NewBeauty Winter/Spring 2019

WINTER-SPRING 2019

CELEBRITY OBSESSIONS:

THREAD LIFTS GLASS SKIN MICRO-FILLER

53+ INCREDIBLE

BEFORE & AFTERS

Why Everyone Loves

Leslie Mann INSIDE :

true story:

WHY I GOT A FACELIFT AT 40

what really works:

THE TRANSFORMATION ISSUE

TOTAL VALUE OF $235 FOR ONLY $29.95 *

JOIN TODAY

TESTTUBE .NEWBEAUTY.COM *Available until February 5, while supplies last. After this date you will receive the March tube. Plus shipping, handling and applicable tax.

N E W B E A U T Y.C O M

WINTER - SPRING 2019

CONTENTS

12

EDITOR’S LETTER 14

MEDICAL ADVISORY BOARD

23

44

56

NEWS

VISION QUEST

I’M OBSESSED

Potent actives that are safe for the eyes, everyday self-care essentials and the best red-carpet looks of all time get our rave reviews

Photographer Chris Von Wangenheim captured the glitz and grittiness of an industry obsessed with sex, art and cultural disruption

Skin-care superstar Caroline Hirons is changing the world of beauty, one double cleanse at a time

35

47

24 HOURS

MUSE

HOLY GRAIL

Women who inspire us share what inspires them

The stories behind beauty’s most iconic products

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58 Three industry insiders detail their day-to-night skin-care routines

PLAINVIEW/GETTY IMAGES; POWEROFFOREVER/GETTY IMAGES

B LU E V E LV E T The perfect azure shadow can make eyes shine with a single swipe. Our favorite: MAC Cosmetics Eye Shadow in Teal Appeal.

NEW BeautyPrep™

hyaluronic

serum

radiance amplified

with a powerful clean

serum that attracts moisture to the skin and locks it in.

In a panel study of 20 women, 85 percent of participants reported that their skin looked and felt more hydrated and radiant after two weeks of use.

THE SKINCARE MAKEUP TM DERMATOLOGIST & ALLERGY TESTED. #TheSkincareMakeup | JANEIREDALE.COM

SPONSORED

60 SOCIAL

STUDIES

WHEN THE EQUATION FOR GLOWING SKIN RUNS IN THE FAMILY CLEAN MACHINES Many of the top skin brighteners and acne fighters come from nature: Spearmint oil—found in Epionce’s new Blemish Clearing range— provides anti-inflammatory and antimicrobial power; milk creates the magical, head-to-toe-smoothing lactic acid. For more derm-favorite fi xes, turn to page 60.

CONTENTS

WINTER-SPRING 2019

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STRANGE MAGIC

WINTER-SPRING 2019

CONTENTS Leslie Mann was photographed by John Russo at Quixote Studios in West Hollywood. Hair by Davy Newkirk using R+Co at The Wall Group. Makeup

by Jo Baker at Forward Artists using Chanel.

Manicure by Jolene Brodeur using essie.

Styling by Sonia Young for TheOnly.Agency. To get Mann’s look, try Eye & Brow Maestro in 6 Copal, Black Ecstasy Mascara in 1 Obsidian Black, Eye Tint Liquid Eyeshadow in 12 Gold Ashes, A-Line Liquid Blush in 50 Pink, Face Fabric Foundation, and Ecstasy Shine in 506. All

by Giorgio Armani Beauty.

Top, Madiyah Al Sharqi.

64

88

Leslie Mann dishes on her “dramatic comedy” brain, life with Judd Apatow, and why it’s easier to age in Hollywood when you’re “in the middle”

Hollywood’s top hair gurus share their style secrets

70

The role hydration plays in overall skin health

MANN POWER

POWER COUPLES

THE GUIDE: FILLERS

It’s a whole new (threedimensional) world, and fillers are doing the most to reshape it

78

NEW FRONTIER

A Q/A with Dr. Nicholas Perricone about the future of beauty, wellness and innovation

CHEMICAL ROMANCE

Mother nature may not always know best, but when it comes to safe fragrance formulations, top perfumers do

From botanical-infused skincare products to lip fillers, these products made a lasting impact

When photographer Jamie Nelson and makeup artist Lottie join forces, things get otherworldly good

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THE LIP BALM THAT CHANGED MY LIFE

STRANGE MAGIC

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THE WATER WAY

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THE CLINIC

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11 2

THE THREAD LIFT EVOLUTION

The next generation of threads offers below-the-face benefits

11 6

BBL ALTERNATIVES

The so-called “year of the rear” has spanned nearly half a decade now, proving our pygophilia is a bona fide fact

122

FACELIFTS AT 40-SOMETHING

How the “slacker generation” is reinventing aging

128

DOCTORS’ ORDERS

Top doctors answer the questions our readers are asking

130

B+A GALLERIES

45 Mommy Makeover, body sculpting and smile before-and-afters

TOP PHOTO: JAMIE NELSON/BLAUBLUT-EDITION

on the COVER

“I’VE FOUND MY HOLY GRAIL”

“ABSOLUTELY REMARKABLE”

BY JHUTCHENS, FROM BECKLEY, WV

BY BRI, FROM MADISON, MS

“I AM OBSESSED WITH THIS STUFF”

“GLOW FROM WITHIN!”

BY TRISHA, FROM CINCINNATI, OH

“WORKS WONDERS”

“THE BEST ANTIAGING PRODUCT I’VE EVER TRIED”

BY CSIBABE, FROM ABBEVILLE, SC

BY HEIDILADY, FROM LIVERMOORE, CA

BY JBEAUTY, FROM WASHINGTON D.C.

“I FOUND MY MIRACLE WORKER!”

“WORKS SO QUICKLY!”

“BEST PRODUCT ON THE MARKET”

BY YOLY, FROM PERTH AMBOY, NJ

BY LITTLE EVIL, FROM NEW ORLEANS, LA

BY JEMER76, FROM PALMDALE, CA

“IT DOES WHAT IT SAYS!”

BY CRISSY, FROM PITTSBURG, PA

“MY NEW GO-TO”

BY FARICOOKIE, FROM MIAMI, FL

“#1 IN MY SKINCARE ROUTINE!”

“WORTH ALL THE PENNIES!”

BY ERK, FROM LOUISVILLE, KY

“I LOVE THIS STUFF”

BY KATIE K., FROM UNDISCLOSED

BY KRIS, FROM ANDOVER, MA

“MY SKIN IS GLOWING!”

BY GP, FROM NEW JERSEY

“WOW, THIS IS THE REAL DEAL”

BY CATHY P, FROM NEWINGTON, CT

“FIRST SKINCARE PRODUCT WITH VISIBLE RESULTS”

BY JENNY FROM SNOHOMISH, WA

“BEST SINGLE SKINCARE PRODUCT I’VE EVER USED”

“AHHHMAAAAZING!!! ”

BY MIRA65 FROM PHILADELPHIA, PA

“GAME CHANGER FOR SKIN CARE!”

BY BETH, FROM PENNSYLVANIA

BY ELIZABETH707, FROM DETROIT, MI

WE HAVE NOTHING TO ADD. We’re so confident you’ll love Cold Plasma Plus+ Advanced Serum Concentrate, we promise a 5-star experience or your money back. Visit PerriconeMD.com for details.

Sephora Ulta Beauty Nordstrom Dillard’s Macy’s QVC

Emily Dougherty EDITOR-IN-CHIEF

EXECUTIVE EDITOR

Elizabeth Ritter

CREATIVE DIRECTOR

Lola Gonzalez

EXECUTIVE DIRECTOR, PUBLIC RELATIONS

Erin Kaplan

EDITORIAL

ART DEPARTMENT

SENIOR BEAUTY EDITOR

INTERNATIONAL ART DIRECTOR

Brittany Burhop Fallon

Darko Mühl

FEATURES EDITOR

Tatiana Bido

PHOTO EDITOR

Leah Goldblatt

ASSOCIATE EDITOR

Danielle Fontana CONTRIBUTORS SENIOR EDITOR

Jolene Edgar WEST COAST EDITOR

Crystal Meers LIFESTYLE EDITOR

Shelby Meade EDITOR-AT-LARGE

Sarah Eggenberger

PRODUCTION PRODUCTION DESIGNERS

Melissa Kelly Robert Pracek SENIOR PHOTO RETOUCHER

Christian Ablan PHOTO RETOUCHER

Michael Warnock PAGINATION MANAGER

Jody M. Boyle

CONTRIBUTING EDITOR

Suzanne Gleiber Sandow D I G I TA L HEAD OF DIGITAL

Carolyn Hsu SENIOR DIGITAL EDITOR

Julie Ricevuto

T EC H N O LO GY DIRECTOR OF INFORMATION TECHNOLOGY

Christina Czencz INTERNAL SYSTEMS ADMINISTRATOR

Erik Nicolaisen HELP DESK ANALYSTS

Josh Hash, Daniel King

SENIOR VIDEO PRODUCER

Leiana Foye MEDICAL ADVISORY BOARD CHAIRMAN OF THE EDITORIAL ADVISORY BOARD

Dr. Robert Singer EDITORIAL ADVISORY BOARD MEMBERS

BRICK HOUSE After a holiday season spent rewatching our favorite ‘90s movies (Tower Records, Realty Bites, The Craft), we had to talk ourselves out of getting a Winona Forever tattoo. (For now…) But we’re 100-percent in love with that perfect luxegrunge, dark-mauve lip that stole the scene in each film. Ones to try: Flesh Fleshy Lips Lipstick in Pucker (pictured) and YSL Rouge Pur Couture The Slim in Peculiar Pink.

Dr. Tina Alster Dr. Kenneth R. Beer Dr. Bradley Bengtson Dr. Kelly Bomer Dr. Joel Cohen Dr. Charles E. Crutchfield III Dr. Steve Dayan Dr. Jeanine B. Downie Dr. Steven Fagien Dr. Julius W. Few Dr. Ronald Goldstein Dr. Sanjay Grover Dr. Andrew Jacono Dr. Mark L. Jewell Dr. Laurence R. Rifkin Dr. Renato Saltz

O P E R AT I O N S OPERATIONS DIRECTOR

Rick Jacobs PRINT CENTER DIRECTOR

Bart Blackwell DIGITAL PRINT CENTER MANAGER

Christopher Ferris MANUFACTURING DIRECTOR

Leonard Sandow SERVICES

Casimira Betancourt, Maritza Severino C I R C U L AT I O N NEWSSTAND CONSULTANT

Ron Sklon DISTRIBUTION

Curtis Circulation PRINT MANAGEMENT

Calev Print Media

FOUNDING EDITOR

Yolanda Yoh Bucher

IMAGE COURTESY OF FLESH

Zachary Clause ONLINE CONTENT PRODUCER

Natural.

Nonsurgical.

Totally you.

SIMULATE YOUR OWN RESULTS* AT

YourUltherapy.com

CHRISTIE BRINKLEY, 63

Supermodel, actress, entrepreneur Actual Ultherapy Patient

Ultherapy® naturally stimulates production of your skin’s collagen and elastin1,2

Lifts and tightens skin on your neck, chin, and brow, and improves lines and wrinkles on the décolletage3

Unlike other, more invasive treatments, you get real results with no downtime

*SIMULATOR RESULTS ARE ONLY AN APPROXIMATION OF POST-PROCEDURAL RESULTS AND WILL POTENTIALLY DIFFER FROM THE RESULTS OF AN ACTUAL ULTHERAPY TREATMENT. REFERENCES: 1. Data on File. ULT-132. 2. Suh DH, Choi JH, Lee SJ, et al. Comparative histometric analysis of the effects of high-intensity focused ultrasound and radiofrequency on the skin. J Cosmet Laser Ther. 2015;17(5):230-236. 3. Ulthera Instructions For Use.

The non-invasive Ultherapy® procedure is U.S. FDA-cleared to lift skin on the neck, on the eyebrow and under the chin as well as to improve lines and wrinkles on the décolletage. The most common side effects reported in clinical trials were redness, swelling, pain and transient nerve effects. Reported adverse events from post-marketing surveillance are available in the Instructions for Use (IFU).

Please see the IFU for product and safety information, including a full list of these events at Ultherapy.com/IFU. All rights reserved. Ulthera® and Ultherapy® are registered trademarks of Ulthera®, Inc. © 2018 Ulthera, Inc. ML02428-01 January 2019

Agnes B. Chapski PRESIDENT

A BEAUTIFUL NEW YEAR.

HEAD OF MARKETING & BUSINESS DEVELOPMENT

Alexis Wall

FINANCIAL & BUSINESS OPERATIONS DIRECTOR

Every year, we get the chance to hit reset on our routines, creating resolutions to lead a more beautiful life.

Sherri Ginsberg

NATIONAL SALES EXECUTIVE ACCOUNT DIRECTORS

Stacy Macklin Catharine Meketa-Poirot Darcie Vukovich ACCOUNT ASSOCIATE

Molly Fair

SALES ASSISTANT

Jessica Wu

REGIONAL SALES SENIOR ACCOUNT DIRECTOR CALIFORNIA

Carolyn Kiek

ACCOUNT DIRECTORS MIDWEST

Tracy Bennett NORTHEAST

Angelina Dedvukaj Lauren Stonecipher SOUTHWEST

Dana McLain FLORIDA/SOUTHEAST

Drink a veggie and fruit smoothie every morning.

Katrina Haug GEORGIA

Mimi Stevens

MARKETING DIRECTOR, INTEGRATED MARKETING

Mark Hartnett

DIGITAL DEVELOPMENT DIRECTOR

Samantha Dana

INTEGRATED MARKETING MANAGER

Taylor Lawson

MARKETING COORDINATOR

Veronica Schnatterly ART

ART DIRECTOR, MARKETING & BUSINESS DEVELOPMENT

Samantha

Miche Ratto

ART DIRECTOR, ADVERTISING

Deborah Singer

BUSINESS DEVELOPMENT BUSINESS DEVELOPMENT DIRECTOR

Amanda Kuss

BUSINESS DEVELOPMENT MANAGER

Nicole Wieder

DIRECTOR OF BRAND PARTNERSHIPS

Jessica Crescenzi

CLIENT SERVICES REGIONAL ACCOUNT MANAGERS

Kimberly Broder, Diane Minkoff OPERATIONS MANAGER

Joshua Davis

Adam I. Sandow CHAIRMAN AND CEO

Catharine

Spend more time being active outdoors.

Take 10 minutes each morning to meditate.

Veronica

PRESIDENT

Erica Holborn CORPORATE CREATIVE DIRECTOR

Dean Sebring

CORPORATE EXECUTIVE VICE PRESIDENT, FINANCE & OPERATIONS

Judy Safir

DIRECTOR OF FINANCE

Samuel Hotchkiss

CORPORATE MANAGING EDITOR

Pamela Lerner Jaccarino VICE PRESIDENT, DIGITAL

Pamela S. McNally

VICE PRESIDENT, WEB DEVELOPMENT

Mike Lewis

DIRECTOR OF MANUFACTURING & DISTRIBUTION

Fern E. Meshulam

EXECUTIVE ASSISTANT TO THE CEO

Stephanie Brady

EXECUTIVE DIRECTOR OF STRATEGIC INITIATIVES

Kathryn Kerns

VICE PRESIDENT, CREATIVE OPERATIONS

Michael Shavalier

CREATIVE OPERATIONS MANAGER

Keith Clements

CHIEF DESIGN OFFICER

Cynthia Allen

ACCOUNTING CONTROLLER

Emily Kaitz

ASSISTANT CONTROLLER

Kristen Delisio

ACCOUNTING MANAGERS

Raquel Howell, David Wulk ACCOUNTS PAYABLE MANAGERS

Sherry Chelchowski, Shirley Cruz, Shannon Kavanagh ACCOUNTS RECEIVABLE

Emel Emin, Taylor Zeefe SENIOR ACCOUNTANT

Kristen Hitchcock

COLLECTIONS MANAGER

Karyn Guler

COLLECTIONS SPECIALISTS

Nicole Fiorito, Christine Asher

Take cooking classes so I can start eating healthier.

HUMAN RESOURCES DIRECTOR, HUMAN RESOURCES

Lisa Silver Faber

HUMAN RESOURCES MANAGER

Ashley Akins

Diane

DIRECTOR, TALENT & CULTURE

Erin Vickers

TALENT & CULTURE MANAGER

Laura Salkowski

NEW YORK 101 PARK AVENUE 4TH FLOOR NEW YORK, NY 10178 TELEPHONE 917.934.2800

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A D V E R T I S I N G 561.961.7600 SUBSCRIPTIONS 800.563.9056

ADDRESS SUBSCRIPTION REQUESTS AND CORRESPONDENCE TO: NewBeauty, Attn: Customer Service, PO Box 15879, North Hollywood, CA 91615-5879 Email: subscriptions@newbeauty.com or 800-563-9056/818-487-2007

www.sandow.com

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SANDOW, publisher of NewBeauty®, Worth®, Luxe Interiors + Design™ and Interior Design®, is a leader in building multi-platform brands that inform, inspire and engage highly coveted consumer and business audiences. Meeting at the intersection of luxury and design, the SANDOW brands—all powered by innovation—span digital and print media, licensing, consulting, e-commerce and retail, business information and marketing services. Learn more at newbeauty.com.

A Beautiful New You.

Image Used for Illustrative Purposes Only

Start from the inside out. Add one scoop of youtheoryÂŽ Collagen Powder to your morning coffee or smoothie to revitalize skin, hair and nails* and receive a full-body protein boost.*

youtheory.com *These statements have not been evaluated by the Food and Drug Administration.

This product is not intended to diagnose, treat, cure or prevent any disease.

W

hen I was four, I wanted to be a housepainter.

(And a nun. I wanted to be a housepainter/nun.) My mom gave me a bucket of water and a brush and let me “paint” away. The siding would darken, but then, as the water evaporated, my work (and any spilled paint) would disappear.

Flash-forward to September 16, 1999: Hurricane Floyd was barreling toward NYC, and the Hudson river was rising fast, threatening to flood Pier 94 where Alexander McQueen was holding his runway show.

Backstage, undercover as a makeup artist for Harper’s Bazaar, I was assigned to the skin-prep team. I wasn’t a real makeup artist, but I didn’t need any real skills: the models—Gisele, Maggie Rizer, Erin O’Connor—were all perfect to begin with. My shaky, streaky application of moisturizer and bronzer didn’t matter. Doing glam for a supermodel is like painting a house with water: no one really notices your hard work.

The more than 50 before-and-afters in our first Transformation Issue show the exact opposite: The best-in-class doctors aren’t painting with water, but rather changing people’s lives with their careful, caring, artistic touch. And, to continue the theme, in our story The Lip Balm that Changed My Life, 10 beauty

industry experts share those magical products and treatments that transformed them in powerful ways, from boosting confidence to illuminating a new career path. We all have a product that changed our lives—please email me the name of yours—emily@newbeauty.com—I want to try it too!

Or, if you’re still on the search for the ultimate product for you, order our TestTube and have NewBeauty editors’ can’t-live-without beauty essentials sent straight to you.

Each Tube costs just $29.95, but we pack it full of hundreds of dollars worth of products. This month, I handpicked two of my personal favorites: the most potent, works-on-everyone Perricone MD serum and a powerhouse vitamin C supplement that is almost as effective as an IV vitamin C infusion.

Whenever we find what really works, we want to share it with you.

And thank you for all of your emails—each one makes my day. You’ve shared how much you love the new NewBeauty, NewBeauty and that makes my heart sing. We make this magazine just for you, so it is thrilling to know that we’re getting it right!

E M I LY D O U G H E RT Y

Editor-in-Chief

PATRICK MCMULLAN/GETTY IMAGES

EDITOR’S LETTER

ALL DEW, NO DON’TS Hydrate, blur, and prime all-at-once with RevitaLash® Cosmetics’ NEW AquaBlur™ Hydrating Eye Gel & Primer. Infuse skin with immediate hydration to visibly plump and smooth, improving the appearance of aging. Blur imperfections and create the perfect canvas for makeup application while delivering key nutrients for beautifully quenched skin, with a conscience.

No Oil, Parabens or Gluten. Vegan Friendly & Cruelty Free. available at revitalash.com ETERNALLY PINK™ - RevitaLash® Cosmetics honors the courage and strength of our Co-Founder, Gayle Brinkenhoff, and that of women everywhere by supporting breast cancer awareness, research and education initiatives year-round, not just in October. Our Eternally Pink Pledge assures a portion of proceeds from this sale benefit breast cancer research initiatives. ©2018 Athena Cosmetics, Inc.

MEDICAL ADVISORY BOARD

MAKEOVER MATTERS Why having realistic goals delivers the best results.

Robert Singer, MD

C H A I R M A N O F T H E B OA R D

@SingerSurgical

dermatologists turn away patients when it’s apparent that their goals don’t mesh or are not achievable.

In the world of beauty transformations, makeovers are almost always paired with the word “extreme.” By definition, that’s accurate (who can forget the infamous reality TV show that fused the two terms?), but in actuality, that’s not the desired result of what the majority of patients seeking elective cosmetic surgery want.

Botox and fillers can make you look better, but they aren’t going to make you look like a teenager at your 30th high school reunion. The most astutely performed facelift can’t do that either. No combination of lasers can erase years of sun damage if you’ve never applied sunscreen. And liposuction is not the magical answer to replace a healthy diet and fitness program.

Sometime during the last few years, even the way we communicate that changed. Traditionally, the doctor began imparting basic information at the consultation; today, a good majority of patients come in armed with information and names of treatments they want to try. In many instances, the phrase, “I want to look younger,” used to automatically hit the top of the wish list; today, words like “fresher” and “rested” have become more common entry points into the conversation.

No such fountain of youth or immediate fix exists, no matter how forward-thinking and futuristic it seems, or how much the marketing hype tries to convince us otherwise.

What does exist are more options than ever before—a truly diverse range of effective topical treatments, innovative technologies, noninvasive solutions, and yes, the gold standard of artistically performed, natural-looking surgery.

The good majority of these options weren’t discovered in a day, and almost all of them can’t deliver results overnight. The not-so-secret formula of knowing your options, selecting an appropriate provider, and having realistic anticipations mixed with a little patience prevails almost every time.

An informed patient is undeniably a plus. However, in this age of information, part of that knowledge extends to having realistic expectations and consideration of patient safety. This includes an understanding of any and all preparation steps, risk factors, costs involved, related downtime, and aftercare. Most important is the realization of what a surgery or cosmetic medicine treatment can and cannot deliver.

Because, at the end of the day, most patients don’t want to go the extreme route—they want to look like themselves, only “fresher,” more rested, and above all, better.

The truth is, not every patient is a good candidate for every procedure. Likewise, many of the most skilled, ethical and esteemed plastic surgeons, facial plastic surgeons and

ABOUT DR. ROBERT SINGER / drsinger@newbeauty.com Internationally renowned aesthetic plastic surgeon and noted educator Robert Singer, MD of La Jolla, CA is a diplomate of the American Board of Plastic Surgery and has served as president and chairman of the Board of Trustees of the prestigious American Society for Aesthetic Plastic Surgery (ASAPS), chairman of the Board of Trustees of the American Society of Plastic Surgeons (ASPS), president of the American Association for Accreditation of Ambulatory Surgery Facilities, and president of the Aesthetic Surgery Education and Research Foundation (ASERF).

