hide their condition with a lot of black, bulk clothing.

Others will even try to gain as much weight as possible to make their abdomens larger than their breasts while others just stay home.

And all this takes place while a young man should be trying out and learning the coping skills that will get him by in adulthood. Those efforts most especially include coming to understand and relate to the fair sex. But a typical cruel remark from teen girls is often: “What girl wants a boyfriend with breasts bigger than hers?” (Read a few letters from gynecomastia patients and parents.)

Dieting and lifting weights don’t help because under the lad’s nipples sit actual, dense breast tissue that does not respond to liposuction or exercise. The only way to lose it is via cosmetic plastic surgery.

The lad pictured below was 14 at the time of his surgery. Imagine what his life was like in the boys’ locker room before the procedure.

For years, pediatricians advised teens and parents to skip the surgery because he may grow out of it. But chances are just as good that he won’t.

After male breast reduction, teens with flatter, more masculine chests come out of their shells, become more sociable, leave rude remarks behind and go on to do well socially, academically, physically and, usually, romantically.

Life for grown men with large fleshy breasts is also no picnic. They rarely appear poolside or at the beach and also often employ the bulky, black clothing to hide their fleshy chests.

"A 14-year-old boy is show before and after male breast reduction surgery"

Before and after male breast reduction surgery