The New New Face, Plastic Surgery in the 21st Centry

The New York Magazine recently published a cover page article titled About Face. The catch phrase in the article is: “Out with the gaunt and tight, in with the plump and juicy. There’s a new face in town—and it’s a baby’s”.

Celebrities like Demi Moore, Michelle Pfeiffer, Elizabeth Hurley, and Naomi Campbell were shown as examples of beautiful faces where subtle and minimal cosmetic work enhanced an already attractive face.

On the other hand, pictures of Faye Dunaway, Meg Ryan, Cher, and Melanie Griffith were featured as examples of bad plastic surgery. Where too much was done resulting in unnatural results.

I like the article since I agree with its main premise that a young face is plump and heart shaped, and that any intervention designed in rejuvenating the face should be aimed at restoring those qualities. Thus, facelifts should not be “tight”, fat in the lower eyelids should not be removed aggressively, and fat grafting should be considered in most cases. The article also reflected my thoughts on rhinoplasty. In that a strong profile is much preferable to a washed out nose.

Just as an example, here is a patient who was looking for a younger look. A combination of upper eyelid surgery and fat transfer gave her a totally natural rejuvenated look.

Here is an example of a natural rhinoplasty, where the dorsum was not exessively lowered and the patient retains her ethnic features, albeit in an enhanced form.

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