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INTRODUCING:

FOR HANDS

Restylane® `ʗ̼ adds volume to the back of the hands which can result in a more youthful-looking appearance.1 Take the wheel.

Find a specialist at lyftforhands.com BEFORE

AFTER

Actual patient. Treated with 1 mL Restylane® Lyft per hand. 4 weeks after treatment. Individual results may vary.

Important Safety Information Restylane® Lyft with Lidocaine is indicated for implantation into the deep dermis to superficial subcutis for the correction of moderate to severe facial folds and wrinkles, such as nasolabial folds, and for subcutaneous to supraperiosteal implantation for cheek augmentation and correction of age-related midface contour deficiencies in patients over the age of 21. Restylane® Lyft with Lidocaine is also indicated for injection into the subcutaneous plane in the dorsal hand to correct volume deficit in patients over the age of 21.

This product should not be injected into the blood vessels as it may cause vascular occlusion, infarction, or embolic phenomena.

Restylane Lyft with Lidocaine should not be used by people with severe allergies, particularly to microorganisms known as grampositive bacteria, or by people with serious allergies to drugs that have previously required in-hospital treatment.

1. Restylane Lyft. Instructions for Use. Fort Worth, TX: Galderma Laboratories, L.P., 2018.

2. U.S. Food & Drug Administration. Dermal Fillers Approved by the Center for Devices and Radiological Health. 2018. https:// www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/ DeviceApprovalsandClearances/Recently-ApprovedDevices/ucm609592. htm Accessed: May 18, 2018.

This product should not be used by people with bleeding disorders and should not be injected anywhere except just under the skin.

Restylane Lyft with Lidocaine should not be used in people with a known allergy to lidocaine.

The most common adverse events after initial treatment include bruising, redness, swelling, pain, headache, tenderness, itching at the injection site, and impaired hand function. Use at the site of skin sores, pimples, rashes, hives, cysts, infection, or injuries to the hand should be postponed until healing is complete. In these instances, product use could delay healing or make skin problems worse.

Restylane Lyft with Lidocaine is available only through a licensed practitioner.

Complete Instructions for Use are available at www.RestylaneUSA.com

© 2018 Galderma Laboratories, L.P. All trademarks are the property of their respective owners.

USMP/LYF/0072/0818

FACE YOUR

HANDS

Actual patient. Individual results may vary.

MEDICAL ADVISORY BOARD

RESULTS DRIVEN In your opinion, which treatment delivers maximum transformation with minimum downtime, cost and pain?

DERMATOLOGY

Tina Alster, MD

DIRECTOR OF THE WASHINGTON INSTITUTE OF DERMATOLOGIC LASER SURGERY

@drtinaalster

“A Clear + Brilliant laser treatment is like pressing the reset button for your skin. It provides an instant glow, tightens pores and minimizes wrinkles and scars with little to no recovery time.”

DERMATOLOGY

Charles E. Crutchfield III, MD EAGAN, MN DERMATOLOGIST

@CrutchfieldDerm

“I love the HydraFacial. It’s a combination of a facial and a peel that infuses antioxidants and hydrating factors into the skin to make it smoother, tighter and more youthful.”

PLASTIC SURGERY

DERMATOLOGY

Bradley Bengtson, MD

Kenneth R. Beer, MD

GRAND RAPIDS, MI PLASTIC SURGEON

FOUNDER AND DIRECTOR OF COSMETIC BOOTCAMP

@bengtsoncenter

palmbeachcosmetic.com

“A short-scar facelift—when paired with fat transfer that utilizes a tumescent technique and local anesthesia—will have minimal bleeding and bruising, allowing for a quicker recovery.”

“There’s nothing that’s changed the aesthetics game as much as injections with Botox, Dysport or Xeomin. They can deliver a natural-looking transformation when used with a skilled hand.”

FACIAL PLASTIC SURGERY

DERMATOLOGY

Steve Dayan, MD

Jeanine B. Downie, MD

CHICAGO FACIAL PLASTIC SURGEON

MONTCLAIR, NJ DERMATOLOGIST

drdayan.com

@drjeaninedownie

“Neuromodulators, including FDA-approved Botox Cosmetic, Dysport and Xeomin, still own the top spot.”

N E W B E A U T Y.C O M

“The new Emsculpt technology has been tested and proven with MRI, CT scan and ultrasound to build 16-percent muscle and decrease 19-percent fat.”

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FACIAL PLASTIC SURGERY

Kelly Bomer, MD SCOTTSDALE, AZ FACIAL PLASTIC SURGEON

rejuvent.com

“Definitely a properly injected neuromodulator such as Botox Cosmetic, Dysport or Xeomin.”

OCULOPLASTIC SURGERY

Steven Fagien, MD BOCA RATON, FL OCULOPLASTIC SURGEON

drfagien.com

“Of all of the newer injectable treatments, the one that delivers nearly the same high patient satisfaction as Botox is Juvéderm Voluma injected into the midface and cheeks.”

DERMATOLOGY

COSMETIC DENTISTRY

Joel L. Cohen, MD

Ronald Goldstein, DDS

DENVER DERMATOLOGIST

COSMETIC DENTIST AND AUTHOR OF CHANGE YOUR SMILE

aboutskinderm.com

“Lasers for benign pigmentation can reduce the appearance of lesions that tend to be a distraction for some.

Laser and light-based treatments, such as thulium lasers for diffuse pigmentation and Q-switched lasers or BBL for discrete spots, do not require significant downtime.”

PLASTIC SURGERY

Julius W. Few, MD

DIRECTOR OF THE FEW INSTITUTE FOR AESTHETIC PLASTIC SURGERY

@JuliusFewMD

“Filler injected into the chin.

It can create a nonsurgical chin enhancement by correcting unwanted dimpling, improving the appearance of the jawline and neck, and even taking up some skin laxity in older patients.”

@RonGoldsteinDDS

“Tooth bleaching can be done with over-the-counter products, or your dentist can perform an in-office bleaching treatment for a quicker turnaround.”

PLASTIC SURGERY

Mark L. Jewell, MD PAST PRESIDENT OF THE AMERICAN SOCIETY FOR AESTHETIC PLASTIC SURGERY

markjewellmd.com

“Tretinoin, or Retin-A, improves skin texture, reduces pore size and improves dyschromias, or abnormal brown and red spots.”

PLASTIC SURGERY

Sanjay Grover, MD

NEWPORT BEACH, CA PLASTIC SURGEON; DIRECTOR, THE CENTER FOR AESTHETIC PLASTIC SURGERY

drgrover.com

“Emsculpt is the first device to increase muscle mass with fat reduction. It utilizes HIFEM technology, or electromagnetic energy, to cause supramaximal contractions. There is essentially no downtime.”

COSMETIC DENTISTRY

Laurence R. Rifkin, DDS BEVERLY HILLS, CA COSMETIC DENTIST

@LaurenceRifkin

“Dental hygiene and in-office whitening treatments produce the foundation of oral health and a brighter smile with virtually zero downtime or discomfort.”

FACIAL PLASTIC SURGERY

Andrew Jacono, MD

NEW YORK FACIAL PLASTIC SURGEON

newyorkfacialplasticsurgery.com

“I’m a big Botox believer. By blocking muscle contractions, it staves off wrinkles, and along with other anti-aging measures, like wearing SPF daily, it can slow signs of aging.”

PLASTIC SURGERY

Renato Saltz, MD

PAST PRESIDENT OF THE AMERICAN SOCIETY FOR AESTHETIC PLASTIC SURGERY

@saltzplasticsurgery

“IPL (Intense Pulsed Light) is the gold standard because it takes five years off of the skin, targets red and brown spots, and is good for first-time patients.”

Get even more advice from our board members at newbeauty.com/board

Grow It Feel It Flaunt It!

9FDA Cleared* Laser Hair Growth Devices 9Bio-Active Shampoo & Conditioner 9ACCELER8 Leave-in Booster + Nutrients 9RSN8 Pro Scalp Overnight Infusion ™

™

Healthy Hair Growth At Any Age FDA Cleared* Laser Hair Growth Devices

BEFORE

AFTER

Turn back the clock on your hair loss with breakthrough technology from the pioneers in laser hair growth. HairMax laser devices stimulate your hair follicles, reverse thinning, restore your natural hair growth cycle and stimulate denser, fuller hair growth. over

Den•si•ty with NRG8-pLEX™ – The Re•Invention of Hair Care Go beyond just treating thinning hair. Our proprietary NRG8-pLEX formula and targeted liposome delivery system fuel your hair and scalp with over 10 bio-active ingredients including Niacinamide, Caffeine and Apple Stem Cells to energize, nourish, protect against biological aging and transform your thinning hair into thicker, fuller more vibrant hair!

HAIRMAX.COM 1.800.9REGROW

of clinical study participants experienced significant hair growth.+ additional hairs per sq. inch, average increase in hair count.+

Photo above shows user results experienced after six months of HairMax laser device usage. +Based on 7 clinical studies with 460 men & women using HairMax laser devices for six months. Individual results may vary.

*HairMax laser devices are indicated to treat Androgenetic Alopecia, and promote hair growth in males who have Norwood Hamilton Classifications of IIa to V and in females who have Ludwig (Savin) I-4, II-1, II-2, or frontal patterns of hair loss and who both have Fitzpatrick Skin Types I to IV.

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NEWS R AY OF

LIGHT

Potent actives that are safe for the eyes, everyday self-care essentials and the best red-carpet looks of all time get our rave reviews.

IMAXTREE

At the Zadig + Voltaire Spring-Summer 2019 show, Shiseido makeup ambassador Gregoris Pyrpylis created “glass skin” by layering Shiseido Essential Energy Cream and Sheer Eyezone Corrector.

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WINTER - SPRING 2019

N E W S

EYE CANDY Fine lines around our eyes represent all the fun, “laugh ‘til we cry” moments we’ve had over the years, but when coupled with crepey skin and dark circles, they can make us look sad or tired, when that isn’t actually how we feel. Stock up on these three new launches to stay bright-eyed all year long.

RevitaLash AquaBlur Backed by the eye-care expertise of founder and ophthalmologist Michael Brikenhoff, MD, the brand’s first foray into skin care is a success: This oil-free moisturizer-meet-primer smooths and hydrates skin around the eyes and on the eyelids without irritating them—makeup glides on like silk over top.

Olay EYES Brightening Eye Cream Like a cup of joe for your eyes after a long night, this lightweight cream fakes a good night’s sleep by putting up a bold fight against dark circles with the help of nourishing vitamins and a powerful light-reflecting complex.

For those who are concerned about eye gloss getting everywhere, according to Pyrpylis, that’s the point.

He used Shiseido’s innovative Crystal Gel Gloss on the models’ lids, cheeks and lashes to “catch the light.”

SHRINK WRAP be treated in just 20 minutes with no need for sedation, anesthesia or Pro-Nox, as it is a well-tolerated and comfortable procedure.” Post-treatment, the collagen-boosting effects begin immediately without any downtime, and become even more evident three to six months later, when the collagen stimulation reaches an optimal level. “In a very simple sense, it’s shrink wrap for lax skin and we’ve seen amazing results.”

N E W B E A U T Y.C O M

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San Francisco dermatologist Vic Narurkar, MD

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You probably use retinol on your face, but what about your eyes? This nongreasy cream features a microencapsulated version so you still get potent wrinkle-smoothing power, but it’s gentle enough for everyday use.

IMAXTREE; JAMAKOSY/GETTY IMAGES

The original skin tightener with more than 15 years under its belt, Thermage uses radio-frequency energy to firm up slack skin on the face and body, and it’s the only FDA-approved device of its kind that can be used on the eyelids.

Its newest innovation, Thermage FLX, utilizes AccuREP technology, which provides consistent energy delivery during treatment. “It improves predictability, and the treatment is much faster now,” Dr. Narurkar says.

“The eyelids and periorbital area can

First Aid Beauty FAB Skin Lab Retinol Eye Cream

Model treated with JUVÉDERM VOLUMA® XC in the cheeks, JUVÉDERM® XC in the lines around the nose and mouth, and JUVÉDERM® Ultra XC in the lips. Results may vary.

LIFT IT SMOOTH IT PLUMP IT CHEEKS • JUVÉDERM VOLUMA® XC

LINES • JUVÉDERM ® XC

LIPS • JUVÉDERM ® Ultra XC

JUVÉDERM IT ®

Let JUVÉDERM® injectable gel fillers help you get the results you want.* FIND YOUR AESTHETIC SPECIALIST AT JUVEDERM.COM

APPROVED USES ®

JUVÉDERM VOLUMA XC injectable gel is for deep injection in the cheek area to correct age-related volume loss in adults over 21. ®

JUVÉDERM XC injectable gel is for injection into the facial tissue for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds.

JUVÉDERM® Ultra XC is for injection into the lips and perioral area for lip augmentation in adults over 21.

IMPORTANT SAFETY INFORMATION Do not use if you have a history of severe allergies/allergic reactions, or are allergic to lidocaine or gram-positive bacterial proteins used to make these products. The safety of use while pregnant or breastfeeding has not been studied. The safety for use in patients with excessive scarring or pigmentation disorders has not been studied and may result in additional scars or pigmentation changes.

Unintentional injection into a blood vessel can occur and, while rare, could result in serious complications which may be permanent. These include vision abnormalities, blindness, stroke, temporary scabs, or permanent scarring. Tell your doctor if you are on

medications to decrease the body’s immune response or prolong bleeding, such as aspirin, ibuprofen, or blood thinners. There is a risk of infection from skin injection procedures.

The most common side effects include tenderness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching. Most JUVÉDERM® XC side effects were mild or moderate, and lasted 7 days or less. Most JUVÉDERM® Ultra XC side effects were mild or moderate, and lasted 14 days or less. Most JUVÉDERM VOLUMA® XC side effects were moderate and lasted 2 to 4 weeks.

To report a side effect, please call Allergan Product Surveillance at 1-800-624-4261.

For more information, please see Juvederm.com or call Allergan Medical Information at 1-800-433-8871.

Available by prescription only. *With optimal treatment.

©2018 Allergan. All rights reserved. All trademarks are the property of their respective owners. JUV117321 09/18

N E W S

SUNDAY EVERY DAY

FAST FORWARD

PSA: Anyone with a CoolSculpting session on their calendar should rethink their choice of body cream immediately. In a clinical study shared at a recent ASDS conference, CoolSculpting patients applied Alastin TransFORM Body Treatment twice daily to one half of their treatment area, and five weeks later, the Alastin side was visibly smaller. The active ingredient in the cream, a blend of peptides, targets receptors in the dermal fat inside hair follicles (even baby-fine hair on the stomach and thighs), amping up the body’s repair process. According to Frisco, TX dermatologist Elizabeth Bahar Houshmand, MD, Alastin “accelerates the body’s natural removal process of post-procedure fat debris.” And for those with no CoolSculpting in their future? The cream on its own, after eight weeks of use, improved skin texture and crepiness by 38 percent.

The queen of self-care rituals, Sunday Forever founder Ashli Stockton shares her five favorite indulgences to maintain a “good vibes only” headspace this season. @sundayforevernyc

2 SKIN FIX “I’ve been really loving my new DermaFlash for all of my face-shaving needs. I was using Twinkles for the longest time and decided to up my game to this one, which I use once a week or so and it leaves my skin baby-smooth.”

1

DermaFlash 2.0 Luxe

ENERGY HEALING

SLOW BURN

3

“Nostalgic, cozy scents really speak to me, and I’ve been burning this one on repeat. It adds just the right amount of ambiance to the room, and it’s a tad bit masculine, which I love.”

B O DY BAS I C S “For the longest time I used coconut oil, then I moved on to almond, and now, apricot oil is where it’s at. It not only feels great, but it’s also known to firm and tone the skin, so I slather it on everywhere.”

Sunday Forever 11:11 Candle

NOW Solutions 100% Pure Apricot Oil

4 BEAUTY SLEEP “This is a new Canadian brand I’m loving. Their 100-percent cotton sheets are so cozy and the perfect balance between stiff and soft—it’s like they’ve been washed a hundred times before you even receive them.”

Maison Tess Cotton Sheets

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Last July, the FDA expressed safety concerns about energybased vaginal rejuvenation devices, reporting that they were being marketed to treat symptoms and disorders associated with menopause, urinary incontinence and/or sexual function, although they weren’t FDA-approved to do so. (Many of the devices have, however, been cleared for use to destroy abnormal or precancerous tissue, as well as genital warts and other genitourinary conditions.)

F DA U P DAT E As a result of the FDA’s warning to the manufacturers of these devices, and further investigation, the organization recently reached the following conclusion: “After reaching out to the seven manufacturers marketing their devices for unapproved or uncleared uses, all of them have made significant changes to their websites to remove claims associated with vaginal rejuvenation and other unapproved treatments. Our efforts to address these safety concerns is part of our broader work to improve our analysis of data concerning the safety and effectiveness of health technologies in clinical areas that are unique to women.”

POSITIVE OUTLOOK Although the doctors we spoke to respect the FDA’s decision to examine this issue, they believe these devices are necessary and can provide life-changing results for many patients who don’t find success with alternatives.

As New York dermatologist Macrene Alexiades, MD says, “We need treatments for these conditions, which affect approximately 50 percent of postmenopausal women and can hinder their quality of life.”

Reston, VA urogynecologist Maria Canter, MD agrees, and says radio frequency–based Viveve System is her device of choice: “It has studies demonstrating safety and efficacy when used to treat vaginal laxity that can lead to decreased sensation during intercourse and urinary incontinence. To date, there have been no serious adverse events and the benefits have outweighed any risk.”

WINTER - SPRING 2019

ive Your best ife “Viveve is my #1 choice for women’s intimate health conditions. The results are life-changing and the treatment is nonsurgical and safe.”

“Women are seeking nonsurgical treatments to help them get back to their lives. But, there are a limited number of safe and effective technologies specifically designed for women’s intimate health,” Dr. Grant Stevens said.

“Viveve offers clinically proven, nonsurgical and safe solutions. This is why Viveve is my #1 choice for treating women’s intimate issues.”

”My patients are extremelvy satisfied with their dramatic results from the Viveve Solutions. They’re back to enjoying their normal activities. They can run, do yoga, and play with their kids. One patient told me she is thrilled because she can finally go to spin class and she is sleeping better.”

Viveve offers two tangible solutions to help patients regain control of their lives: InControl Products by Viveve (at-home devices that strengthen the pelvic floor muscles) and the Viveve Treatment (a 30-45 minutes procedure that uses cooling to protect the surface of the tissue and radiofrequency to activate collagen generation).

Grant Stevens, M.D., F.A.C.S.

“The new Viveve 2.0 System uses their patented technology, but with a modern interface and hand-piece that allows the provider to easily tailor the treatment to each woman.”

The Viveve System is indicated for use in general surgery for electrocoagulation and hemostasis in the United States.

Founder and Medical Director of Marina Plastic Surgery.

“The Viveve Solutions have changed my patients’ lives.

Women are over-the-moon happy with the improvements in their quality of life. They’re getting back to what they love!”

MKS-622.A

FALL ‘18

NEWBEAUTY’S MOST RECENT BEAUTYREPORT LIVE EVENT WAS OUR BIGGEST AND BEST TO DATE! Over 250+ guests, including beauty influencers, NewBeauty Pro doctor partners, and diehard loyalists joined us at our New York headquarters for a stellar, invitation-only evening of luxury sampling, live aesthetic demonstrations and one-on-one meet-ups with 18 brands. Throughout the night, the energy was palpable and our mission was clear—reinforce BeautyReport and our partners as trusted brands that deliver beauty at its best.

NewBeauty thanks our brand sponsors:

ALASTIN Skincare, Bogavia, BTL Emsculpt, BTL Emsella, Colorescience, Elevare Skin, Epicuren Discovery, eSalon, Eu2Be, FACTORFIVE, Halo by Sciton, HUM Nutrition, jane iredale, Leaders Cosmetics USA, NeoStrata, SiO Beauty, LAC Taut, VENeffect, and our participating doctor partners:

Stafford Broumand, MD; Dilip Madnani, MD; Daniel Maman, MD; and Heidi Waldorf, MD. A special thank you to our event partners:

Temple Turmeric, Bellissima Prosecco, VDKA 6100, Brows by Yasmin, and Herschel Supply Co.

N E W S

BEST IN SHOW T H E S E H O L LY W O O D I N S I D E R S H AV E AT T E N D E D A N D R E P O R T E D ON HUNDREDS OF RED-CARPET EVENTS OVER THREE DECADES. H E R E , T H E Y E AC H S H A R E T H E I R A L L-T I M E FAVO R I T E L O O K

2011

Andrea Lavinthal

Style and Beauty Director, PEOPLE @andilavs

Bronwyn Cosgrave

Author of Made For Each Other: Fashion and the Academy Awards @cosgravebronwyn

“The Oscars turn 90 this year, so selecting one great beauty look from so many is very difficult.

This Zoë Saldana one stands out because of the freshness, the happiness projected by her bright, white smile and the flawlessness of her makeup and hair, which testifies to the expert artistry and harmony of the team who prepped her. Her natural makeup and upswept bun suggest subtle polish, so the beauty perfectly balances the flamboyance of her fabulous Givenchy dress. It evokes what all red-carpet beauty should be about: the ultimate finishing touch.”

1997

Merle Ginsberg

Award-winning fashion/culture journalist @MerleGinsberg

“I covered red-carpet fashion and beauty from 1993 all the way up through 2015. After so many wild carpet rides, one look that stands out above all: Nicole Kidman in 1997. The antithesis of her John Galliano chartreuse/gold chinoiserie dress, contrasted with deep, mulberrystained lips, flushed cheeks and retro-waved hair, was high Hollywood regency: rich saturated colors in deep contrast. It’s an Oscar look that always pops: Renée Zellweger in 2001, Cate Blanchett in 2005, Michelle Williams in 2006 and Greta Gerwig in 2018 all donned blazing yellow dresses, siren merlot lips and ’30s crimped waves.”

2010 N E W B E A U T Y.C O M

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GREGG DEGUIRE/GETTY IMAGES; JEFF VESPA/GETTY IMAGES; KEVIN.MAZUR/GETTY IMAGES

“I’m no Pinterest historian, but I’m fairly certain the messy, mermaidy hairstyle Blake Lively wore to the L.A. premiere of Green Lantern in 2011 was the reason the photo-sharing platform was invented. The look, which comprised three fishtail braids, a ponytail and beachy waves, as well as a diamond Chanel flower, can be found on countless hair inspiration boards, whether it’s a bride who wants a boho-chic look on her big day or a beauty editor, who no matter how much texturizing spray she uses, can’t seem to recreate the tousled look!

(But I won’t ever stop trying!)”

MODEL

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BEFORE

AFTER THREE YEARS

Results from one CellfinaÂŽ Treatment after three years. Unretouched photos.

Individual results may vary. Actual CellfinaÂŽ Patient of Dr. Michael Kaminer.

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The CellfinaŽ System is intended for long-term improvement in the appearance of cellulite in the buttocks and thigh areas of adult females. Safety and effectiveness in other anatomical areas have not been established. The most common side effects reported were soreness, tenderness, and bruising. The CellfinaŽ System is only available through a licensed physician. For full product and safety information, visit Cellfina.com/IFU. Š 2018 Ulthera, Inc. All trademarks are the property of their respective owners. ML02673-00

N E W S IMPORTANT SAFETY INFORMATION (CONTINUED) S e r i o u s a n d /o r i m m e d i a t e a l l e r g i c re a c tio ns h ave b e e n re p o r te d. Th ey include: itching, rash, re d itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.

D o n o t re c e i ve B OTOX ® C o s m e ti c if you: are allergic to any of the ingredients i n B OTOX ® C o s m e ti c (s e e M e d i c a ti o n Guide for ingredients); had an allergic reac tion to any other botulinum toxin product such as Myobloc® (r i m a b o t u l i n u m t o x i n B ), D y s p o r t ® (a b o b o t u l i n u m t o x i n A ), o r X e o m i n ® (incobotulinumtoxinA); have a skin infection at the planned injection site.

Tell your doctor about all your muscle o r n e r ve c o n d i ti o n s, s u c h a s A L S o r Lou Gehrig’s disease, myasthenia gravis, or Lamb er t-Eaton syndrome, as you may be at increased risk of serious side ef fec ts including dif ficult y swallowing a n d d i f f i cu l t y b re a th i n g f ro m t y p i c a l doses of BOTOX® Cosmetic.

Tell your doctor about all your medical conditions, including: plans to have surgery; had surgery on your face; have trouble raising your eyebrows; dro oping eyelids; a ny o th e r a b n o r m a l fa c i a l c h a n g e; are pregnant or plan to become p re g n a n t (i t i s n o t k n o w n i f B OTOX ® Cosmetic can harm your unborn baby); are breast-feeding or plan to (it is not known if BOTOX® Cosmetic passes into breast milk).

Tell your doctor about all the medicines you take, including prescription and overth e-co unter m e dicin e s, v i tamins, an d h e r b a l s u p p l e m e n t s . U s i n g B OTO X ® Cosmetic with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your do ctor that you have re ceive d BOTOX® Cosmetic in the past.

Tell your doctor if you have received any o th e r b o tu l i n u m tox i n p ro d u c t i n th e last 4 months; have received injec tions o f b o tu l i n u m tox i n su c h a s M yo b l o c,® Dysport,® or Xeomin® in the past (tell your doctor exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allerg y or cold m e dicin e; take a sle ep medicine; take aspirin-like produc ts or blood thinners.

1970

Style Director, CBS Watch @sashacharninmorrison

“Elizabeth Taylor at the 1970 Oscars with Richard Burton is one of my top red-carpet looks, ever. She’s glowing, dewy and so stunning. There’s something incredible and not tacky with the matchy-matchy—her gorgeous eye shadow matches her own eyes, the gown, the ribbon. We’re focused on those eyes and the evenness of her skin. Aside from the sexy plunge of her lilac Edith Head dress, and as my friend said, an ‘expensive tan from an expensive destination,’ she wore this incredible 69.42-carat pear-shape Taylor-Burton diamond that Richard Burton purchased for more than a million dollars from Cartier.”

FOTOS INTERNATIONAL/GETTY IMAGES (2)

Sasha Charnin Morrison

Other side effects of BOTOX® Cosmetic include: dry mouth; discomfor t or pain at the injection site; tiredness; headache; neck pain; and eye problems: double vision, blurred vision, decreased eyesight, drooping eyelids and eyebrows, swelling of your eyelids and dry eyes.

For more information refer to the Medication Guide or talk with your doctor.

To report a side effect, please call Allergan at 1-800-678-1605.

Please see Summar y of Important Information about BOTOX® Cosmetic on next page.

BCT114211 04/18

SMOOTH THE LINES. KEEP THE EXPERIENCES THAT MADE THEM. Only BOTOX® Cosmetic is FDA approved for adults to temporarily smooth the appearance of moderate to severe:

Frown lines | Crow’s feet | Forehead lines It’s a quick, 10-minute treatment by a doctor.

Get started at BOTOXCOSMETIC.COM

There’s only one BOTOX® Cosmetic

Actual patient. Results may vary. By prescription only.

IMPORTANT SAFETY INFORMATION BOTOX® Cosmetic may cause serious side effects that can be life threatening. Get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX® Cosmetic: •

•

Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life. You are at the highest risk if these problems are pre-existing before injection. Swallowing problems may last for several months.

Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, trouble breathing, and trouble swallowing.

BOTOX® Cosmetic dosing units are not the same as, or comparable to, any other botulinum toxin product.

There has not been a confirmed serious case of spread of toxin effect when BOTOX® Cosmetic has been used at the recommended dose to treat frown lines, crow’s feet lines, and/or forehead lines.

BOTOX® Cosmetic may cause loss of strength or general muscle weakness, vision problems, or dizziness within hours to weeks of taking BOTOX® Cosmetic.

If this happens, do not drive a car, operate machinery, or do other dangerous activities.

See adjacent page for additional Important Safety Information for BOTOX® Cosmetic. © 2018 Allergan. All rights reserved. All trademarks are the property of their respective owners.

Summary of Information About BOTOX® Cosmetic (onabotulinumtoxinA) What Is the Most Important Information I Should Know About BOTOX® Cosmetic?

BOTOX® Cosmetic may cause serious side effects that can be life threatening. Get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX® Cosmetic: • Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life. You are at the highest risk if these problems are pre-existing before injection.

Swallowing problems may last for several months.

• Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, trouble breathing, trouble swallowing.

There has not been a confirmed serious case of spread of toxin effect when BOTOX® Cosmetic has been used at the recommended dose to treat frown lines, crow’s feet lines, and/or forehead lines.

BOTOX® Cosmetic may cause loss of strength or general muscle weakness, vision problems, or dizziness within hours to weeks of taking BOTOX® Cosmetic. If this happens, do not drive a car, operate machinery, or do other dangerous activities.

BOTOX® Cosmetic dosing units are not the same as, or comparable to, any other botulinum toxin product.

What is BOTOX® Cosmetic?

BOTOX® Cosmetic is a prescription medicine for adults that is injected into muscles and used for a short period of time (temporary) to improve the look of moderate to severe: · frown lines between the eyebrows · crow’s feet lines · forehead lines Who Should Not Receive BOTOX® Cosmetic?

Do not receive BOTOX® Cosmetic if you are: allergic to any of the ingredients in BOTOX® Cosmetic such as botulinum toxin type A and human serum albumin; had an allergic reaction to another botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); or have a skin infection at the planned injection site.

What Should I Tell My Doctor Before Treatment?

Tell your doctor about all your muscle or nerve conditions, such as amyotrophic lateral sclerosis (Lou Gehrig’s disease), myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects.

Tell your doctor if you have or have had bleeding issues; plan to or have had surgery; have forehead muscle weakness such as trouble raising your eyebrows; drooping eyelids; or any changes to your face.

Tell your doctor if you are pregnant, plan to become pregnant, are breastfeeding or plan to breastfeed. It is not known if BOTOX® Cosmetic can harm your unborn baby or if BOTOX® Cosmetic passes into breast milk.

What Are Common Side Effects?

Other side effects, while less common, have been reported including dry mouth; tiredness; neck pain; double vision, blurred vision, decreased eyesight, dry eyes; and allergic reactions (itching, rash, red itchy welts, wheezing, asthma symptoms, dizziness or feeling faint).

These are not all of the possible side effects. Call your doctor for medical advice if you experience any side effects after treatment with BOTOX® Cosmetic.

What Should I Tell My Doctor About Medicines and Vitamins I Take?

Using BOTOX® Cosmetic with certain medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received BOTOX® Cosmetic in the past. Tell your doctor if you have received an injection with another botulinum toxin product in the last 4 months, such as Myobloc®, Dysport®, or Xeomin®. Be sure your doctor knows which product you received.

Tell your doctor about all prescription and over-thecounter medicines and supplements you take including: vitamins and herbal products; recent antibiotic injections; anticholinergics; muscle relaxants; allergy or cold medicine; sleep medicine; aspirin-like products; and blood thinners. Ask your doctor if you are not sure whether your medicine is listed above.

To Learn More

If you would like more information, talk to your doctor and/or go to BotoxCosmetic.com for full Product Information.

You may report side effects to the FDA at www.fda.gov/medwatch or call 1-800-FDA-1088.

Based on PI72714SU10 Rev. 10/2017 BCT70101_v2 1/18

© 2018 Allergan. All rights reserved.

All trademarks are the property of their respective owners.

MUSE

PATCH WORK G I G I H OWA R D Founder of SiO Beauty

She was first spotted in French Vogue. Now, the former model has become every woman’s best friend for creating the ultimate beauty-sleep booster.

B Y D A N I E L L E F O N TA N A

BIG PICTURE

UNDER WRAPS

“When I was 20 years old, I met Arthur Elgort in a café in Paris.

The next day, he was shooting me for French Vogue. I had no idea who he was or what a big deal it was to be photographed by him; I was just a small-town girl from Georgia.”

“Makeup artist Jamie Greenberg introduced me to RaJu robes and I’m hooked. My beautiful magnolia installation keeps me outdoors, so Chloé sunglasses have become part of my uniform.”

SIMPLE PLAN “Cetaphil cleanser, CeraVe moisturizer and SiO Beauty patches are on heavy rotation, as is Maybelline Great Lash.

It’s old-school, but I swear there’s nothing better.” Her two glow-getters: Laura Mercier Tinted Moisturizer and Marc Jacobs Beauty Glow Stick.

MAKEUP MEMORY “I’ll never forget the first time I met Guerlain Meteorites Pearls. It made my 20-year-old skin sparkle. The next year, my mother took me to Savannah to buy me my very own. I still use it today.”

SWISTY242/GETTY IMAGES

BLACK BOOK D E R M ATO L O G I S T Dendy Engelman, MD @drdendy

“She’s a southern girl like me.”

COLORIST

FAC I A L I ST

Gina Gilbert at Serge Normant @ginagilbertnyc

Joanna Czech @joannaczechofficial

“Joanna gives the most relaxing treatments and really makes skin glow.”

“Gina’s not only a celebrity colorist, but a true artist.”

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WO R KO U T SoulCycle @soulcycle

“I go every day. Trammell is my favorite instructor; he’s always so positive about life.”

MUSE

MIX MASTER K AT O N YA B R E A U X CEO and Founder of Unsun Cosmetics

Just as her award-winning son, Frank Ocean, disrupts the music scene, Katonya Breaux shakes up the world of sunscreen.

POWER MOVE

PRIZED POSSESSION

“The sisterhood among women right now is almost palpable. Women are extending their contacts, hands and friendships in ways I’ve never seen in my 20-plus years as an entrepreneur. It’s so inspiring.”

“I lived in New Orleans for 20 years and would have to evacuate often for hurricanes. I always focused on the kid’s baby books first—everything else could be replaced.”

BLACK BOOK M A K E U P A R T I S T

FAC I A L I ST

MASSAGE

HAIRSTYLIST

soothe.com

Sia at Sets Salon @setssalonla

Tsipporah Liebman @tsipporah1

Tracy Hudson Advanced Skin Care @tracyhudsonskincare

“I use the app Soothe to book two therapists regularly. It’s nice to have my massage at home.”

“I love Sia. She uses these hair steamers that make my hair feel like silk.”

“If I have a special event, she’s it.”

“The only person I would allow to put a peel on my chocolate skin.”

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BREAUX: MYLES PETTENGILL III; NURPHOTO/GETTY IMAGES

FAC E F O R WA R D “I won’t even walk to my mailbox without SPF on. Unsun Mineral Tinted Sunscreen is my holy grail. I just found this amazing mascara

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THE WINTER EDIT

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From a hydrating lip balm and an exfoliating body scrubber to a moisturizing night cream and a charcoal toothpaste, these are the products our TestTube members are using to get them through the winter season.

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2. Beth Collins MD Pour La Bouche The tiniest bit of this all-natural balm adds plumping moisture to lackluster lips. $6.99, bethcollinsmd.com 3. Briogeo Rosarco Milk Reparative Leave-In Conditioning Spray Safe for all hair types, this leave-inâ&#x20AC;&#x2122;s milky texture leaves even colored hair smooth and silky. $20, briogeohair.com

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4. Kneipp Ladyâ&#x20AC;&#x2122;s Mantle Night Cream This Zen-inducing, certified-natural face cream supports skin regeneration while you sleep. $33, kneipp.com 5. Glytone Enhance Brightening Complex This no-nonsense dark-spot buster fades hyperpigmentation and brightens tone in one easy step. $74, glytone-usa.com

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6. Daily Concepts Daily Body Scrubber This much-needed upgrade to the loofah we know and love cleanses, exfoliates and softens skin! $10, ulta.com 7. Laritzy Dew Pot This creamy highlighter melts into skin instantly to deliver a megawatt glow. $20, laritzy.com

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10. Youtheory® Collagen Powder Vanillaflavored and quick to dissolve, this collagen powder helps reduce visible signs of aging by way of essential vitamins and nutrients. $12.99, youtheory.com 11. Lumify® Redness Reliever Eye Drops From Bausch + Lomb You won’t believe your eyes. USE AS DIRECTED. $14.99, lumifydrops.com 12. Dr. Rogers Restore Healing Balm Developed by a dermatologist, this multipurpose ointment protects, nourishes and heals dry and damaged skin. $30, doctorrogers.com

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13. Hello Activated Charcoal Epic Whitening Fluoride Toothpaste With help from naturally friendly ingredients, this toothpaste whitens teeth, prevents cavities and detoxes the mouth. $5.99, hello-products.com 14. Olika Birdie Used as a spray or wipe, this hydrating (and cute!) hand sanitizer works to effectively banish dirt and grime on the go. $8.99, olikalife.com

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MUSE

NORTHERN LIGHT ANINE BING Founder of ANINE BING SHOE-IN “The Charlie Boots will forever be my favorite piece I’ve designed.

They really kick-started my brand; I even have a drawing of them hanging in my home. If I’m not wearing one of my own bags, I love the Chanel bags from Rice and Beans Vintage.”

INSIDE STORY “I hang Terry O’Neill’s photograph of Brigitte Bardot everywhere. It’s in our Anine Bing HQ, in all of our stores and in my living room. Helmut Newton’s SUMO book is another personal favorite.”

BEAUTY EDIT “I buy Head & Shoulders and Kérastase Resistance Serum in bulk. I love Gucci Westman’s minimalistic makeup line, and La Mer’s new foundation is magic.”

More Bing staples: OPI polish in Lincoln Park After Dark, Clé de Peau Beauté Concealer and La Mer sheet masks.

BLACK BOOK COLORIST

WO R KO U T

M A K E U P A R T I S T

FAC I A L I ST

Lisa Satorn @lisasatornhair

LEKFIT @lekfit

Silver Bramham @silverbramham

Julie Civiello Polier @julieciviellopolier

“We’ve known each other forever, so it’s always fun to catch up while she does my hair.”

“I just started through my friend Lauren Kleban who started the class in LA. I feel awesome after.”

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“I love her style. She makes me feel great without looking overdone or unlike myself.”

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“I received the most amazing facial from her—she’s also a great energy healer.”

TERRY O’NEILL/GETTY IMAGES; BING: ASHLYN KUDRANSKY; CHANEL: RICE AND BEANS VINTAGE; BOOK: COURTESY OF TASCHEN

The Danish fashion designer has taken La La Land by storm with her reinvention of cool-girl essentials.

Actual patient. Results may vary.

Your face. Your decision. It’s time to say see you later to the judgment, oh, and to frown lines. And hello to Xeomin®.

Xeomin is the only clinically proven anti-wrinkle injection uniquely purified to remove unnecessary proteins.* Find a doctor who can tell you all about Xeomin.

XeominAesthetic.com

6WXGLHV KDYH QRW EHHQ SHUIRUPHG WR GHWHUPLQH ZKHWKHU WKH SUHVHQFH RU DEVHQFH RI DFFHVVRU\ SURWHLQV KDV D ORQJ WHUP HIIHFW RQ VDIHW\ RU HIÀFDF\ ;HRPLQ %\ SUHVFULSWLRQ RQO\ $ WHPSRUDU\ WUHDWPHQW XEOMIN (incobotulinumtoxinA) IMPORTANT CONSUMER SAFETY INFORMATION 5HDG WKH 0HGLFDWLRQ *XLGH EHIRUH \RX VWDUW UHFHLYLQJ ;(20,1 =HR PLQ DQG HDFK WLPH ;(20,1 LV JLYHQ WR \RX DV WKHUH PD\ EH QHZ LQIRUPDWLRQ 7KH ULVN LQIRUPDWLRQ SURYLGHG KHUH LV QRW FRPSUHKHQVLYH 7R OHDUQ PRUH • Talk to your health care provider or pharmacist 9LVLW ZZZ [HRPLQDHVWKHWLF FRP WR REWDLQ WKH )'$ DSSURYHG SURGXFW ODEHOLQJ • Call 1-866-862-1211 3OHDVH VHH EDFN RI WKLV SDJH IRU LPSRUWDQW VDIHW\ LQIRUPDWLRQ

USES: XEOMIN is a prescription medicine that is injected into muscles and used to improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) in adults for a short period of time (temporary). It is not known if XEOMIN is safe and effective in children under 18 years of age.

WARNINGS XEOMIN may cause serious side effects that can be life threatening. Call your doctor or get medical help right away if you have any of these problems anytime (hours to weeks) after treatment with XEOMIN: • Problems with swallowing, speaking, or breathing can happen within hours to weeks after an injection of XEOMIN if the muscles that you use to breathe and swallow become weak. Death can happen as a complication if you have severe problems with swallowing or breathing after treatment with XEOMIN. • People with certain breathing problems may need to use muscles in their neck to help them breathe and may be at greater risk for serious breathing problems with XEOMIN. • Swallowing problems may last for several months, and during that time you may need a feeding tube to receive food and water. If swallowing problems are severe, food or liquids may go into your lungs. People who already have swallowing or breathing problems before receiving XEOMIN have the highest risk of getting these problems.

• Spread of toxin effects. In some cases, the effect of botulinum toxin may affect areas of the body away from the injection site and cause symptoms of a serious condition called botulism. The symptoms of botulism include: loss of strength and muscle weakness all over the body, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, trouble breathing, trouble swallowing.

These symptoms can happen hours to weeks after you receive an injection of XEOMIN. These problems could make it unsafe for you to drive a car or do other dangerous activities.

Do not use XEOMIN if you are allergic to XEOMIN or any of the ingredients in XEOMIN (see the end of this Guide for a list of ingredients in XEOMIN), had an allergic reaction to any other botulinum toxin products such as rimabotulinumtoxinB (MYOBLOC®), onabotulinumtoxinA (BOTOX®, BOTOX® COSMETIC), or abobotulinumtoxinA (DYSPORT®) or have a skin infection at the planned injection site.

Before receiving XEOMIN, tell your doctor about all of your medical conditions, including if you: • have a disease that affects your muscles and nerves (such as amyotrophic lateral sclerosis [ALS or Lou Gehrig’s disease], myasthenia gravis or Lambert-Eaton syndrome) • have had any side effect from any other botulinum toxin in the past • have a breathing problem such as asthma or emphysema • have a history of swallowing problems or inhaling food or fluid into your lungs (aspiration) • have bleeding problems • have drooping eyelids • have plans to have surgery • have had surgery on your face • are pregnant or plan to become pregnant. It is not known if XEOMIN can harm your unborn baby.

• are breastfeeding or plan to breastfeed. It is not known if XEOMIN passes into breast milk.

Tell your doctor about all of the medicines you take, including prescription and over-the-counter medicines, vitamins and herbal supplements.

Talk to your doctor before you take any new medicines after you receive XEOMIN. Using XEOMIN with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received XEOMIN in the past. Especially tell your doctor if you • have received any other botulinum toxin product in the last four months • have received injections of botulinum toxin such as rimabotulinumtoxinB (MYOBLOC®), onabotulinumtoxinA (BOTOX®, BOTOX® COSMETIC) and abobotulinumtoxinA (DYSPORT®) in the past. Be sure your doctor knows exactly which product you received. The dose of XEOMIN may be different from other botulinum toxin products that you have received.

• have recently received an antibiotic by injection • take muscle relaxants • take an allergy or cold medicine • take a sleep medicine Ask your doctor if you are not sure if your medicine is one that is listed above.

Know the medicines you take. Keep a list of your medicines with you to show your doctor and pharmacist each time you get a new medicine.

Possible Side Effects XEOMIN can cause serious side effects that can be life threatening including allergic reactions. Symptoms of an allergic reaction to XEOMIN may include: itching, rash, redness, swelling, wheezing, asthma symptoms, or dizziness or feeling faint. Tell your doctor or get medical help right away if you get wheezing or asthma symptoms, or if you get dizzy or faint. See “Warnings.”

The most common side effect of XEOMIN in people with glabellar lines includes: • headache These are not all the possible side effects of XEOMIN. Call your doctor for medical advice about side effects.

You may report side effects to FDA at 1-800-FDA-1088.

GENERAL INFORMATION ABOUT THE SAFE AND EFFECTIVE USE OF XEOMIN Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. You can ask your pharmacist or doctor for information about XEOMIN that is written for health professionals.

Active Ingredient: botulinum toxin type A Inactive Ingredients: human albumin and sucrose Copyright © 2018 Merz North America, Inc. All rights reserved. Merz Aesthetics, the Merz Aesthetics logo, and Xeomin are registered trademarks, and Xperience Program is a trademark, of Merz Pharma GmbH & Co. KGaA. Botox®, Dysport® and Myobloc® are registered trademarks of their respective owners. ML02675-00

MUSE

LOOKING GLASS M AT H I L D E L AU R E N T In-House Perfumer for Cartier

With more than 30 Cartier fragrances under her belt, the Parisian perfumer recently embarked on her most challenging mission yet: creating the scent of a diamond.

FAS H I O N S C E N TS “I’m always in Converse—I have more than 20 pairs—and a blazer

by Racil or Martin Margiela. At night, I add the darkest kohl I can find and Chanel eye shadow— I own every single color!”

IT’S ELECTRIC Her latest brainchild, Cartier Carat, marries seven colors of the rainbow into one effervescent eau de parfum.

Another Laurent favorite: Kyrnella Crème Immortelle. “It’s my Corsican beauty secret. I use it every day.”

LAURENT: BAPTISTE LIGNEL

BLACK BOOK MAKEUP ARTIST

HAIR CARE

INDULGENCE

S PA

Amandine Fournier @amand_makeupartist

Davines @davinesofficial

Pierre Geronimi @glaciergeronimi

Les Sources de Caudalie @lessourcesdecaudalie

“I only trust Davines with my bleached hair. I only use products that are natural and effective.”

“He creates the most unusual flavors of ice cream and just opened a boutique in Paris.”

“It’s where I go whenever I need to disconnect and reset my mind.”

“We bonded the instant we met. I haven’ t found a better makeup artist since!”

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VISION QUEST

SAVAGE BEAUTY I N T H E D E C A D E N T FA S H I O N WO R L D O F T H E ‘ 7 0 S, P H OTO G R A P H E R C H R I S VO N WA N G E N H E I M C A P T U R E D T H E G L I T Z A N D G R I T T I N E S S O F A N I N D U S T R Y O B S E S S E D W I T H S E X , A R T A N D C U LT U R A L D I S R U P T I O N B Y TAT I A N A B I D O

Mauricio Padilha, co-author of Gloss: The Work of Chris von Wangenheim, recalls the first time he saw the Dior ad featuring a sleek, bloodthirsty Doberman attacking supermodel Lisa Taylor’s arm. “It was shocking,” he says. “At the time, there was nothing like it. Fashion magazines had smiling girls on the cover and pretty models running across the pages.” Von Wangenheim turned the damsel in distress trope inside out, showing beautiful, powerful women (Patti Hansen walking away from an exploding car; Gia Carangi getting a tiger tattoo) at the center of the action. “His subjects had less clothing, but more emotion,” says celebrity makeup artist Daniel Martin. In the mid ’70s, art director Gene Frederico tapped the German photographer to spice up the fashion house’s campaigns and what he delivered was an edgy alternate reality that seduced and inspired the industry. “It was never about the jewelry or the hair and makeup,” says hairstylist Harry King. “I remember that day, Chris said, ‘No, no, I need more waves, more curls!’ I went back to the dressing room, lit a cigarette and didn’t do a thing. When I took Lisa back out he said, ‘Fantastic! Why didn’t you do that in the first place?’” The visionary took every precaution to ensure he always got his shot, including having a stand-in dog and standin arm ready on set. “When I walked in, I immediately refused the offer to use the arm stand-in,” says Taylor. “The dog turned out to be very gentle. It’s his twisted neck and how his teeth look in my arm that makes him seem so ferocious. But that was Chris: dramatic, violent and glamorous.”

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©GLOSS, BY ROGER PADILHA AND MAURICIO PADILHA, RIZZOLI NEW YORK, 2015; EYESHADOW: KEVIN CREMENS

F E T C H I N G I S YO U R D I O R , 1 9 7 6

LE FREAK, C’EST CHIC “Deep metallics—more saturated color payoffs and chunkier glitters—are making a comeback,” says Martin. “The modernized texture is a true disco revival.” Try Dior 5 Couleurs eye shadow palettes in Electrify, Hypnotize and Magnify.

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What seems to be the catalyst for this newfound beauty trend? Quite simply…collagen.

As women age, their skin collagen decreases linearly by about 1% per year throughout their adult life.1 A cycle of Sculptra Aesthetic injections helps rev up your skin’s own natural collagen production. Over time, you’ll experience an increase of facial volume, a smoothness in folds, and a reduction of wrinkles. What’s not to love?!

Actual Sculptra Aesthetic patient.

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For more information, visit SculptraAesthetic.com Individual results may vary.

Photos have not been retouched.

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| AGE 49 | 5 vials of Sculptra Aesthetic over 3 sessions

The safety and effectiveness of Sculptra Aesthetic has not been evaluated in subjects who are pregnant, lactating, breast-feeding, or under 18 years of age.

Important Safety Information Indication Indication: Sculptra® Aesthetic (injectable poly-L-lactic acid) is indicated for use in people with healthy immune systems as a single regimen for the correction of shallow to deep nasolabial fold contour deficiencies and other facial wrinkles in which deep dermal grid pattern (cross-hatch) injection technique is appropriate.

Sculptra Aesthetic should not be used by people that are allergic to any ingredient of the product or have a history of keloid formation or hypertrophic scarring. Safety has not been established in patients who are pregnant, lactating, breastfeeding, or under 18 years of age. Sculptra Aesthetic has unique injection requirements and should only be used by a trained physician. Contour deficiencies should not be overcorrected because they are expected to gradually improve after treatment. Sculptra Aesthetic should not be injected into the blood vessels as it may cause vascular occlusion, infarction or embolic phenomena.

Use at the site of skin sores, cysts, pimples, rashes, hives or infection should be postponed until healing is complete. Sculptra Aesthetic should not be injected into the red area (vermillion) of the lip or in the peri-orbital area.

The most common side effects after initial treatment include injection site swelling, tenderness, redness, pain, bruising, bleeding, itching and lumps. Other side effects may include small lumps under the skin that are sometimes noticeable when pressing on the treated area. Larger lumps, some with delayed onset with or without inflammation or skin discoloration, have also been reported. Sculptra Aesthetic is available only through a licensed practitioner. Complete Instructions for Use are available at www.SculptraAesthetic.com.

©2018 Galderma Laboratories, L.P. All trademarks are property of their respective owners. USMP/SCA/0081/1118 12/18 1. Shuster S, Black MM, McVitie E. The influence of age and sex on skin thickness, skin collagen and density. Br J Dermatol. 1975;93(6):639–643.

HOLY GRAIL I F T H E R E W E R E H I G H - S C H O O L S U P E R L AT I V E S F O R B E A U T Y P R O D U C T S , H O LY G R A I L S W O U L D W I N B O T H M O S T P O P U L A R A N D M O S T L I K E LY T O S U C C E E D. S O M E A R E H O U S E H O L D N A M E S A N D S O M E A R E U N D E R T H E R A DA R, B U T N O N E T H E L E SS, T H E Y A L L D E L I V E R O N T H E I R P RO M I S E S

Hrush Achemyan

Lena Ott

Dr. Sam Bunting

CELEBRITY MAKEUP ARTIST

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“I absolutely love Shu Uemura’s Eyelash Curler! It doesn’t irritate my eyes and curls my lashes without breaking them.”

“One of my all-time favorites is Christophe Robin Lavender Oil—it’s a total hair healer.”

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@drsambunting

“This gentle, tinted SPF is a savior.

It evens out my fair, redness-prone complexion and doesn’t clog pores.”

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H O LY G R A I L

SMOOTH OPERATOR B OTOX C O S M E T I C

OG beauty editors still shiver about the “Great Botox Drought” of ’97: for two scary months, there was a shortage, as doctors—treating wrinkles off-label— sped through the original batch made in 1979. Fortunately, this tragedy will never happen again: Allergan produces plenty of the wonder drug each year.

Why We Love It It’s the most effective anti-ager on the market, just ask any dermatologist (or NewBeauty editor). By quieting the nerve signals to muscles, Botox Cosmetic erases wrinkles in less than five days.

80 GLOBETROTTER

million vials have been distributed worldwide

MONKEY BUSINESS In the ‘60s, ophthalmologist Dr. Alan Scott was seeking to cure strabismus and tested botulism bacteria on cross-eyed monkeys. The lucky primates experienced the first recorded “liquid lift”—smoothed wrinkles and lifted brows. Flash-forward to 1987, when husband-and-wife doctor-duo Jean and Alastair Carruthers began testing Scott’s findings on patients at their ophthalmology/dermatology office.

L AB FAB

FULL SERVICE

Yearly, armed guards fly a Tic Tac–sized amount (one gram) of the pure toxin on a private jet from the U.S. to Westport, Ireland. At this incredibly high-tech lab, no detail has been overlooked: the air is filtered more than 200 times an hour, and even the water used to wash the vials before they are filled is purified to “water for injection” standard. “I’ve never been anywhere so clean,” says NewBeauty editor-in-chief Emily Dougherty.

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The FDA has approved Botox Cosmetic to treat crow’s-feet, glabellar lines (the 11’s between the eyebrows) and forehead lines, but doctors, always tinkering, have discovered off-label applications including everything from acne scarring and hair loss to excess oil production. “It’s even become a verb,” says New York oculoplastic surgeon Irene Gladstein, MD. “Doctor, can you Botox this?”

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BE AN ORIGINAL. GET BACK TO THE REAL YOU ;OL VUS` UVUPU]HZP]L YHKPV MYLX\LUJ` ZRPU [PNO[LUPUN KL]PJL PUKPJH[LK MVY \ZL VU [OL L`LZ MHJL HUK IVK` 6]LY TPSSPVU [YLH[TLU[Z ^VYSK^PKL Tara Model and Actual Patient

The #1 provider of skin tightening treatments worldwide.

IMPORTANT SAFETY INFORMATION â&#x20AC;˘ Do not undergo a Thermage treatment if you have a cardiac pacemaker or other active implants. Inform your doctor if you have this condition or are in doubt. â&#x20AC;˘ The most common adverse effects include: - Surface Irregularities: Frequently, surface irregularities are not evident immediately post-treatment, but may appear up to 1 or more months post-treatment.

- Altered Sensation: â&#x20AC;&#x153;Numbness,â&#x20AC;? â&#x20AC;&#x153;tingling,â&#x20AC;? or â&#x20AC;&#x153;temporary paralysisâ&#x20AC;? that typically resolves in a short period of time, but may persist up to several weeks.

- Burns, Blisters, Scabbing, and Scarring: The procedure may produce heating in the upper layers of the skin, causing burns and subsequent blister and scab formation. There is a possibility of scar formation.

- Lumps / Nodules: lumps or nodules under the skin may occur primarily in the neck area that usually resolve within 1 or 2 weeks without chronic or long term complications.

- Pigment Changes: Hyperpigmentation (darkening of the skin) that normally resolves within several months.

- Edema: Swelling may occur and typically resolves within 5 days, but can persist up to several weeks.

- Mild to Moderate Pain: Typically, the discomfort is temporary during the procedure and localized within the treatment area.

Talk to your doctor for more information about Thermage.

ORIGINATOR. INNOVATOR. LEADER. 70 DUH WUDGHPDUNV RI 9DOHDQW 3KDUPDFHXWLFDOV ,QWHUQDWLRQDO ,QF RU LWV DI¿ OLDWHV Š 2018 Valeant Pharmaceuticals North America LLC.

Solta Medical is a global leader in the aesthetic industry providing innovative products such as LiposonixŽ, VASERlipoŽ, VASERŽ ultrasonic systems, ThermageŽ radio frequency and IsolazŽ acne therapy systems, and the Clear + BrilliantŽ, Clear + Brilliant pèloŽ and FraxelŽ lasers.

TRM.0076.USA.18

H O LY G R A I L

SCREEN SAVER CLÉ DE PEAU BEAUTÉ CONCEALER

Looking to launch a concealer for the ages? It’s easy: Take a time machine back to the late ’80s, team Paris-based makeup genius Stéphane Marais up with the best Japanese formulators, and last but not least, let him test his couture-quality creations on his supermodel friends until the formula is ne plus ultra.

MAKEUP MONOGAMY

SPLURGE-WORTHY

18

At fashion shows sponsored by other cosmetic brands, some artists have been known to smuggle in their Clé de Peau by depotting it into unmarked palettes.

years of cult-like fandom

MIXED MEDIA Makeup artist Jenn Streicher uses it to contrast a feathered brow, and Vincent Oquendo says it’s the only concealer he uses on clients like Olivia Culpo. “I’ll mix it with moisturizer and use it in place of foundation,” he says.

Why We Love It

SO FRESH “Stéphane started the natural makeup movement, getting away from the harsh ’80s look. His finishing touch was always a sweet pink on the apples of the cheeks,” says model Norma Spierings, one of Azzedine Alaïa’s muses. “He was always the lead makeup artist at Alaïa’s shows, and you always wanted him to do your makeup.”

It’s the only concealer you need: the buildable coverage ensures it erases everything, yet never looks heavy, and it’s oh-so luxurious. As Marais famously said, Clé de Peau “feels rich, but not kinky-rich.”

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Just Holly.

The overdone look isn’t me.

So I fight frown lines with Dysport.

Dysport® is proven to smooth moderate to severe frown lines between the brows with natural-looking results.

Ask your specialist for Dysport by name today.

Don’t freeze me. Dysport me.

Actual patient. Results unretouched. Individual results may vary.

Dysport® (abobotulinumtoxinA) is a prescription injection for temporary improvement in the look of moderate to severe frown lines between the eyebrows (glabellar lines) in adults less than 65 years of age.

What is the most important information you should know about Dysport? Spread of Toxin Effects: In some cases, the effects of Dysport and all botulinum toxin products may affect areas of the body away from the injection site. Symptoms can happen hours to weeks after injection and may include swallowing and breathing problems, loss of strength and muscle weakness all over the body, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, or loss of bladder control. Swallowing and breathing problems can be life threatening and there have been reports of death. You are at the highest risk if these problems are pre-existing before injection.

DysportUSA.com

These effects could make it unsafe for you to drive a car, operate machinery, or do other dangerous activities.

The most common side effects are nose and throat irritation, headache, injection site pain, injection site skin reaction, upper respiratory tract infection, eyelid swelling, eyelid drooping, sinus inflammation, and nausea.

Ask your doctor if Dysport is right for you.

Please see Dysport Full Prescribing Information including Medication Guide at www.DysportUSA.com.

Please refer to the Brief Summary of Important Product Information about Dysport on the following page.

© 2017 Galderma Laboratories, L.P. The Dysport trademark is used under license. All trademarks are property of their respective owners. MP-DYS-00204a 11/17

Brief Summary of Important Product Information DYSPORT® (abobotulinumtoxinA) for Injection What is Dysport? - Dysport is a prescription injection for temporary improvement in the look of moderate to severe frown lines between the eyebrows (glabellar lines) in adults less than 65 years of age.

INFORMATION SUMMARY FOR DYSPORT WARNING: DISTANT SPREAD OF TOXIN EFFECT Postmarketing reports indicate that the effects of Dysport a n d all botulinum toxin products may spread from the area of injection to produce symptoms consistent with botulinum toxin effects. These may include asthenia, generalized muscle weakness, diplopia, blurred vision, ptosis, dysphagia, dysphonia, dysarthria, urinary incontinence and breathing difficulties.

These symptoms have been reported hours to weeks after injection. Swallowing and breathing difficulties can be life threatening and there have been reports of death. The risk of symptoms is probably greatest in children treated for spasticity but symptoms can also occur in adults, particularly in those patients who have an underlying condition that would predispose them to these symptoms.

WHEN SHOULD I NOT TAKE DYSPORT? Do not take Dysport if you: x Are allergic to Dysport or any of its ingredients (see the end of the Medication Guide for a list of ingredients) or have had an allergic reaction to any other botulinum toxin product, such as Myobloc® or Botox®. x Are allergic to cow’s milk protein. x Have a skin infection at the planned injection site. x Are under the age of 18. x Are pregnant or breastfeeding.

x

WHAT ADDITIONAL WARNINGS AND PRECAUTIONS SHOULD I KNOW ABOUT DYSPORT? x

x

The dose of Dysport is not the same as the dose of any other botulinum toxin product and cannot be compared to the dose of any other botulinum toxin product you may have used.

Tell your doctor about all of your medical conditions, especially if you have a disease that affects muscles and nerves (such as amyotrophic lateral sclerosis [ALS or Lou Gehrig’s disease], myasthenia gravis, or Lambert-Eaton syndrome), allergies to any botulinum toxin product or had any side effect from any botulinum toxin product in the past, a breathing problem (such as asthma or emphysema), swallowing problems, bleeding problems, diabetes, or a slow heart beat or other problem with your heart rate or rhythm, plans to have surgery, had surgery on your face, weakness of your forehead muscles (such as trouble raising your eyebrows), drooping eyelids, any other change in the way your face normally looks, or are pregnant or breastfeeding or planning to become pregnant or breastfeed.

Patients with swallowing or breathing difficulties or a disease that affects muscles and nerves may have a higher risk of serious side effects, including severe swallowing and breathing problems, after treatment with Dysport.

Tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins and herbal and other natural products. Using Dysport with certain other medicines may cause serious side effects. Do not start any new medicines while taking Dysport without talking to your doctor first.

Especially tell your doctor if you: have received any other botulinum toxin product, such as Myobloc® (rimabotulinumtoxinB), Botox® (onabotulinumtoxinA), or Xeomin® (incobotulinumtoxinA), in the last four months or any in the past (be sure your doctor knows exactly which product you received, have recently received an antibiotic by injection, take muscle relaxants, take an allergy or cold medicine, or take a sleep medicine.

WHAT ARE THE SIDE EFFECTS OF DYSPORT? x

The most common side effects are nose and throat irritation, headache, injection site pain, injection site skin reaction, upper respiratory tract infection, eyelid swelling, eyelid drooping, sinus inflammation, and nausea.

The risk information provided here is not comprehensive.

To learn more, ask your doctor about Dysport.

Visit www.dysportusa.com to obtain the FDA-approved product labeling.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA1088.

H O LY G R A I L

LIQUID GOLD L I V O N L A B S LY P O - S P H E R I C V I TA M I N C

These little satchels of high-dose, highly bioavailable vitamin C might be the only product with a fan club as diverse as Gwyneth Paltrow, Justin Bieber, Kourtney Kardashian, Amanda de Cadenet and SZA.

Why We Love It

#1

CHART TOPPER

Unlike traditional vitamin C powders or pills, the oil-based “shot”—created as an at-home version of vitamin IV infusions—encapsulates the C in microscopic bubbles, ensuring the majority of each 1,000 mg dose makes it through the digestive system into the bloodstream.

best-selling vitamin C on Amazon and at Erewhon, Hollywood’s favorite luxe market JET SET Paltrow once said she takes four or five packets when traveling, and makeup artist Violette calls it her on-board essential: “I struggle with jet lag, so I take it before I get on the plane because I have to be fresh as soon as I land.”

PROTECT AND SERVE

PAY I T F O R WA R D

The potent antioxidant, if taken at an effective dosage, can boost collagen production, reduce photo-aging and speed healing. “Vitamin C is important for skin function and can help prevent UV-induced damage,” says Washington, D.C. dermatologist Farhaad Riyaz, MD.

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“I found them while working on a Susan Sarandon film,” says makeup artist Dahlia Warner. “I offer one to whoever sits in my makeup chair. They help keep things bright and take the edge off when I’m feeling under the weather.”

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SPECIAL ADVERTISING SECTION

breakthrough

BRIEF

Take a sneak peek at these top shelf–worthy discoveries emerging from standout brands.

get your spa on KohGenDo kohgendocosmetics.com Healthy, hydrated, vibrant-looking skin in 10 minutes?

This double-layered sheet mask is designed to deliver just that. Containing a unique blend of the skin-moisturizing ingredients ß-glucan, bifidus extract and tuberose polysaccharide, Macro Vintage Essence Mask increases immunity and skin cell regeneration and reduces signs of aging by calming the skin and preventing moisture loss, resulting in a beautiful, plump and smooth complexion.

strong brow game RapidBrow cvs.com Achieve more voluminous, beautiful-looking brows with just a few brush strokes a day of this dermatologist-tested eyebrow-enhancing serum. Packed with the innovative Hexatein® 2 Complex and fortifying and stimulating peptides, RapidBrow helps obtain the eyebrows of your dreams.

glow factor DERMA E dermae.com Looking to enhance your skin-care regimen?

A harmonious combination of vegan hyaluronic acid and patented vitamin C, Stay-C® 50 in Vitamin C Concentrated Serum works to help visibly brighten skin, reduce uneven skin tone and support collagen health. This ultra-lightweight but highly potent formula leaves skin feeling pampered and glowing.

SPECIAL ADVERTISING SECTION

plant-based powerhouse Fitglow Beauty fitglowbeauty.com With this organic, Leaping Bunny–certified serum, skin doesn’t have to sacrifice performance for clean beauty.

Thanks to nourishing, clinically proven plant ingredients and antioxidants like vegan vitamin C, Vita-Active Serum improves skin clarity and reduces hyperpigmentation while protecting against future damage.

cannabis craze HIGH Beauty sephora.com Say goodbye to crunchy stereotypes associated with cannabis—the rise of this botanical in the beauty industry is here to stay. High Expectations Cannabis Facial Oil, formulated with a high level of cannabis sativa seed oil and potent plant actives, provides intensive skin repair and protection. Absorbing instantly for high-speed results, this serum helps to neutralize inflammation, acts as a balancing adaptogen and delivers antioxidants to the skin.

in with the new ALASTIN Skincare alastin.com Support the replenishment of new, healthy collagen and elastin with TransFORM Body Treatment with TriHex Technology. This rich cream can be used in synergy with body-contouring procedures to enhance and accelerate results, or as a stand-alone product to address skin laxity, texture and crepiness.

skin deep HALO sciton.com/halo No one says you have to accept the natural result of aging. HALO, the world’s first hybrid laser, uses two wavelengths to target both superficial and deep pigmentation, as well as stimulate collagen production in the skin. The result: less noticeable fine lines, a clear, even skin tone and a halo-like glow to return skin to its youthful appearance.

COLORMOS/GETTY IMAGES

“Without clean skin, all of our serums aren’t able to penetrate. If we don’t cleanse properly, we are literally throwing money away.”

I’M OBSESSED

CLEAN SLATE S K I N - C A R E S U P E R S TA R C A R O L I N E H I R O N S I S C H A N G I N G T H E W O R L D O F B E A U T Y, O N E D O U B L E C L E A N S E A T A T I M E B Y B R I T TA N Y B U R H O P FA L L O N

P

erhaps the most influential skin-care blogger in the Western hemisphere, Caroline Hirons is a champion of the unnoticed: That unsung hero product languishing on a store shelf? One post from Hirons will save it from obscurity and launch it into the best-seller stratosphere. “Caroline posted about me doing her color once on Instagram, and I’m still getting new clients. Her followers told me they trust whatever she says! I’ve never seen that happen with anyone else,” says Clairol color director James Corbett. Hirons, who’s also a globally trained aesthetician, says her passion for skin care began while watching her grandmother remove her makeup at night. “I became obsessed with cleansing early on,” she says, adding that for testing purposes, she keeps around 100 different cleansers in rotation, although the average person only needs three or four. “Without beautifully clean skin, all of our serums containing brilliant active ingredients aren’t able to penetrate. If we don’t cleanse properly, we are literally throwing money away, and who wants to do that?”

DOUBLE AGENT The two-step cleanse—removing makeup first and then using a different cleanser that suits your skin’s needs—is often skipped by those looking to save time, but Hirons lives by the method and believes everyone else should too.

“There seems to be a lot of confusion about whether or not this is a necessary step, but it is, particularly if you wear sunscreen or eye makeup,” she says.

“SPF is designed to adhere to the skin almost like glue, and it takes effort to remove—I suggest using a cleansing balm with a wash cloth instead of your fingers, to really get it all off.” Eye makeup can also be difficult to remove and usually leaves a residue behind on the skin. “Using eye makeup remover

Caroline’s Double-Cleanse Favorites: “For my first cleanse, I prefer using balms, or makeup removers that are specially formulated for the eyes,” says Hirons. “Then I follow it with a milk or cream cleanser, which makes my skin feel clean but still comfortable.”

STEP 1:

@CAROLINEHIRONS

first, then a milk or cream cleanser, is key,” says Hirons. “Milks and creams have enough oil content to remove dirt and makeup, but are gentle enough to leave the skin barrier intact.” Those with really dry complexions may reach for two balms, but Hirons says balms actually have the potential to dry out drier skin types, as they are designed to remove oil.

Hirons isn’t a fan of old-school foaming cleansers that rely on pH-blasting surfactants, which she says can leave skin feeling stripped, but she does note that brands are now making gentler options for those who really like to suds up.

PILLOW TALK For those of us who wash our faces in the shower, Hirons says it’s not the best idea. “Most people’s showers are far too hot for their faces,” she says. “Hot water can contribute to broken capillaries and redness that results from dilated blood vessels. Facial cleansing should be a separate step with cool or tepid water before bed.” And when we wake up in the morning, do we really need to wash our face again? “The answer is always yes,” Hirons says. “It really comes down to basic hygiene. We spend a small fortune on overnight products that resurface, stimulate and regenerate our skin, and then we question removing the results of that in the morning? Madness.”

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Clinique Take the Day Off Makeup Remover

Emma Hardie Moringa Cleansing Balm STEP 2:

OR

Clarins Anti-Pollution Cleansing Milk

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Beauty Pie JapanFusion Transforming Cleanser

In a collaboration with Pixi, Hirons created her dream cleanser, Double Cleanse, a first-to-market product that unsurprisingly became a best-seller. Use the solid oil at night to take off stubborn makeup and SPF, and then the cream to remove any residue left behind.

24 HOURS

BEST PRACTICES THE SKIN DOCTOR

DAY

JULIE RUSSAK, MD NEW YORK DERMATOLOGIST

@russakderm

“My tried-and-true skin-care philosophy is maintenance over full correction. From my experience, the best results are achieved with patience and a long-term commitment to a quality regimen.”

“I wake up at 5:45 a.m. and apply our Russak Dermatology Clinic Instant Firming Eye Gels. As they work wonders to de-puff my under-eyes, I think of five things I’m grateful for. After I shower, I apply SkinCeuticals H.A. Intensifier and Revision Skincare D.E.J Eye Cream. Also, I won’t leave the house without applying Revision Skincare Intellishade TruPhysical and taking NeoCell’s Gummy Glow supplements.

Throughout the day, I keep my skin hydrated by reapplying SkinCeuticals Hydrating B5 Gel.”

T H E FA S H I O N G U R U

CARLY CUSHNIE CEO + CREATIVE DIRECTOR, CUSHNIE

@carlycushnie

“The focus for my skincare routine is really on hydration, managing the occasional breakout and the continuous pursuit of glowy skin.”

“First, I use True Botanicals Pre Cleanse Oil followed by their Renew Hydrating Cleanser and Renew Pure Radiance Oil—I recently started using their products and I’m loving them. Then I moisturize with antioxidant-rich Agent Nateur Holi (Water) Pearl and Rose Hyaluronic Toner and Joanna Vargas Daily Hydrating Cream.”

THE PRODUCT EXPERT

JAYME CYK BEAUTY DIRECTOR, VIOLET GREY

@jaycyk

“My mom taught me the importance of consistency in order to reap the benefits of my skin care. Even though I’m a beauty editor and I try a lot of different products, I always give each a fair shot.”

“I cleanse my skin with Doctor Rogers RESTORE Face Wash and then apply Dr. Barbara Sturm Hyaluronic Serum, which I use every day to plump and hydrate my complexion. Next, I apply Augustinus Bader The Cream, which is a new addition to my regimen because I’ve seen the results on many of my friends and they are insane. Lastly, I use EltaMD UV Clear Broad-Spectrum SPF 46 and take two capsules of The Nue Co. Prebiotic + Probiotic.

I’ve seen amazing changes not only in my digestive system, but my skin and energy levels as well.”

P E E K I N S I D E T H E B E AU T Y CA B I N E TS O F T H E S E WO M E N A N D YO U ’ L L S E E T H R E E U N I Q U E S K I N - C A R E R O U T I N E S W I T H O N E C O M M O N T H R E A D : A H E A L T H Y, R A D I A N T G L O W B Y B R I T TA N Y B U R H O P FA L L O N

NIGHT “When I get home and unwind with my boys, I cleanse my skin with Revision Skincare Papaya Enzyme Cleanser and then apply SkinMedica LYTERA 2.0 and SkinCeuticals Phyto Corrective Gel, both of which help me manage my rosaceaprone skin, which is very sensitive. Lastly, I spritz my face with Mario Badescu Facial Spray with Aloe, Herbs and Rosewater. I love the way it feels right before bed.”

The green tint of the SkinCeuticals Phyto Corrective Gel helps offset the redness in my skin.

“My nighttime routine is the same as my morning one, plus Shani Darden Retinol Reform and La Mer The Eye Concentrate.

A few evenings a week, I exfoliate and do a mask with some combination of the following products: Kate Somerville ExfoliKate or Clarisonic Mia Prima to exfoliate, and Joanna Vargas Dawn Face Mask or Charlotte Tilbury Goddess Skin Clay Mask. When my skin is feeling dry, I like to use the Summer Fridays Jet Lag Mask and leave it on overnight.”

“Before bed, I use Doctor Rogers’ face wash again, and then I apply Dr. Frances Prenna Jones Formula 2006. I’ve never been a fan of toners, but this delivers an epic tingle and lightly exfoliates. Next, I layer on Tatcha Dewy Skin Night Concentrate—I always wake up with incredibly hydrated skin after using it overnight—and Lina Hanson Global Treasures Eye & Neck Balm, which is the only product in my regimen that has a scent; my husband thinks I smell like cocoa. When I get into bed, I swipe on a thick layer of Sisley-Paris Nutritive Lip Balm.”

I always wash my face twice a day. Between testing products all day and LA’s pollution, it’s very necessary.

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IMAGES COURTESY OF DR. VALLECILLOS, DR. BENGSTON, DR. GOHARA, DR. ZEICHNER; DR. BUCAY: JUSTIN HAIM PHOTOGRAPHY; COURTESY OF DR. CHIMENTO

social

STUDIES BY

DA N I E L L E

FO N TA N A

BEHIND THESE GREAT DOCTORS ARE FAMILIES WITH THE BEST SKIN WEâ&#x20AC;&#x2122;VE EVER SEEN N E W B E A U T Y.C O M

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DANIELA BUCAY, @DANI_BUCAY

DRUE MAGGETTI, @JUSTDRUEIT

“Being a dermatologist’s daughter has given me front-row access to amazing skin care, and being the curious person that I am, an invaluable resource to field all of my questions. Ever since I started working in K-beauty, I have seen the light of the double cleanse. I use the balm from Then I Met You and follow it with a water-based cleanser, usually from Neogen Dermalogy. In the morning, without fail, I use Finacea foam, a prescription azelaic acid foam. At night, my ‘serum’ is a retinoid, sometimes Differin, sometimes Veltin (tretinoin 0.025% and clindamycin). If my skin is traumatized, I strip it back to just micellar water, moisturizer—or, if heavy-duty repair is needed, my life partner Avène Cicalfate—and sunscreen.

Knowing how to play fearlessly, but also how to rescue my skin if need be, is the greatest piece of skin-care advice my mom has given me.”

“My favorite product is a medical-grade topical we make in the office. I’ve named it ‘Skin Tite,’ and it consists of tretinoin, niacinamide, and kojic and hyaluronic acids. It does wonders for my skin’s texture and tone. I discovered The Cure Natural Aqua Gel Cure a few years ago. The stuff is like magic. Put it on anywhere, from your feet to your face, and all you do is rub the gel around and any dead skin starts to crumble off. I use it once a week.” More musts: Shiseido Eye and Lip Contour and True Botanicals Pure Radiance Oil.

DAUGHTER OF SAN ANTONIO DERMATOLOGIST VIVIAN BUCAY, MD

“It’s given me front-row access to amazing skin care.”

MARRIED TO BEVERLY HILLS, CA PLASTIC SURGEON GLENN VALLECILLOS, MD

Shiseido Future Solution LX Eye and Lip Contour Regenerating Cream

ALI WISE

MARRIED TO WAYNE, NJ PLASTIC SURGEON JEFFREY B. WISE, MD

“I feel extremely grateful to be married to a top doctor, not only because he is so talented, but also because he is a great person. He can always make me laugh if I am feeling anxious before a treatment. As a 43-year-old woman, I enjoy fillers and Botox on a regular basis, as well as Vbeam Perfecta treatments. Daily, I use skinbetter science’s Alto Defense Serum and Neocutis JOURNÉE as a tinted SPF.”

Avène Cicalfate Restorative Skin Cream

True Botanicals Renew Pure Radiance Oil

skinbetter science Alto Defense Serum

Natural Aqua Gel Cure

ANNA BENGTSON

MARRIED TO GRAND RAPIDS, MI PLASTIC SURGEON BRADLEY BENGTSON, MD

Then I Met You Living Cleansing Balm

Neocutis JOURNÉE Bio-Restorative Day Cream

Neogen Dermalogy Real Cica Micellar Cleansing Foam

“I’m all about the Booster Serums used to tailor a HydraFacial. The treatment can be combined with collagen-building, skin-brightening and growth-factor serums, to name a few, and I’ve seen the best results with the Brightalive and Dermabuilder boosters. I couple these facials with regular Ultherapy treatments. I wasn’t totally sold on it at first, but now I don’t think I would be able to age well without it.”

CORI ZEICHNER, @THEDERMWIFE

KIRAN MAKAM

DR. JERRY CAPOTE

“Being married to a dermatologist is like having a skin-care concierge on call. I’ve become my husband’s ultimate guinea pig, trying out the newest treatments before he offers them to his patients. I’ve been getting Botox or Dysport every three months for the past decade. My friends joke that I have no wrinkles and I don’t need it, but they can only say that because I have been getting injections. I also get fillers once a year. I used to get them frequently—I have had tweaks all over, including my cheeks, under-eyes, lips, chin and temples—but now it’s about maintenance. Every fall, I get a Fraxel treatment on my face and chest to undo all the sun damage from the summer. It keeps my brown spots in check, and Josh tells me it can lower the risk of skin cancer in the future.

At home, I use Supergoop!, as well as the vitamin C from L’Oréal Paris Derm Intensives, which has been tested by dermatologists and has a lower price point than similar ones. At night, I use a rich cream like Sisley Velvet Nourishing Cream. It’s a splurge, but I love the texture and it works for me.”

“My husband did not do much to his skin until he turned 40. He still keeps it simple, but never leaves the house without using EltaMD Intense Moisturizer in the morning. He always says it keeps his skin looking healthy and doesn’t have an overbearing smell. Plus, it lasts a while.”

“Getting my husband in my chair for treatments is not easy, but he does come in occasionally!

I have managed to get him to use SkinMedica HA5 at bedtime; it’s his favorite product because it’s quick to apply, doesn’t burn or sting (which most men hate), and is lightweight and very hydrating. He uses Replenix Fortified Green Tea Cleanser to wash his face, which contains vitamins A, C and E. He likes it because he has seborrheic dermatitis and it soothes his skin. I would love for him to start using a light retinol nightly, as he is 38 and needs to start an antiaging regimen! That’s my goal for next year.”

MARRIED TO NEW YORK DERMATOLOGIST JOSHUA ZEICHNER, MD

Sisley Paris Velvet Nourishing Cream with Saffron Flowers

MARRIED TO DANBURY, CT DERMATOLOGIST MONA GOHARA, MD

EltaMD Intense Moisturizer

MARRIED TO MIAMI DERMATOLOGIST STACY MARIE CHIMENTO, MD

Neutrogena Sheer Zinc Dry-Touch Sunscreen SPF 50

Aveeno Smart Essentials Daily Nourishing Moisturizer with SPF 30

SkinMedica HA5 Rejuvenating Hydrator

JAMES GERAGHTY

MARRIED TO MEDFORD, OR DERMATOLOGIST LAUREL GERAGHTY, MD

L’Oréal Paris Revitalift Derm Intensives 10% Pure Vitamin C Concentrate Supergoop! Unseen Sunscreen Broad Spectrum SPF 40

“My husband has used topical creams ranging from tretinoin (Retin-A) to metronidazole cream for rosacea, and he is faithful to his Aveeno Smart Essentials Daily Nourishing Moisturizer with SPF 30, which he uses on his face and neck.

His father died of melanoma, and he’s had a basal skin cancer, so he is careful about it. He uses thicker, heftier sport sunscreens when he is on the golf course or out in the sun. He’s also had several hockey scars treated with pulsed-dye and fractionated lasers. These helped remove the pink and led to scar remodeling, so they’re much subtler now.”

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Replenix Fortified Green Tea Cleanser

The 46-year-old dishes on her self-described “dramatic comedy” brain, life with Irish Spring devotee Judd Apatow, and why it’s easier to age in Hollywood when you’re “in the middle.”

MANN POWER L

BY ELIZABETH RITTER

eslie Mann wants to show me all the beauty products she uses. She doesn’t know the names, but she needs to text the photographic evidence that her bathroom is a fully stocked beauty hangar.

There are multiples of neatly lined Natura Bissé, Sisley Paris, Chantecaille and La Mer. Tatcha Camellia Cleansing Oil, Dr. Barbara Sturm Glow Drops and Patchology Eye Gels make an appearance; ReFa checks the box in the “fancy tool” category. A lab sample of Olaplex Daily Bond Smoother that looks like it was run over by a car comes next, while Chanel—both skin care and makeup—round out the lineup.

“This is good if you don’t want to put makeup on,” Mann texts in reference to Base Lumière as she follows up with a zoomed-in Rouge Allure Velvet La Precieuse #317 lipstick bottom.

We’re nearing 10 separate shelfie shots, a nice round number that signals an assumption on my end that she’s almost done. She’s not.

PHOTOGRAPHED BY JOHN RUSSO

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TOP: EZGI CINAR

“I’m not done yet! There’s also Her Gems Neck Cream! OK, I’m done.”

“I’m sorry, I don’t know what that is,” I text back, thinking I may be about to discover some magical, crystal-infused potion.

“Jergens Neck Cream! OK, now I’m really done!”

This winter, Mann plays it a bit more straight in Robert Zemeckis’ Welcome to Marwen, a drama that pairs her a third time with Steve Carell. The two previously worked together in The 40-Year-Old Virgin, which her husband, Judd Apatow, co-wrote and directed; Carell even has a cameo in Knocked Up, which Apatow co-produced and daughters, Maude and Iris, appeared in—a family affair that she says the whole family considers “really special.” The daughters also appeared in This is 40 and Funny People (both of which Apatow wrote, co-produced and directed), and Maude works with Mann in the Jergens commercials.

YOUR OLDEST DAUGHTER, MAUDE, IS ABOUT TO TURN 21. THAT’S A BIG ONE. DOES IT FEEL LIKE A BIG MILESTONE FOR YOU?

The biggest milestone for me was when she went away to college.

I think I cried for four years before she went, and then the week that we brought her to Chicago to set up her dorm room and everything, I had no control over my tears and my sadness. It was just the saddest time ever. Then she came home a year and a half later. She also has a boyfriend who lives in London, so she’s been staying there a little bit, too. But she’s basically back! And that’s really nice. The 21 thing is definitely a big deal, but it’s not as massive as going away to college—at least not for me.

lots of fun, too. Actually, I don’t know. Am I a serious person? I’m not quite sure who I am yet. I’m bad at answering questions like that, because it’s different every day. One day I might be super serious, and then the next week and a half, I’m not. I’m always changing. I think that’s good though.

YOUR ROLE IN WELCOME TO MARWEN WAS KIND OF A CHANGE FOR YOU…

I love that movie. When I finally saw it finished, I was blown away. I love it and I am super happy to be a part of it. Robert Zemeckis is so creative. I want to live inside his brain.

DID IT FEEL LIKE A BIT OF A DEPARTURE FOR YOU?

I feel like even when I’m doing comedies, I’m doing drama.

I always feel like I’m taking it very seriously. In my heart, it’s always coming from a grounded, more dramatic place.

BUT COMEDY DEFINITELY SEEMS TO COME EASY FOR YOU. WAS IT ALWAYS THAT WAY?

No. I remember when I was in acting class when I first moved to Los Angeles, there were a few times when people would start laughing at me for something I was doing. During auditions, it was the same thing. I would get the laughs when I wasn’t expecting to get the laughs. Then I just started heading down the comedy road, which led to my first job, The Cable Guy. Well, that wasn’t my first job, but it was one of them, and all of a sudden, I was surrounded by people I related to. I felt like

“I HAVE THE THINNEST BROWS EVER, AND THAT’S THANKS TO A WOMAN NAMED SUNSHINE.” SO IT’S BACK TO BEING THREE-TO-ONE, WOMEN-TOMEN, IN YOUR HOUSE. HAS JUDD PICKED UP A FEW THINGS ABOUT YOUR BEAUTY ROUTINES?

TOP: MADIYAH AL SHARQI

He has, and he hasn’t. He is resistant to most things. He still dresses like a 14-year-old boy and refuses to stop. We were in Paris a few years ago and went into this empty restaurant, trying to get a bite to eat before the airport. We walk up, and the hostess looks Judd up and down, gives him a dirty look, and says “the restaurant is full” then turned and walked away. We can’t go places because of him—he is such a slob! For beauty stuff, he’s kind of open to buying something for blackheads, but then he never uses it. He doesn’t use any hair products or anything; he uses Irish Spring soap and then whatever leftover shampoo is in the shower. For a long time, he was using my purple shampoo for blonds and I don’t think he knew that it was toning his hair into a nice lavender hue!

YOU LIVE IN A HOUSE FILLED WITH FUNNY PEOPLE— ARE YOU FUNNY IN YOUR EVERYDAY LIFE, OR IS THERE SOMETHING IN PARTICULAR THAT MAKES YOU SERIOUS?

Our lives are very busy. It feels really stressful sometimes, so it’s not all fun and games. We do make sure to carve out time to have

I found my people, like-minded people, people who had a way of looking at the world similarly to how I look at it, and comedy people were really interesting to me. I got to be around Jim Carrey, Matthew Broderick, Ben Stiller, and Judd, and it was like a dream come true. Then that was that—that’s when I stayed in the comedy world.

CABLE GUY WAS ALMOST 22 YEARS AGO. DO YOU FEEL ANY DIFFERENTLY NOW?

Do I feel different? Yes, I feel really different, but not in terms of Hollywood. That’s not the thing I think about. I do feel different—I’m watching my body change; I’m watching how I feel about everything change; I’m watching myself change.

A lot of things are different. Some things are better and some things are not. [laughs] I mean...how heavy should I get here?

AS MUCH AS YOU WANT…

Here’s the thing with me: I’ve never been the hot girl or the beauty person, so I don’t have that pressure that a ‘hot movie star person’ would have. My career has always been like, ‘Well, I’m not the hot person, I’m just a normal person, so it doesn’t matter.’ It’s not like, ‘Oh, she’s really falling apart! She was so

my brows.’ When I first moved to LA, I was friends with this girl who looked really cool. She was really into Madonna, and she had those Madonna-arched eyebrows. I think she even tattooed a mole or something. I don’t know, but she plucked my eyebrows to make them look like hers, but mine never grew back, so I have the thinnest eyebrows ever and that’s thanks to a woman named Sunshine.

hot when she was young,’ or ‘She was gorgeous when she was young and now she’s not.’ I’m just like, ‘I was fine then, and I’m fine now.’ That’s how I think about that, thank God. BUT IT HAS TO BE A LITTLE HARDER AGING IN HOLLYWOOD WHEN COMPARED TO THE AVERAGE PERSON.

Years ago, I wanted to be on the covers of magazines, but that was never my thing. I was more the person who worked and did the movies that I wanted to do, but I wasn’t a sensation like J.Lo. I think that served me in my life, because I didn’t have the fall— not that she’s had the fall either! And she never will! I love J.Lo! I’m just using that as an example. You know what I mean. I’ve just kind of been here the whole time. I’m just right here in the middle.

WELL, YOU’RE DOING SOMETHING RIGHT. YOUR SKIN IS GLOWING.

I have a lot of products! I’m accidentally burning my skin off while experimenting with all of these products. I’m also into lasers with no downtime.

YOU ALSO KNOW HOW TO PULL OFF A BOLD RED LIP…

I do! That’s Chanel!

THAT DOESN’T SEEM LIKE A BAD PLACE.

It’s a great place! I can go out and do anything I want. I can go anywhere I want and I don’t really have an issue with lots of people coming up to me and needing to chat me up or do whatever. I’m just a normal person. I got really lucky—I still get to do the work I want to do, work with all of the people I want to work with, get paid well, and make a living, yet I don’t have those other worries, which is perfect for me.

WHAT ELSE?

Well, I do meditate, and I feel like my life is so much better when I do. I try to do it every day, and when I don’t, I feel like I notice it—especially as I get older. I feel like I have less patience, and meditation grounds me. I like TM, but I also do guided meditation.

I’m really into this guy, Glenn Harrold, who has this powerful accent. [laughs] This might sound weird to you, but his voice is so powerful, and he kind of yells, ‘Sleep, Sleep,’ or, ‘Relax, Relax.’ It forces you to submit, and you just find yourself 45 minutes later,

SPEAKING OF THINGS BEING DIFFERENT, YOU POSTED YOUR PROM PICTURE ON INSTAGRAM—FULL ’90S HAIR

“I HAVE A LOT OF PRODUCTS! I’M ACCIDENTALLY BURNING MY SKIN OFF WHILE EXPERIMENTING WITH THEM.” waking up from him beating you into sleep, but I really like it.

There’s also one for anxiety, which is really helpful.

But I do a lot of things. I try to exercise every day, I try to drink a lot of water and I’m really into all of those ‘goop things.’ I’ll do the detox diet, which is really good. I don’t even know what’s in it, but the food tastes really good, and after a few days, you notice your face isn’t as puffy as it was. You’re still using salt, oil and all of the good stuff, but then you suddenly start looking better.

That’s what I do when I have to get ready for something.

Plus, I’m such a sucker for all of those protein powders and supplements. They make me feel like I’m doing something good for myself. I don’t know if it’s actually doing something good for my body, but I believe in it. That’s all I need.

AND ALL—AND GOT A TON OF LIKES. YOU ONLY FOLLOW A HANDFUL OF PEOPLE THOUGH AND YOU RARELY POST.

I just can’t get myself to do it. I’ll think about it, and then I just talk myself out of doing it. Like, I always think, ‘I don’t need to do that.’ I probably should, or shouldn’t I? WHEN YOU POSTED THAT IMAGE IT WENT SEMI-VIRAL.

My prom picture? Really? I saw that guy, his name is Jeff Thomason, at our reunion recently and he’s still so good-looking!

He’s even better-looking now! He’s married with kids and stuff, and so am I obviously, plus he’s not my type. But oh my God, my hair! I also used to get pixie cuts, which were worse than the perms. I did not look good with a pixie cut, and I would ask the hairstylist to leave the bangs so I would have that option. So I had a pixie cut with long bangs, but because I have really curly hair, it was frizzy. I had long, frizzy side bangs and then a pixie cut everywhere else. That was bad.

THAT’S HALF THE BATTLE.

Yes! You just need to believe it.

WHAT DO YOU WANT TO BELIEVE IN IN THIS NEW YEAR?

Peace! Peace in the world, peace in our hearts, peace in my heart. Peace! We need some f-ing peace.

THE QUINTESSENTIAL “BAD HIGH-SCHOOL HAIR STORY”…

I have more stories. I also used to overpluck my brows. That’s one thing I tell my kids. You can ask any one of them or their friends and they’ll all say, ‘Thank you so much for telling me not to pluck

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PURPLE HAZE Fleur Du Mal dress. Irene Neuwirth earrings.

Hair: Davy Newkirk using R+Co at The Wall Group. Makeup: Jo Baker at Forward Artists using Chanel. Manicure by Jolene Brodeur using essie. Styling by Sonia Young for TheOnly.Agency.

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THE GUIDE:

FILLERS ITâ&#x20AC;&#x2122;S A WHOLE NEW (THREE-DIMENSIONAL) WORLD,

and fillers are doing the most to reshape it.

B Y TAT I A N A B I D O

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THE FOUNTAIN OF YOUTH the two, and by the end of the 19th century, doctors were erasing wrinkles and boosting breasts with paraffin filler.

Unfortunately, the unpredictable wax had a tendency to migrate: it refused to stay put under the skin and had complications like embolization and the formation of small nodules under the skin called granulomas. Fast-forward to 1981—after experiments with petroleum jelly, silicone and various animal collagen failed— bovine collagen was the first filler to get FDA-approval. Since that time, a handful of other soft tissue filler agents have been approved, giving physicians a much more diverse palette to create their works of art.

THE MAIN TYPES OF FILLERS Depending on how deep they’re injected, fillers can do anything from smooth out a fold or an acne scar to create volume in deflated cheeks.

“Hyaluronic acid fillers, such as the Juvéderm and Restylane family of products, are made of hyaluronic acid, a type of substance found naturally in the body,” says Short Hills, NJ facial plastic surgeon Alexander Ovchinsky, MD. “They can be used throughout the face and in the lips, and have the advantage of being reversible.”

But, not all HA fillers are the same, as each has a different molecular size, or density, which allows the injector to choose the best one based on the area of injection and concern. Thicker HA gels, like Juvéderm Ultra Plus, Juvéderm Voluma and Restylane Lyft, are typically used to lift and plump

up the cheeks, while thinner ones, like Belotero Balance, Restylane Silk and Juvéderm Ultra work best for filling fine wrinkles and lip lines. Because of their malleability, products like Restylane Silk, Belotero Balance, or Juvéderm Ultra or Volbella, are primarily used to enhance the lips.

“One way we measure fillers is by their G prime number,” says Fort Lauderdale, FL dermatologist Dr. Matthew Elias. “This refers to the elasticity of the filler; for instance, if you stretch it like a rubber band and let it go, how much of it goes back to its original size. The other way to measure is by its viscosity, or how it’s able to spread while still retaining its shape.” New York facial plastic surgeon Dilip Madnani, MD describes it to his patients like this:

“Filler consistencies are as different as honey versus yogurt versus water,” he says. “You don’t want to place a thick filler in the tear trough area, as it will appear too lumpy, and you don’t want to place a very soft filler in the cheek area, as you will not get the volume you want.”

“Look to thicker hyaluronic acid or calcium hydroxylapatite (CaHA) products for lifting,” says New York dermatologist Joshua Zeichner, MD. “These are typically injected deep, down to the level of the bone to help lift the tissue above it.”

While HA fillers are very popular, they are other filler choices. Radiesse, a calcium hydroxylapatite filler, has a two-fold result: “It provides immediate volume and has a bio-stimulatory effect,” adds Dr. Zeichner. “Like all bio-stimulatory fillers, it has

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both the advantage and disadvantage of being longlasting. Because it remains in the skin longer than HA fillers, if you don’t like the results, it will take longer for them to go away.” Calcium hydroxylapatite is made of microscopic particles that provide structural scaffolding to stimulate the body’s own natural collagen production. “It’s great for providing a lift to the face,” says Dr. Ovchinsky, “which makes it more useful for the cheeks, nasolabial folds, marionette lines and jaw contouring.”

Until recently, there was no way to remove Radiesse, but Dr. Zeichner says that has now changed: “Although not in practice yet, it’s been discovered that sodium thiosulfate may dissolve calcium hydroxylapatite.

However, further studies are

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necessary to see if this is a reliable and safe method for reversibility.”

Another collagen stimulator, poly-l-lactic acid (PLLA)—the substance that makes up the filler Sculptra Aesthetic—is derived from ground-up absorbable suture material and gives a subtle volume boost compared to HA gels or calcium hydroxylapatite, which can last anywhere from five to seven years. PMMA (known as Bellafill), another collagen-stimulating filler, comprises 80-percent collagen and 20-percent polymethylmethacrylate microspheres. Bellafill is FDA-approved to treat issues like depressed acne scars and can last up to five years.

Because they can’t be reversed, long-term fillers can also have long-term problems that are not easily resolvable.

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When a 37-year-old Candace Bushnell chronicled the New York City cosmetic surgery boom for Vogue in 1995—an investigation that led her to Dr. Patricia Wexler’s office for collagen lip injections—the facial enhancement options used back then (like collagen, silicone and Gore-Tex implants) were not nearly as sophisticated as the technology we have now.

But, they were still light-years ahead of the first medical filler.

In 1830, German chemist Karl von Reichenbach invented paraffin wax, deriving it from petroleum. Fourteen years later, Irish surgeon Francis Rynd developed the hollow-tipped hypodermic needle. Combine

NEWBEAUTY

TOP DOCTOR

Turn to page 137 to find one near you.

THE ERASER

BAD BEAUTY

DANGER ZONES

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OVERFILLING

There is a fine line between a subtle improvement and a Bravo Housewife–level of overindulgence. “Pillow face and chipmunk cheeks are terms used when someone is overfilled,” says Windermere, FL oculoplastic surgeon Keshini Parbhu, MD. Not every overfilled look is caused by a heavy hand, says Dr. Parbhu, noting that it might be the result of how the filler was placed. “An unskilled injector can make the mistake of thinking more filler is needed if it’s placed too superficially. You can avoid this look by going to a doctor who employs a good technique and uses the appropriate depth placement to reach the desired result.” Another way to avoid the extra puff is by not trying to erase everything. “It’s OK to still have nasolabial folds if you get fillers,” says Dr. Zeichner.

“Eliminating them altogether will give an unnatural look to the face. Also, overfilling the under-eye area can make the cheeks look unnaturally puffy and even make the eyes look smaller.”

OCCLUSIONS

Serious complications associated with fillers are generally vascular, such as occlusions, which can lead to necrosis (tissue death), scarring, and even more consequentially, blindness.

Although it’s an exceedingly rare complication, there is a very real risk of blindness if filler is accidentally injected into an artery, or from compression of the artery from surrounding filler. “There is a vast network of arteries and veins in the face, and it is possible for filler to enter a blood vessel and travel into one of the small vessels that feeds the eye, which can result in vision loss,” says Dr. Parbhu. Recently, a woman in Australia lost sight in one eye after receiving injections in her face at a beauty parlor. “If filler gets inside of a blood vessel and shoots off like a blood clot, it acts like a small stroke to that area. Blood can’t get to the eye because the filler is occluding the blood vessel,” says Largo, FL oculoplastic surgeon Jasmine Mohadjer, MD.

While globally, there have been less than 100 reported cases of fillerinduced blindness, there are still many injectors who avoid injecting in the nasal or glabella area altogether, as these are the riskiest areas, but veins in the forehead and nasolabial folds can also lead to those vessels. “I don’t inject in the glabella area for deep number 11’s,” says Dr. Parbhu.

“For me it’s too dangerous— the risk of intravascular occlusion and vision loss is far too great.”

Fresno, CA dermatologist Kathleen Behr, MD knows her anatomy and uses a device called the AccuVein to help make sure she’s not injecting into a vein. “When pointed at the patient, it reveals the veins underneath the skin.”

Dr. Behr says she also keeps hyaluronidase close by. “Theoretically, vision loss caused by filler in the orbital artery can be corrected by injecting two or more cc’s of hyaluronidase with a oneand-a-half-inch cannula behind the eyeball. The hyaluronidase may diffuse

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into the blood vessel and dissolve the filler, giving the patient a chance at restored sight,” says Dr. Behr. “My first choice would be an immediate appointment with a retinal specialist and I would take the patient there myself. The window of time you have is very short, about a couple of hours.” Hyaluronidase can also reverse potential tissue death caused by occlusion, and the window to reverse it is also very small. “If you occlude a blood vessel and don’t recognize the signs of complication, it can lead to necrosis,” says Dr. Elias. “It can happen anywhere filler is injected, but the areas with the highest risk are typically in the central face, like the nose and nasolabial folds.” One filler safety measure that cannot be stressed enough is to ensure the injector is a boardcertified dermatologist, plastic or facial plastic surgeon who is properly trained to navigate around facial anatomy.

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When Kylie Jenner publicly announced she had her much-talked-about fillers dissolved, she put the spotlight on hyaluronidase, as well as sparked rumors of a widespread uptick in filler reversals. Hyaluronic acid fillers are normally metabolized by the body over a period of three to 24 months, but hyaluronidase can expedite that process by immediately dissolving the injected filler. But due to swelling, results aren’t seen for a few days. “It’s an enzyme that breaks down hyaluronic acid filler,” says Dr. Madnani. “It is a great tool if a patient is unhappy.

I have seen it used mainly to dissolve poorly placed under-eye filler.” Las Vegas dermatologist Harry Greenberg, MD says, “I’ve had to dissolve several fillers, but that’s mainly due to the improper injection techniques of other doctors. It’s important to note, however, that hyaluronidase can dissolve hyaluronic acid, but it doesn’t work for collagen or other non-HA fillers.”

FAC E T I M E

THE FILLERS OF TOMORROW doctors can add to their toolboxes. “A group of HA fillers called Teosyal and Teosyal RHA were just approved,” says Dallas dermatologist Elizabeth Bahar Houshmand, MD. “Teosyal can plump lips and address wrinkles, under-eye hollows and scars; while Teosyal RHA is best for the most mobile areas of the face like the cheeks, nasolabial folds and forehead.” Also approved was HA filler Revanesse Versa. “Other HA fillers absorb water after they are injected and can change a bit in the first few weeks, but with Revanesse, what you see at the time of injection is what you get,” Huntington Beach, CA dermatologist David Rayhan, MD says.

Dr. Houshmand says it differs in that it uses special cross-linking technology, which, per the company, helps the HA particles stay closer together so they are smoother and rounder.

“This results in significantly less swelling, but studies are needed for valid comparison to support this claim.”

HOME IMPROVEMENT

There’s really no substitute for the plumping power of dermal fillers, but many filler curious patients are now turning to over-thecounter topicals first. And while there’s no cream or serum that can do what fillers can do, topicals that contain hyaluronic acid can attract water to the skin and cause a very temporary “plumping” effect that gently stretches out fine wrinkles by causing miniscule amounts of tissue swelling. But don’t expect results anywhere close to the immediate rejuvenation effects fillers injections can give. “If on a scale from 1 to 10, fillers are 10, the best results you can achieve from using OTC topicals is a 2 on the same scale,” says Dr. Elias. While the best creams won’t quell the desire for a filler fix, adding them as part of a daily maintenance routine can only improve the skin’s appearance. “Good moisturization can ‘plump’ to decrease, but not resolve, the appearance of fine lines,” Ashburn, VA dermatologist Stephanie Daniel, MD adds.

“Look for products with hyaluronic acid, retinoids and antioxidants, as these will work best over time.”

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Currently, fillers are enhancing more than just the lips and cheeks. This year, the FDA approved Restylane Lyft for use on the backs of the hands, making it the only HA dermal filler (Radiesse is also FDA-approved for the hands) to receive approval for an area other than the face. And off-label uses on areas like the earlobes, nose, chin, knees, and even the buttocks prove that fillers are some of the most efficient tools for temporary rejuvenation. On the horizon are more durable options—currently in development are fillers that utilize HA in combination with silk-derived proteins or hydrogels. “Hyaluronic acid hydrogels are obtained by a special cross-linking process of HA molecules,” says Dr. Ovchinsky. “Due to an innovative preparation method, they do not contain any detectable residual cross-linking agent and are easier to inject. These new hydrogels show good stability against enzymatic degradation, which should translate into increased longevity.”

But the future is also now—the FDA has recently approved two new fillers

the KIT:

When itâ&#x20AC;&#x2122;s not time to go under the needle, but there are wrinkles to be smoothed, these potent topicals help get the job done.

dr. brandt Needles No More 3-D Volumizing Mask

La Prairie Skin Caviar Absolute Filler

StriVectin Anti-Wrinkle Line BlurFector Instant Wrinkle Blurring Primer

MitoQ Skin Support Complex

Skin Laundry Wrinkle Release Repair Treatment with Retinol

RoC Retinol Correxion Deep Wrinkle Filler

Together, his companies hold 208 patents—many of them for inventions you’ve never heard of, because he’s always on to the new and the next.

Recently, Dr. Perricone made himself a cup of tea, kicked up his moon boots and regaled us with news from the future.

Q/A

NEW FRONTIER B Y

When dermatologist Nicholas Perricone, MD published The Wrinkle Cure in 2000—aka, in the pre-antioxidant skin care, pre-wellness, pre-goop dark ages—it boasted an almost unheard-of thesis: that you could eat your way to better skin. The pushback he faced was evident in a 2002 Time story, in which one of his own colleagues in Yale’s dermatology department proclaimed, “There’s not a dermatologist in the country who believes that what you eat can affect your skin.” Within a few years, the idea of an anti-inflammatory

M A G G I E

diet had gone mainstream, and an army of Perricone followers were gulping omega 3–rich wild salmon and antioxidantpacked blueberries; popping alpha-lipoic-acid and vitamin C ester supplements; and slathering on his medicinally packaged potions.

Twenty-two years, six more books, six PBS specials, and countless product launches later, this year Dr. Perricone rebooted his skin-care range, zeroing in on his core consumer, who is 40-plus and sciencehungry. Among its updates: The trademark Cold Plasma

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cream no longer bears “the smell of science”—now it’s unscented. This year, the No Makeup color range will be relaunched, featuring neuropeptides with skinimproving abilities backed by the company’s clinical trials.

Perricone NV recently touted its renewed focus in a campaign featuring not supermodels, but real-life superheroes: unretouched, black-and-white images of top female scientists, with the tagline, “We’re not just powdering our noses here.”

Ever the scientific rebel, Dr. Perricone himself, of course,

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never left the lab—or rather, labs. He says skin care has always been the gateway to a far bigger goal: Maximized longevity. “Beauty’s important, because vanity incentivizes us to do the right thing [for our health], and you can see the results,” he says. “But topical products are not going to reduce your risk for diabetes, cancer and heart disease.”

In his search for the next wild frontier, he has consulted for the Department of Defense and founded both a pharmaceutical company and an aerospace firm.

NEWBEAUTY: Let’s talk about that tea you’re making. I feel like you probably don’t do Lipton.

DR. PERRICONE: About 15 years ago, in San Francisco, I met this great young guy—a Harvard graduate who was taking over his family’s Chinese business. He sat with me one day for six hours, tasting teas and talking about where they came from. I came across this beautiful white tea with real jasmine in it.

NB: And what are its magical powers?

DR. PERRICONE: Tea’s polyphenols actually

work with your body to turn on some good genes and suppress bad ones, and it has incredible antioxidants. I add some cinnamon—a quarter teaspoon stabilizes your blood sugar for days—a little bit of raw honey, and a quarter teaspoon of coconut oil to make it creamy. Guests go nuts over it. Anything you’re ingesting, you should make sure it’s doing something really positive.

NB: That’s been your MO since the beginning.

DR. PERRICONE: In med school, I came across

evidence that subclinical inflammation was increasing in our cells all of the time. I’m not only a physician, but also a nutritionist, so I surmised that what was causing this inflammation was probably something we’re doing every day. That came down to food. When I started looking at the clinical effects of an anti-inflammatory diet on patients in terms of disease, I really felt I was seeing improvement beyond traditional Western medicine.

NB: Remind us, what are the basics of the anti-inflammatory diet?

DR. PERRICONE: First, colorful fruits and vegetables, because they have lots of polyphenols and antioxidants. All antioxidants, by the way are anti-inflammatories. In addition, you need high-quality protein to repair your cells. I found that people who were eating inadequate protein every day were on an accelerating aging path.

Then of course, fats are critical. When I first started all of this, the low-fat craze was sweeping the U.S. You need fats to burn fat if you want to slim down; you also need fat for your immune system, for all the cells to function correctly and to have beautiful skin. You get that

from coldwater fish, like salmon and halibut, but you can also get it through vegetable sources.

NB: What does all this do for our skin?

DR. PERRICONE: It looks like someone’s put

a lamp on inside of your head, and you’re just glowing. When you drop inflammation, energy production goes up. You can bring in nutrients.

You can kick out wastes. You lose all this extra water and fluid. You just look totally different.

NB: Eating to quell inflammation is Wellness 101 today, but when you came out with the theory, you got a lot of resistance.

DR. PERRICONE: It was a pretty tough road and a lot of hostility [around] talking about free radicals and using anti-inflammatories and antioxidants on the skin. But I think there was enough evidence way back in the late ’80s, early ’90s when I was working on this, that [antiinflammatories] were the key. No one goes outside of their little box or their specialty to look. The resistance, it just wears you out sometimes.

NB: But you got the last laugh.

DR. PERRICONE: And I still do a lot of research

in the area of inflammation. For example, a study on aging mice found that inflammation in the brain is a critical part of loss of cognitive function, and also the aging process. It looked at the hypothalamus, the tiny little piece at the very base of the brain that sends out certain peptides that trigger your body for sexual reproduction and secondary sex characteristics. [In the hypothalamus of mice], scientists found that microglia, these little immune cells, have higher levels of a pro-inflammatory messenger system in middle age, and then really high amounts in old age, which disrupt the gonadotropin-releasing hormone peptide—the peptide that triggers ovulation and spermatogenesis. When the scientists blocked this pro-inflammation messenger, the mice got younger.

NB: And what’s the takeaway?

DR. PERRICONE: We have this theory that we

were programmed to live a certain length of time and reproduce. Once reproduction’s over, we’re useless to Mother Nature, so we start aging and then fall off the planet. But when scientists said, “Well, what if we actually injected this peptide into the hypothalamus of aging animals?,” they got the same effects as when they blocked inflammation—they were producing the peptide that inflammation was disrupting.

NB: Can we make that happen in humans?

DR. PERRICONE: The thing with peptides is

that you can’t take them orally. And we certainly can’t be putting needles into the brain of humans and putting GnRH in. So for the past 15 years, I’ve been working on transdermal systems— topical substances you rub on, that would carry very large molecules through the skin. I’ve been able to put certain peptides on skin and get benefits. I think that is the future.

NB: Shouldn’t we be afraid of the idea of things getting into the bloodstream through the skin?

DR. PERRICONE: The skin is a barrier for a reason. It’s got to keep out molecules we don’t want inside our body. So the transdermal system is very specific and very pure about what it has and how it can be used. I envision this not as an over-the-counter product, but a supervised product if physicians get into it. I just started talking to pharmaceutical companies on that.

NB: Your latest big launch features glutathione.

Why is it so important?

DR. PERRICONE: Glutathione is like the master antioxidant in our cells. As you get older, or you’re under stress or sick, your glutathione levels drop.

Normal glutathione doesn’t penetrate skin cells very well, so I came up with a molecule called an acyl-glutathione, which does.

NB: Can you be my personal guru for a moment?

I’m 41 and just beginning to see signs of aging.

What should I do?

DR. PERRICONE: The anti-inflammatory diet is the foundation. I believe in moderate exercise because extreme exercise can put you into a pro-inflammatory mode—your body starts producing stress hormones like adrenaline and cortisol. Then of course we need to get enough sleep. That’s difficult to control, but there are strategies you can use to go to bed at a certain hour: Don’t drink any stimulants after 2 p.m.; don’t eat too late; and meditation is amazing.

There’s pretty good proof that it increases something called brain-derived neuropeptides— they actually make brain cells grow again. In terms of supplements, coenzyme Q10, lipoic acid, vitamins C and E, and herbals—these are

THE CREATIVES

ULLSTEIN BILD DTL./GETTY IMAGES; LUSHA NELSON/GETTY IMAGES; HERITAGE IMAGES/GETTY IMAGES; RON GALELLA/GETTY IMAGES; BOSTON GLOBE/GETTY IMAGES

How is the creative brain wired? Creative House and SANDOW founder Adam Sandow describes it best: “I never want to stop rethinking things.” Here are six other beauty-driven doers who didn’t look at stopping as an option either.

ELSA SCHIAPARELLI

HELENA RUBINSTEIN

RUDOLF STEINER

NORMAN ORENTREICH

IVO PITANGUY

ROX ANDERSON

Her name might not be as well-known as her rumored rival Coco Chanel, but as The New Yorker stated in a 2003 article, we owe her for a “roster of innovations that include items now commonplace and indispensable.”

In 1939, she introduced the world to the first waterproof mascara; her empire also stakes claim to the first beauty institute, the first beauty treatment involving electricity, and the first hormone mask, for starters.

A philosopher and scientist, Steiner developed biodynamic farming and the Waldorf method, and collaborated with one of the first women docs in Europe, Dr. Ita Wegman, to develop Weleda.

He’s the creator of Clinique (as in the entire line) and Buf-Puf inventor, but this New York derm is probably best known for performing the first successful hair transplant to treat male pattern baldness.

The Brazilian plastic surgeon pioneered procedures, and had a long list of celeb clients, but it was his preaching that plastic surgery is more “wellness than vanity” that the industry remembers most.

Living Proof hair products, CoolSculpting and a whole lot of laser innovations came from the mind of this Harvard-trained derm-entrepreneur who’s been called the “modern-day Benjamin Franklin.”

all powerful anti-inflammatory antioxidants.

Then, of course, I’m going to add to your regimen. You should definitely be drinking hydrogen water probably three times a day.

It may sound crazy, but I think if people are doing hydrogen on a regular basis, we may be able to reduce the health care costs by a third.

In the U.S., that’s a trillion dollars a year.

NB: That’s another one of your companies,

NB: You also founded an aerospace company.

right? Perricone Hydrogen Water.

DR. PERRICONE: About eight years ago I came across the literature on hydrogen-infused water.

In Japan, for 20 years or so they’ve been touting energy benefits of drinking hydrogen water.

But hydrogen is an inert molecule; it’s nonpolar.

I said, “How would it interact in the body?” I got interested enough to do my own study. There’s this incredible pair of enzymes in our cells, NAD and NADH—the absolute basis of energy production in our bodies. Because NADH fluoresces, if you hit it with a special light, it will kick light back out at a frequency you can read—you can actually measure levels of it in your skin. It’s a great noninvasive way to see if hydrogen water affects the NADH system.

NB: What’s it doing in the body?

DR. PERRICONE: In the mitochondria, it’s

helping to increase ATP production and rapidly reducing inflammation in the body through a bunch of cell messenger systems. I’m so enthused about it because [at therapeutic levels] it can reverse metabolic syndrome, a precursor of Type II diabetes. It can give us neural protection and maybe keep people from moving onto Alzheimer’s or Parkinson’s as they get older.

What inventions have you worked on there?

DR. PERRICONE: Aviator glasses that protect the eyes from a laser, because commercial airlines have been constantly hit by lasers. A flight suit that, if you’re flying your plane in combat, vibrates on your body where an incoming threat is coming from, because pilots get overwhelmed with information sometimes. There’s something to protect commercial airlines from shoulder-held rockets, but that was actually put under a secrecy order by the government for national security reasons, so I can’t talk too much about that.

NB: And what about your own anti-aging

regimen? That’s got to be interesting.

DR. PERRICONE: I’ve been using transdermal GRH and GnRH. It really does have quite an effect on rejuvenation. A study showed that it basically rejuvenates things like muscle, even maybe cardiac muscle, and certainly has a profound effect on brain cells.

NB: How has it helped you?

DR. PERRICONE: Fifteen years ago, I found out

I had low bone density, though I had none of the risk factors. The specialist said it was congenital osteopenia. That’s about the time I started these N E W B E A U T Y.C O M

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peptides and supplements. After six or seven years, I got retested. My bone density went from low for my age group to that of a 32-year-old man.

NB: Anything else you’re playing with in the lab?

DR. PERRICONE: The peptide oxytocin. It’s

made up of a string of amino acids, and when we secrete it, it tends to form bonds in human beings.

Under normal circumstances, oxytocin is secreted when a mother is nursing her child, during sex and orgasm, when you give someone a hug. It’s even being used by the armed forces so that the platoons work better together; they bond. We have a little club we call the James Bonding Club, OK? We get people together, and we all do our oxytocin. We talk, and we really have a great time. You really feel good when you use it.

NB: If you’ve got oxytocin on hand, I feel like your next act could be as a relationship guru.

DR. PERRICONE: Someone said, “Gee, can I have some? I really like this guy I’m seeing.” I said, “Yes, I can give you some, but ethically you have to tell him, ‘I just put this cream on that’s supposed to form bonds.’” Of course, about a month and a half later, this person comes up and says, “I don’t know what to do. This guy’s driving me nuts. He won’t leave me alone.” I said, “Did you put the cream on?” “Yes, I did.” “Did you tell him?” “No, I didn’t.”

“I said, “Well, now you have to live with it.

NB: Who’s in this club?

DR. PERRICONE: You’ll have to join to find out.

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STRANGE MAGIC SOME COLLABS SEEM WRITTEN IN THE COSMOS,

B Y TAT I A N A B I D O PHOTOGR APHED BY JAMIE NELSON MAKEUP BY LOT TIE

GUTTER CREDIT

but the history of this dynamic duo—photographer Jamie Nelson and makeup artist Lottie—was first written on Myspace. When these visionaries join forces, things get otherworldly good.

RED AHEAD Lottie gave model Staz Lindes the signature â&#x20AC;&#x153;full Lottie lip,â&#x20AC;? as Nelson describes it, by mixing neon powders into various shades of red lipstick. To get the look, try Shiseido Modern Matte Powder Lipstick in Flame.

P E R H A PS T H E CLO S E ST T H I N G

the beauty world has seen to lightning captured in a bottle is the crackling energy created when Nelson and Lottie work together. Although both have impressive solo resumes, when they work as a team, as they have for more than 13 years, they produce spellbinding art that glimmers off the page. “Jamie’s best friend found me on Myspace,” says Lottie, who was recently tapped as Shiseido’s North America color artist. “Jamie was still in photography school, and we just instantly clicked on a creative level. Since then, I have no idea how many shoots we’ve done together, maybe hundreds.” Rooted in friendship, their seemingly organic process actually takes a lot of planning and technical precision. “We’ve worked together so long that we’re on the same page without even having to talk,” says Nelson. “First, we brainstorm, I’ll create a mood board, and then Lottie adds her makeup ideas. If we don’t find the perfect model, we’ll occasionally pull the plug on the project.” At the end of even the longest shoot days, the duo finishes the job by winding down together. “We typically have wine and look through the photos to find the ones that immediately strike us both,” Nelson says. “It’s such a satisfying and bonding experience.”

GOLD STANDARD

To create a feeling of “modern luxury” on model Madisin Rian, Lottie painted an abstract cat’s-eye with MAC Metal Pigment in Gold. “I wanted to use the gold makeup like an accessory to show that luxury can be worn anywhere,” she says.

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GROWN-UP GLITTER

Lottie paired opaque shimmer in Miro-esque shapes with a contrasting glossy or matte lip. Then, Nelson shot model Emily Page in natural light, rather than stark studio lamps. To get the look, try MAC Glitter in Lavender Hologram, Copper and Turquoise.

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W H AT í S P E R H A P S M O R E VA L UA B L E T H A N H AV I N G A P OW E R H O U S E A G E N T I N H O L LY W O O D ? A B F F W H O J U S T H A P P E N S T O B E O N E O F THE TOP HAIRSTYLISTS IN THE WORLD B Y D A N I E L L E F O N TA N A

ALBERTO E. RODRIGUEZ/GETTY IMAGES

POWER

2018 MTV Movie & TV Awards

“This J.Lo pony was one of the most out-of-thebox looks we’ve done. Mandy doesn’t love wearing a ton of fake hair, so this was a little out of her comfort zone, but I love it on her. She can wear so many looks well.”

MANDY MOORE + ASHLEY STREICHER

A spur-of-the-moment chop led Mandy Moore and Ashley Streicher to each other three years ago. Now, weekly glam sessions in the hairstylist’s picture-perfect STRIIIKE studio are the norm, as is trotting the globe together. “I’ll never forget when we got to the top of Mount Kilimanjaro,” says Streicher. “It was an experience of a lifetime.”

GUTTER CREDIT

WAVE MAKER Streicher describes Moore’s go-to hairstyle as a classic, cool-girl wave that looks very French—“like maybe you just woke up.” To create it, Streicher uses a small round brush to blow-dry the hair, then a combination of a large curling iron and Harry Josh Pro Tools Ceramic Flat Styling Iron to nail the waves.

“Mandy wears parted and slickedback hair like it’s nobody’s business.

I love it when she goes a little more serious and androgynous.”

TRUE GRIT “I don’t do her hair for This Is Us, but lucky for me, she’s mostly in wigs, so her hair is in great condition,” says Streicher.

“Mandy loves a good mask, particularly the Garnier Fructis 1 Minute Hair Mask, which keeps hair shiny, but sometimes too soft. When that’s the case, I use products like Garnier Fructis Texture Tease to give it some grit.”

LADY GAGA + FREDERIC ASPIRAS

Frederic Aspiras has been tending to Lady Gaga’s striking blond strands for a decade, but her ever-evolving style keeps his techniques fresh. “She doesn’t have a go-to look at all; we’re always trying new things.”

BRUNETTE BABY To keep Gaga’s brunette, on-screen strands fresh in A Star Is Born, Aspiras would shampoo and deep-condition her hair daily, creating the need for weekly color touch-ups. Vegan and sulfate-free Celeb Luxury Viral Colorwash and Color Wow Brass Banned Correct and Perfect Mousse helped maintain her color, and Olaplex No. 3 was also a godsend.

“It relinks the broken bonds in the hair to prevent breakage from all of the bleach,” he says.

MAGIC POTIONS “I always carry a bag with various essential oils and mix them into hair oils like the Alterna Caviar Anti-Aging Oil,” notes Aspiras. His favorite elixir: coconut oil, olive oil and lavender essential oil. “It’s super calming and soothing for stressed-out hair.”

75th annual Venice Film Festival

“This is still my number-one look we’ve done. After this night, silvergray hair started trending; everyone wanted it after seeing her.”

87th annual Academy Awards

Academy of Motion Picture Arts and Sciences’ 10th Annual Governors Awards

FRANCO ORIGLIA/GETTY IMAGE; ANTONY JONES/STRINGER/GETTY IMAGES; STEVE GRANITZ/GETTY IMAGES; KEVIN WINTER/GETTY IMAGES

LIGHT BRIGHT Gaga’s platinum hair requires heavy maintenance, so Aspiras is careful not to overstyle. In his toolkit: Wet Brushes for damp hair, Mason Pearson brushes for dry hair, a giant “U” pin, which he uses to twist the hair up in lieu of hair ties, and amika The Antidote Silk Wrap Styler, which helps mend damage.

To curb color fade, it’s Joico Blonde Life Brightening Masque.

“She was shooting Scandal, so her hair was in braids. I took them out and gathered her hair into an elastic, then I pinned a wig to the back for volume. It took 20 minutes!”

49th NAACP Image Awards

MICHAEL TRAN/STRINGER/GETTY IMAGES; WALTER MCBRIDE/GETTY IMAGES

KERRY WASHINGTON + TAKISHA STURDIVANTDREW

“We refer to each other as sisters; she even sang at my wedding 13 years ago!” says Kerry Washington’s hair expert of 15 years, Takisha Sturvidant-Drew. “Over the years, I’ve been able to teach Kerry how to wear protective hairstyles and maintain her hair’s integrity so she can wear natural hairstyles whenever she wants to.” As for what Washington has taught her? “Not to take things so seriously and just let it go.”

EVERYDAY STYLE Sturdivant-Drew says Olivia Pope’s sleek strands were strictly reserved for the TV screen. “That was her character look—she always wants to be the opposite of any character she plays.” Right now, Washington is all about embracing her natural texture, but Sturvidant-Drew says she still

loves to change up her styles. “We both like to keep everyone guessing.” Their favorite fix: Parting the hair on the left and using TSD Hair Extensions throughout for fullness. “Then I pull individual curls out with my fingers to loosen them up.”

MOISTURE RUSH “Kerry is obsessed with the Neutrogena Triple Moisture Deep Recovery Mask,” says Sturdivant-Drew. “We leave it in rather than rinsing it out to add healthy shine.” More of the actress’s staples: an anti-residue shampoo and the ghd Paddle Brush. “It’s the only one she’ll use.”

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Broadway Opening Night After Party for American Son at Brasserie

FREDERIC CIROU/GETTY IMAGES, IMAGE USED FOR ILLUSTRATIVE PURPOSE ONLY

How important is hydration to overall skin health?

E L I Z A B E T H R I T T E R I N V E ST I GAT E S

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C L E O PAT R A H A D M I L K .

BEYONCÉ AND BLUE I V Y H AV E E V I A N .

And I have La Roche-Posay mineral water. An old-fashioned, claw-foot tub of it, smack-dab in the middle of an 11th-century French château that boasts proximity to the brand’s thermal spring.

The fairy-tale town—yes, it goes by the name La Roche-Posay, or, as the locals call it, LRP—has faucets in its center that gurgle the selium-rich water; it also has 1,600 residents, many of whom gather daily with plastic pitchers to take the magic potion home.

Drugstores around the world sell it at a premium for its famed skin-saving abilities, but in this tiny corner of the world, it’s simply a way of life—so much so that the local church sports benches in the signature La Roche-Posay blue.

The brand may be best known for its SPF in the U.S. (when LRP’s parent company L’Oréal got the FDA OK to sell the ingredient of Meroxly-L in 1999, it also brought the first

chemical sunscreen to the states, and in turn, saved many suitcases from being stuffed with the French pharmacy contraband), but La Roche-Posay hopes it’s about to hit another big skin-care sector—this time in the hydration department.

Austin, TX dermatologist Ted Lain, MD is a believer, too. He recommends the brand to patients because, as he describes it, it’s a line that helps with hydration, not just moisture.

“Hydration and moisture are very different, but often lumped together, and that can get people into trouble with their skin-care routines,” he explains. “Hydration refers to the water content of the skin. It differs from moisturization, which implies augmenting the skin’s ability to maintain hydration. Water is constantly lost from the skin’s surface, either because of a dry climate or an impaired ability to retain it, as can be experienced when the skin is scaly, red and irritated.”

Enter the fact that this also equates to two totally different ways to treat our skin— something cosmetic chemist Stephen Alain Ko says can be surprising to the most skinsmart enthusiasts, and is surrounded by a bit of debate. “Many people have different

Water SU PPLY

Bliss Hydration Salvation

Olive + M Antioxidant Balm

definitions of dry, dehydrated, hydrated, and moisturized, so it can become confusing.

Hydrators and moisturizers all work by increasing the water content of the skin—even non-water containing occlusive [these are the ones that physically prevent water loss] balms and ointments will increase the water content of the skin over time by reducing the amount of water that evaporates from the skin.”

Ko says even the term occlusive on its own is a bit of a misnomer. “When people think ‘occlusive,’ they think it is 100-percent occlusive, like a film of plastic wrap. In reality, most occlusive cosmetic products, like oils or balms, are only occlusive to a degree. While an occlusive on the skin may reduce some of the skin penetration of something applied after, it won’t prevent it completely. When it comes to very dry skin, it might take multiple approaches to improve it. The first place to start is by rethinking cleansing, which can remove natural moisturizers and lipids from the skin. Shorter showers and gentler cleansers can make a huge improvement.”

Which brings me back to the bath: Admittedly, I cannot trust my math after two glasses of the region’s sparkling Vouvray, but

THE NEWEST RELEASE OF HYDRATION HELPERS UPS SKIN HEALTH WITH A PUNCH OF POWERFUL INGREDIENTS

Skinfix 911 Balm-C

Silk Therapeutics Nurture+

Phyto-C Hyper Hydrate

Lancôme Absolue Soft Cream

THIEMO SANDER/THE LICENSING PROJECT

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if the going rate for 5.3 ounces of the mist is $13, my decadent soak should have its own insurance policy. My skin feels softer than it ever has thanks to the minerals; my normally super dry and itchy arms and legs, like silk. I have cracked the cracked-skin code.

Alas, Dr. Lain tells me I don’t have to be so fancy to get this kind of results. “The secret is applying and reapplying humectants like hyaluronic acid, glycerin and lactic acid. These ingredients draw in water and have the ability to increase hydration. Healthy skin requires long-term, daily use of lotions or creams with humectants—just like how we drink water to hydrate our bodies, it involves a continuous replenishment.”

“Hydrating S K I N P R O P E R LY HELPS TO STRENGTHEN OUR MOISTURE BARRIER, WHICH IS CRITICAL AND HELPS TO WAT E R P R O O F

Ko agrees. “The biggest difference one will notice [in regards to the skin] is consistency and reapplication.

The best advice when it comes to people dealing with atopic dermatitis is to reapply, reapply, reapply. The product is a personal choice, but consistency and reapplication is key.”

A simple concept, in theory, but when not practiced properly, skin doesn’t just appear dry, but also dull, wrinkled and even saggy.

“The most important thing you can do to keep your skin the healthiest is to keep it properly hydrated,” Eagan, MN dermatologist Charles E. Crutchfield III, MD says. “That

THIEMO SANDER/THE LICENSING PROJECT

O U R S K I N .”

includes using a gentle cleanser [he recommends a non-detergent or lowdetergent cleanser such as Vanicream Cleansing Bar, Dove unscented soap, Cetaphil or Neutrogena cleansers], a good moisturizer after every bath or shower with re-application throughout the day, depending on the relative humidity of your climate. I’m also a big fan of the HydraFacial.

It’s one of the most popular skin-care treatments in our office right now. The technology and ingredients create a glow that lasts for days and effectively helps mitigate environmental damage, reduces fine lines and wrinkles, and plumps and firms the skin for long-term results.”

New York dermatologist Michelle Henry, MD is also behind the underrated power of hydration. “It is not only important to make the skin look better, but it also makes it more resilient and affects its overall health and ability to function optimally,” she says.

“Hydrating skin properly helps to strengthen our moisture barrier, which is critical and helps to waterproof our skin. This essentially blocks damaging elements like pollution, bacteria and debris from entering, and seals in water to allow our skin to remain optimally hydrated. It can be confusing, but if you look at it like a hydrator is adding water to the skin and a moisturizer is locking in that hydration, you’re covered.”

While Dr. Henry typically recommends the cream route (her SOS solution is gentle exfoliation and a thick moisturizer containing ceramides or hyaluronic acid, sealed in with an ointment like Aquaphor) recently, she’s been partial to an injectable option.

“I love making a cocktail of diluted filler and injecting it superficially into the dermis. It helps to shrink pores and increases the skin’s overall radiance and hydration,” she says.

“Who doesn’t want that?”

SPONSORED

Image Used for Illustrative Purposes Only

MEGA

INTO the D EEP COSMETIC CHEMIST STEPHEN ALAIN KO SAYS TO UNDERSTAND HYDRATION, IT’S IMPORTANT TO UNDERSTAND TRANSEPIDERMAL WATER LOSS, OR TEWL “The biggest reservoir of water comes from the deeper layers of the skin.

The stratum corneum averages around 10 to 30 percent water content [the lower concentration of water nearer the surface], whereas the deeper layers of the skin average 70 percent water content,” he explains. “This gradient of more water in the deeper layers means that water is constantly moving upward toward the surface.”

The “surface water,” when mixed with the outside humidity, equates to eventual evaporation as transepidermal water loss or TEWL. “There’s a big misconception or desire for people to prevent TEWL, but that would be a problem. The goal should be to reduce TEWL, not eliminate it if your skin is dry,” he says.

“There are many ways to increase the

water content of the skin, whether that be occlusive oils or water-soluble humectants. Humectants will help bind and keep water in the skin, whereas oils and occlusives reduce the amount of evaporation. Both will lead to increased water content in the skin.”

Ko also recommends the ingredient of niacinamide, specifically because it increases the levels of ceramides in the skin, which can increase skin hydration.

“There are other humectants like amino acids, hyaluronic acid, mushroom extracts, etc., and data consistently shows that the old standby of glycerin outperforms them when it comes to reducing TEWL. However, glycerin can be uncomfortable and sticky for some people, and other ingredients may feel and look better on the skin.”

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MOISTURE

It only counts one product in the line, but MMXV Infinitude’s majorly multitasking Universal Facial Treatment does so much, it’s all biochemist and founder Mirela Mitan, PhD thinks your beauty routine will need. Considered a “seven-in-one” product, the luxe cream was specially formulated by Mitan to “simplify skin-care routines,” and she prides herself on the fact that it has the same efficiency when applied around the eyes, face and neck area thanks to a bevy of clinically proven benefits.

“Our proprietary technology—an infusion of ingredients like fermented white truffle, falernum grape extract, fresh leaves olive extract, and specially selected hyaluronic acids—deeply hydrates by resurfacing the skin cell membrane and replenishing the extracellular matrix,” Mitan explains.

“We don’t use a high concentration of fatty ingredients; instead, the formula helps restore skin while naturally hydrating it.”

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For more information, visit mmxvinfinitude.com

MARK MAWSON/GETTY IMAGES

Chemical RO M A N C E

M O T H E R NAT U R E M AY N O T A LWAYS K N OW B E ST, B U T W H E N I T C O M E S T O SA F E F R AG R A N C E F O R M U L AT I O N, TOP PERFUMERS DO A P R I L LO N G C E L E B R AT ES T H E P OW E R O F SY N T H ET I C S

They can give a rose fragrance the effect of plucked-at-dawn dewiness, or make a whiff of violet extend to the heavens. They can blow your mind with novelty, or fool you with their ability to mimic something else. They are the secret sauce that make our favorite perfumes abstract, captivating and alive, and yet aromachemicals, called simply “molecules” by perfumers, are some of the most misunderstood materials in the world of beauty. At a time when Oxford Dictionaries dubbed “toxic” the 2018 word of the year, and seeking out clean everything from moisturizer to mascara has become a zeitgeisty goal, the magic molecules that make most perfumes—yes, even clean ones—really sing, are often slapped on the suspicious characters list.

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David Apel, a senior perfumer at fragrance house Symrise, compares the misconceptions surrounding perfume molecules to the hullabaloo that was kicked up recently when beverage company La Croix was accused of using insecticide ingredients in its beverages. The culprits?

Linalool and limonene. “Those molecules are incredibly prevalent in nature,” Apel says.

“They’re in every citrus fruit, in flowers, and every plant you can think of. Maybe bugs don’t like them, but that doesn’t mean they’re harmful.

You’d ingest more of them eating an orange than you’d ever find in a product you can buy. That whole thing happened due to a lack of education about what these things are.”

Not only are the aromachemicals used in perfumery subject to rigorous testing, the screening process has tightened up even more now that U.S. fragrance companies must adhere to EU regulations (and the nitromusks that caused neurotoxicity concerns in the 1980s have long since been discarded). “It’s like whisky from a tub versus whiskey with the proper label on it,” says D.S. & Durga perfumer David Seth Moltz.

“You should have no fear of the thing with the proper labels on it. The fragrance companies are paying hundreds of thousands of dollars to test everything and make sure there’s no possible sensitivity or carcinogenic risks. As perfumers, we have extremely strict rules about what we can use and in what amounts.” There’s actually less likelihood that a synthetic will cause an allergic reaction than a natural would—a raw material such as a blade of grass or a slice of lemon is mind-bogglingly complex, containing hundreds of different potentially irritating aromatic components, whereas an aromachemical has been simplified and purified so that it is, as advertised, a single molecule.

Another win for synths? In many cases, they can supersede naturals in planet-friendliness.

The use of synthetic sandalwood, for example, means that critically endangered forests are now being brought back from the brink (though, admittedly, the perfumery industry was partly responsible for decimating them in the first place). Since molecules pack such a powerful olfactive punch, smaller amounts of raw material can be used, so their production can be stretched farther; and the creation of synthetics, unlike the

CLASSIC ACTS

Guerlain Jicky Parfum

Thierry Mugler Angel

Chanel No. 5

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harvesting of natural ingredients, requires no land use, nor does it deplete any water resources.

Even where synthetics fail the test, as in the carbon footprint associated with fossil fuel use, fragrance companies are working to address the balance. Symrise, for example, is increasing its production of aromachemicals that can be forged from renewable resources and byproducts of the paper pulp, sugar, and citrus industries.

The development of synthetic notes such as musk (originally derived from the genitals of tiny, fanged musk deer, in a process that did not end well for said deer) and civet (extracted unpleasantly from the anal glands of an exotic cat) also means that we can thank molecules for the fact that no animals are harmed in the making of our perfumes. These alluring notes— indispensable for adding depth and character, warmth and sensuality to fragrance—are arguably more versatile in synthetic form because they can be parsed a thousand different ways, and more nuanced than the scents derived from their unsavory original sources. Civetone, for instance, is “this unbelievable musk that has none of the poopiness of real civet,” says Moltz.

“It’s magical, and expansive—even just a drop of it in a fragrance opens you up. It’s like you smell it in your third eye.”

Which takes us to what is absolutely, indisputably, the most important role of molecules in perfumery: They allow perfumers—and perfume wearers—to dream. The reason you and I are spritzing scent on our wrists today, really, comes down to synthetics. Before about 1850, perfume was exclusive for royalty,” says Stephen Nilsen, perfumer for Commodity. “Because it was so expensive to harvest and extract enough naturals, perfume was reserved for the select few, like Marie Antoinette, who could afford to take whole communities and have them pick flowers just so she could have fragrance. But the advent of synthetic chemistry meant that people started uncovering what makes things smell, and how to replicate smells.” Once molecule-making took off, it meant that fragrance could be made more inexpensively, because it required less laboriously distilled botanicals. “Synthetics allowed us to bring the beauty, the emotions, and the special communication of fragrance to everyone,” Nilsen says.

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MARK MAWSON/GETTY IMAGES

“There’s actually less likelihood that a synthetic will cause an allergic reaction than a natural would.”

LO N D O N - BAS E D P H OTO G R A P H E R M A R K M AWSO N C R E AT E S ST R I K I N G SY N T H E T I C F LOW E RS BY M I X I N G I N K A N D PA I N T I N WAT E R.

MARK MAWSON/GETTY IMAGES

Hypnotic Bloom

“Nowadays we work with 3,000 ingredients, and about 2,500 of them are synthetic.”

It all started with vanillin, a vanilla-scented molecule first developed from pine bark in 1874.

That sweet, luscious note appeared for the first time in perfumery in Guerlain’s Jicky in 1889, along with another new synthetic, coumarin.

Ionones, which have a velvety, violet aroma, were discovered in 1893, and soon assumed starring roles in two fragrances that are now considered iconic: Coty’s L’Origan (1905) and Guerlain’s L’Heure Bleue (1912). As perfumers grew more audacious with these new materials, they began to use them lavishly—what, in perfumery parlance, is referred to as an overdose—thus creating such unforgettable effects as the signature love-drunk heady vanillin in Shalimar, the fizzy effervescence of aldehydes in Chanel No. 5, and the cotton-candy ethyl maltol in Thierry Mugler’s Angel.

Over the course of the 20th century, more molecules were created to mimic things found in nature that could never be captured in perfume before—and they resulted in blockbusters.

Calone, for example, a molecule that replicates the smell of the ocean, defined the ambiance of the 80s and 90s, from L’Eau de Issey Miyake to Davidoff Cool Water. “I created Sunflowers for Elizabeth Arden,” says Apel, “that was my sort of old school Calone hit. I loved to work with it because it gave me an opportunity to express the fresh marine environment that I had experienced as a perfumer growing up on the East Coast of the United States. There’s no way to capture that feeling of the sea with a natural material.

Does your favorite fragrance have fruity note, or a leathery dry-down? Most of those, too—as well as many, many flowers, including perfume mainstay lily of the valley—are brought to us by science. “Thanks to the magic of molecules, I can make perfume with mute flowers”—blooms that have no essential oil extraction—“such as violet, lily of the valley, hyacinth, or even tulip, as I just did in Cartier Carat,” says Cartier perfumer Mathilde Laurent. “There really is no perfumer’s palette without them. Nowadays we work with 3,000 ingredients, and about 2,500 of them are synthetic molecules.”

They allow the perfumer, as Laurent says, “to do micro-surgery on perfumes,” making them greener, softer, sweeter, or bolder with a minute, targeted tweak. “Synthetics allow you to create

SYNTH POP

Escentric Molecules Molecule 01

Commodity Leather

spatial relationships,” says Moltz. “They put your fragrance into space, and allow them to extend over time. It’s a little bit like an electric guitar versus an acoustic guitar. There are no tone knobs on the acoustic—you just play it and it sounds like it sounds. But when you plug it in and turn the treble down and the bass up, you can start to really augment and change the sound.”

Synthetics, recently, have been known to strike out on their own. Cult-favorite Escentric Molecules 01, which was comprised solely of woody, musky Iso E Super, debuted in 2006, and the brand’s second creation, Escentric Molecules 02, celebrated tobacco-y amber Ambroxan, is celebrating its tenth anniversary this year with the Power of Ten 02. Niche New York perfume house Nomenclature has released, to date, eight different fragrances featuring molecules as their protagonists, showcasing such game-changing synths as sunny, citrusy floral Paradisone and reimagined-patchouli note Clearwood.

D.S. & Durga’s new I Don’t Know What is also an all-synthetic eau, devised by Moltz to be worn alone or to be used as an enhancement for a natural oil. “It’s like a fragrance with no heart,” he says. “It’s just architecture that holds a fragrance up, and then you can add whatever you want. It’s a great tool to augment anything, but it also has a really beautiful, transparent clarity by itself.”

Virtually every perfumer would agree, however, that molecules do their best work when intertwined with naturals, and vice versa. “A lot of the fabrics we wear are blends of cotton plus synthetic fibers to give the performance that people want, the stretch, the lastingness, and it’s the same in fragrances,” says Nilsen. Even with 2,500 synthetic shades in the perfumer’s Crayon box, “we still love naturals.

Naturals have a beauty and a complexity that we can’t get out of synthetics. It’s like we’re never going to replace real flowers with silk flowers. But we can take a natural and add a synthetic to it, and together they create a beautiful smell that we couldn’t have had before. We can have symphonies playing along with a synthesizer.”

D.S. & Durga I Don’t Know What

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CH ANG ED 10 BEAUTY INDUSTRY INSIDERS SHARE THE SUPERSTAR PRODUCTS AND IN-OFFICE TREATMENTS THEY CANâ&#x20AC;&#x2122;T LIVE WITHOUT

MY LIFE

JAMIE NELSON/BLAUBLUT-EDITION

THE LIP BALM THAT

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RUTS. WE’VE ALL BEEN THERE.

They develop when you fall into a routine that’s not working for you. The same thing can happen with your skin. Your facial-care program is probably fine, but with time, your skin gets used to it and you stop seeing results, leading to a lackluster complexion. There is a solution, however, and it’s major. This brand-new, breakthrough system is like nothing you’ve seen before, proven to jumpstart your skin and get it back to glowing. It’s tailor-made for those situations when you want to take things to an 11—think: before a wedding, vacation, or your high school reunion; if you’re experiencing hormonal fluctuations; or just when it’s between seasons and your skin is in transition.

StriVectin Skin Reset 4-Week Intensive Rejuvenation System is like a juice cleanse for your complexion—a month-long program that layers seamlessly into your current regimen with four ultra-potent, highly targeted serums. All are enriched with NIA-114, StriVectin’s patented form of niacin that’s been shown to reinforce the skin barrier for a more resilient complexion, plus a variety of other powerful ingredients.

The best part of all? It’s a no pain, all gain proposition. StriVectin Skin Reset has absolutely zero downtime. You’ll start noticing improvements within the first seven days (no need to hide!), and they’ll build from there. After one month, you’ll find that what was previously dull, tired and lifeless now appears even, firm and radiant. Try it any time skin has lost its spark and get out of that rut!

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JULIE RICEVUTO

SENIOR DIGITAL EDITOR, NEWBEAUTY

“I lift my brows when I apply my mascara. And one tragic morning, I noticed that once I relaxed my face, the lines on my forehead didn’t instantly disappear. So I amped up my skin-care routine and went to my dermatologist for preventive Botox. Ever since getting that first injection, my skin is so much smoother and the lines have disappeared.

I’m obsessed.”

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DANIEL MARTIN

CELEBRITY MAKEUP ARTIST

“When I was in my early 20s, I was working at Tower Records and I had really bad cystic acne. The Aveda Botanical Kinetics skin-care line cleared it all up. That was when I started drinking the Aveda Kool-Aid!”

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BRITTANY BURHOP FALLON

SENIOR BEAUTY EDITOR, NEWBEAUTY

“I knew my lips were small, but they were never something I thought about until about eighth grade.

This guy on the soccer team told me that I would be hot if I didn’t have such thin lips. I never forgot that. In my 20s, my editor asked me if I would want to write a first-person about getting lip injections. At the time, no one talked about how natural lip fillers could look. When my threeyear-old nephew pulls out his watercolors and doesn’t produce a masterpiece, no one blames the paint. But we all blamed the filler, not the injectors, for the overfilled celeb lips.

But because I knew the treatment was safe (and reversible), for the sake of a story, I said yes. One syringe of Restylane Silk later, and my results exceeded my expectations: natural-looking with just enough fullness to apply the bold lip colors I’d always wanted to wear, but never felt like I could pull off. Even if no one notices —they usually don’t—my personal confidence boost has certainly been lifechanging, and we all deserve that feeling.”

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JOLENE EDGAR

SENIOR CONTRIBUTING EDITOR, NEWBEAUTY

“There’s this picture of me at 19: It’s summertime and I’m in the back of a boy’s car, curled up with friends, laughing the kind of laugh that disappears the eyes and exaggerates the cheeks. Those, I remember well: High and round, soft curves throwing back sunbeams, they’re almost too cherubic for 19. By my mid-30s, that plumpness had faded, the loss of fat and collagen turning my features sharp, yet ironically, dull. Around the same time, the FDA was greenlighting Juvéderm Voluma XC, a robust hyaluronic acid filler—the first made specifically for depleted cheeks. Since my inaugural dose, I’ve started going for biannual touch-ups.

Injected deep, the cushy formula perches on the cheekbones, restoring contours to not-quiteteenage proportions, but a happy in-between place for this 41-year-old. What I notice most though isn’t the subtle volume boost, or any sort of reputed lift, but the way the gel highlights my cheeks, recapturing that sunbeam glint from years ago.”

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YING CHU

IVAN LATTUADA/IMAXTREE

BEAUTY DIRECTOR, GLAMOUR

“When I was a newbie beauty assistant in the early 2000s, one of my first backstage interviews was with Pat McGrath for Prada. The look had a sporty, windblown vibe and she used only three things: a MAC lipstick on the cheeks for the flush, mascara and Burt’s Bee’s Lip Balm—the original one in the tin—as a multitasker: on lips, to tame brows, and for a subtle highlight on skin.

I thought it was the most ingenious and glamorous thing. That interview sold me the beauty editor thing and I still love that balm to this day.”

In week one, a cocktail of potent ingredients help REBUILD skin. Sea salt ferment and Himalayan herbal extract moisturize and rejuvenate, leaving skin looking and feeling nourished, healthy and hydrated.

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AMY KELLER LAIRD

BEAUTY EXPERT; MENTAL HEALTH ADVOCATE AT @CLUB_MENTAL

“Oribe Dry Texturizing Spray is one of the only beauty products that causes me to break out into a mild freakout when I realize the can is empty, because it’s a hair unicorn: There are legitimately no products from other brands that do what it does. I’ve air-dried my hair for years, and once it’s dry, this aerosol spritzer takes it from disheveled bedhead to the type of sexy, tousled bedhead of my hair icon, model Freja Beha Erichsen [above]. It’s equally adept at creating rockerish texture and volume throughout the hair, not just at the roots. And it’s far less crunchy than hair spray, so you can pretty much blast with abandon. Which I do.”

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turn it up BRING ON THE BOUNCE

After seven days, you’ll switch to the BOOST serum, which is formulated with a collagen-boosting hexapeptide and electric daisy flower to amp up skin’s firmness and elasticity. Wild yam root helps create a smoother surface, while ceramides help lock in moisture.

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life-altering flat iron was.

Of course, the grass is always greener. Twentyplus years later, I wish my hair still had a bit of its big-hair memory.”

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At the halfway point, it’s time for the BALANCE phase. This focuses on evening skin tone, reducing the appearance of redness and generally making the complexion appear more radiant. Results are achieved through a combination of phyto-active plant extracts, toning micro algae, and a tetrapeptide, which targets everything from roughness to fine lines.

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ZACHARY CLAUSE

SENIOR VIDEO PRODUCER, NEWBEAUTY

“Growing up I had severe acne, and the only thing that worked for me was Accutane. As effective as it was, it left my skin extremely dry. My doctor suggested Aquaphor, and 20 years later, I’m still using it. It’s a miracle.”

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LIZ RITTER

EXECUTIVE EDITOR, NEWBEAUTY

end game REVEL IN REMARKABLE RESULTS

For the last week, the focus is on ways to RESTORE skin and make it stronger and more youthful-looking. Deep lines get smoothed with the help of blackjack extract. Wrinkles and uneven texture appear to melt away, thanks to an oligopeptide. The results after 28 days are truly remarkable.

Skin really will look refreshed and renewed—like it’s hit the reset button!

To get started on your own skin transformation, visit strivectin.com.

“I used to turn green with envy every time a Pantene commercial played. I prayed to wake up with the sleek, soft hair the models had—anything had to be better than my massive lion’s mane of big and frizzy, not-quite-curly hair. By the time I got to college in the late-’90s, I had heard rumors of a mystical hair-straightening device called BaByliss that lived in my dorm.

I made friends with its owner, who was nice enough to let me try it before a night out. The $100 price tag wasn’t in my freshman-year future, but having zero shame to knock on her door every time I wanted to use the

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I left bandaged and secured tightly into a compression garment, which is meant to minimize swelling and bruising, and help shape the tissue. For the next week or so, I had some soreness and bruising, and I applied vitamin A cream to expedite healing.

A year later, the dimples are still gone.”

SARAH EGGENBERGER

EDITOR-AT-LARGE, NEWBEAUTY

“Cellulite! It always made me feel bad about myself.

Every article I had ever read said that most women have it, even Victoria’s Secret models. But that didn’t make me feel better.

I worked out like crazy... still had cellulite. I gave up fizzy drinks....no change.

This crazy French guy said that tight underwear caused cellulite, so I went commando. I dry-brushed, jumped on trampolines, did juice cleanses. Nothing worked. Until, that is, that I tried Cellfina, the only FDA-approved, minimally invasive treatment guaranteed to erase dimples. My dermatologist Julie Russak explained that during a Cellfina session, she would quickly and painlessly release the connective bands woven through the fat—it’s like pulling the button out of a couch cushion. On the day of the procedure, Dr. Russak circled my cellulite with a marker to indicate the areas on my thighs and butt to be treated. She applied suction to each dimple to inject it with lidocaine, a numbing agent. It burned slightly, but that was the only part of the procedure that was uncomfortable Once the areas were completely numb, a tiny blade precisely severed the cords on each of the spots.

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DANIELLE FONTANA

ASSOCIATE EDITOR, NEWBEAUTY

“Some moments I never forget. Like when my boyfriend of five years complimented my skin for the first time. I had just cracked open my first shiny black bottle of Chanel Perfection Lumière Velvet—a splurge for my college-student budget at the time—when he uttered the words that would seal my foundation fate forever. ‘Woah—your skin looks really good today.’ Choosing not to focus on what he thought my skin looked like every other day, I basked in the simple sentence that solidified the poreblurring, skin-illuminating magic of every drop.”

Sometimes the smallest tweaks make the biggest difference.

— La Jolla, CA plastic surgeon ROBERT SINGER, MD

THE

WELCOME TO THE CLINIC:

A comprehensive guide to the most advanced aesthetic procedures and the top doctors who perform them.

PAGE 112

PAGE 116

PAGE 122

THE THREAD LIFT EVOLUTION

BBL ALTERNATIVES

FACELIFTS AT 40-SOMETHING

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THE CLINIC

FACE + BODY

THE THREAD LIFT EVOLUTION THE NEXT GENERATION OF THREADS OFFERS BELOW-THE-FACE BENEFITS B Y B R I T TA N Y B U R H O P FA L L O N

E

arly 2001 saw the end of Tom and Nicole, J.Lo and P. Diddy, and Hollywood’s infatuation with the thread lift.

The latter was the most literal of breakups: one A-lister’s thread snapped on the red carpet under the eagle eye of Joan Rivers (if you believe the rumors to be true), while a high-profile agent suffered a thread malfunction while yelling at his assistant.

Dubbed a quick fix for hoisting up cheeks and jowls without the need for a surgical facelift—“threads,” aka sutures, are inserted into the skin via a needle—the original thread lifts quickly fell out of favor with the rest of the country in 2002 when the barbed polypropylene threads often resulted in facial distortion and asymmetries. Some even broke under the skin, causing infections, or protruded through thinning skin in aging patients. “Early threads were made of the same material used to string a tennis racket,” says Chicago plastic surgeon Julius Few, MD. “They were very unforgiving, very firm and could easily irritate the tissue.”

In 2015, Silhouette InstaLift spearheaded the shift from permanent, polypropylene threads to dissolvable, poly-llactic acid (PLLA) sutures, and doctors loved the modification.

Brands such as Nova Threads and MINT have also introduced similar versions made of polydioxanone (PDO), a material that’s been widely used for thread lifting in Asia for years.

These modern thread lifts— many experts are moving away from the term “thread lift” and toward “absorbable suture suspension” to shake the stigma associated with old-school methods—also provide more than just a lifting benefit. “With Silhouette InstaLift specifically, because the sutures are largely composed of PLLA—the same material used in the dermal filler Sculptra Aesthetic—a bio-stimulatory effect occurs in the skin with the production of both Type 1 and 3 collagen,” Washington, D.C. dermatologist Tina Alster, MD says. “This collagen increase leads to a volumizing effect that continues for up to two years, enhancing the quality of the skin in the long run.” Dr. Few, who has performed more than 1,000 thread lifts, says that based on the patient questionnaires submitted in his 100 case studies, all patients felt as

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though their appearance continued to improve over time.

“The best candidate is someone in their 30s, 40s or early 50s with mild-to-moderate sagging,” says New York plastic surgeon Z. Paul Lorenc, MD. “For patients in their mid-50s and older, we can still see some good results, but they’re much less predictable.” Downtime is generally minimal with little swelling and/or bruising, and Dr. Few says many of his patients have gone to big events 24 hours later where no one noticed, although he notes this may not be the case for everyone.

“Thread lifts can offer a temporary fix for those with mild skin laxity.”

Although all of the experts interviewed for this story agree that a surgical facelift is still the gold standard for lifting and shaping the facial tissues into a more youthful position long-term, Eugene, OR plastic surgeon Mark Jewell, MD says thread lifts can offer a temporary fix for those with mild skin laxity. “When we’re doing a

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facelift, we’re working to pull the deeper layers of muscle and fat up with the skin, which thread lifts don’t do, so the lifting effect isn’t nearly as profound.”

La Jolla, CA plastic surgeon Robert Singer, MD agrees, adding that some patients who have minimal laxity may benefit from suture lifts, but only shortterm. “Those with significant skin laxity, loss of elasticity or sun damage won’t experience a positive effect and are generally best-suited for a facelift,” he says. “Patients need to be educated on the differences between the two procedures so that they don’t have false expectations.” (Read more about facelifts on page 122.)

For patients who are deemed candidates for both, cost is generally a deciding factor.

The cost of a thread lift varies considerably by region in the U.S.—the doctor’s expertise plays a role, too—but expect to spend $3,500 on average.

A traditional facelift rings in at around $12,000, depending on the surgeon and technique used, but it can last up to 10 years. So all things considered, repeat thread lifts every two years for a decade could set you back about $17,500, but whether or not patients will do that remains undetermined, as the procedure is still so new.

THE CLINIC

FACE + BODY

SPONSORED PROMOTION

YOUTHFUL CONTOUR For those who are bothered by sagging skin—perhaps their cheeks don’t sit as high and look as perky as they once did—but aren’t ready for a surgical facelift, Silhouette InstaLift is the only absorbable suture in the U.S. that is FDA-cleared to lift the midface.

Minimally invasive and performed by either a plastic surgeon, facial plastic surgeon or dermatologist, the 45-minute procedure uses innovative Micro-Suspension Technology (MST) and absorbable sutures to lift the skin into a more youthful position.

Bidirectional, absorbable cones attached to the sutures dissolve safely in the skin over time, working to stimulate new collagen formation for a gradual volume boost that lasts up to two years. The result: a visibly smoother, rejuvenated profile.

PRE-TREATMENT SIX MONTHS POST-TREATMENT

San Diego plastic surgeon Kimberly Butterwick, MD performed a Silhouette InstaLift procedure on this patient’s midface to lift her sagging skin and restore a younger-looking contour.

B O DY B E AU T I F U L While Silhouette InstaLift is only currently FDA-approved for lifting the cheeks—in Europe, it’s also approved for the lower face, neck and brow—many plastic surgeons and dermatologists have been experimenting with it, and other types of sutures, elsewhere on the body. “It’s still highly investigational and new techniques, products and applications are still in development, but the future looks promising,” says Dr. Few. Two of the most popular below-the-face requests include the area under the chin, which can be tightened with the suture technology, and the neck, which can be lifted. Drs. Lorenc and Few have published their findings on the effect of sutures used in these areas, and say they have a high degree of patient satisfaction, but treating the neck is definitely more involved and the results aren’t as predictable as they are on the face. “The tissue is extremely thin and mobile; it’s tough to get the sutures to hold the same way for everyone,” Dr. Few says.

“We’re still working out the applications for this area, but what we know so far is that there seems to be an absolute need to help support the jawline first and then the neck. When the two areas are done together, the results are much more consistent and patients are happier.”

Doctors are also testing the use of threads to lift lax breasts and buttocks, as well as skin above the knees and on the upper arms. Dr. Alster has seen successful skin tightening on the arms and knees, but says there’s not enough clinical work for her

to make a full endorsement.

Additionally, the consensus among top docs is that the current sutures on the market in the U.S. are not suitable for a butt lift. “Years ago, I was part of an investigation that studied the biomechanics of facial lifting and how much force it took to pull the jowls up. It was about six pounds of force, which isn’t a ton, but that was just for the lower face,” says Dr. Jewell. “The buttocks are much heavier, so they would require many times that, and I don’t believe current thread technologies have enough lift capacity to hold them up, let alone for an extended period of time.”

Dr. Singer adds that using sutures in this way “has never been shown in a valid scientific study to produce reasonable or long-term results,” aside from the appearance of a lift increase due to initial swelling, which eventually wears off.

Some surgeons, like Drs. Singer and Jewell, argue that this same reasoning applies to the breast tissue, especially larger breasts. However, a new type of suture technology called Refine is set to debut in the U.S. later this year under the Silhouette umbrella, and claims to offer an effective solution. “Instead of being made of PLLA like InstaLift, they’re more durable—and permanent—medical-grade polyester sutures that have been used in surgery for decades, so we see great potential in their ability to lift the breast tissue,” says Montclair, NJ plastic surgeon Barry DiBernardo, MD, one of the lead investigators for Refine who has already used it in more than 75 cases.

“There is a huge demand for

nonsurgical lifting on the body, and the breasts in particular, which tend to deflate and/or sag as a result of pregnancy, breastfeeding, weight fluctuations and age.”

At launch, Dr. DiBernardo says Refine will be used surgically—the sutures will enhance a breast lift by “creating and maintaining fullness in the upper breast” using standard incisions.

Often, breast implants are combined with a lift to create the same upper fullness; Refine would offer another option. However, researchers predict that eventually the sutures will be inserted under local anesthesia, like a thread lift, providing a minimal-incision breast lift.

“There has been a lot of hype behind ‘minimal incision’ and ‘scarless’ breast lifts, but none have proven successful in published studies,” says Dr. Singer, noting that clinical trials for Refine are still in their infancy and more data is needed to verify its efficacy.

Patient selection will play a crucial role in the procedure— as an adjunct to a surgical breast lift, Refine will benefit a larger, heavier breast, as it will provide secondary support. As a stand-alone treatment, smaller breasts may have the advantage, as there will be less weight for the sutures to bear, but testing is still underway.

“Proper technique is paramount when using these sutures in order to achieve the appropriate breast shape.

There will be a learning curve for doctors,” Dr. DiBernardo says. “Current research is also being conducted to show that the sutures are not visible on mammograms, as not to interfere with test results.”

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THE CLINIC

BODY

BBL ALTERNATIVES THE SO-CALLED “YEAR OF THE REAR” HAS SPANNED NEARLY HALF A DECADE NOW, AND WHILE THE GALVANIZING FORCE BEHIND IT IS DEBATABLE (BELFIES? TWERKING?), ONE THING IS CLEAR: OUR PYGOPHILIA IS NOT A PASSING FAD, BUT A BONA FIDE FACT

BY J O L E N E E D GA R

E

xhibit A? The meteoric rise of the Brazilian Butt Lift (BBL), a two-part surgery featuring liposuction and fat grafting, intended to augment one’s gluteus to the max.

According to the American Society of Plastic Surgeons (ASPS), the number of BBLs logged by its members has more than doubled in the last five years, making it one of the fastestgrowing plastic surgery procedures. The phenomenon—spectacle and science in equal measure—recently inspired a study (exhibit B, if you will) published in the journal Plastic and Reconstructive Surgery, aiming to pinpoint the precise characteristics of an attractive posterior. Through a population analysis of 989 respondents (48.7 percent women, 51.3 percent men), researchers discovered new ideal waist-to-hip ratios more dramatic than those previously reported, heralding “an important preference paradigm shift” in the proportions of the butt—one that plays to the BBL’s strengths.

See, unlike most modern cosmetic tweaks, the BBL doesn’t strive for no-one-will-know subtlety, but rather a swift and striking change in the size and shape of the derrière.

“It does a great job of rounding out the buttocks and bringing in the waist to create an exaggerated hourglass effect,” says Newport Beach, CA plastic surgeon Matthew J. Nykiel, MD. And while curvy celebrities plainly fuel the trend, some experts believe the scope of the movement to be more seismic. “This isn’t about Kim Kardashian

or J.Lo,” says Boston plastic surgeon Daniel Del Vecchio, MD. “It has to do with the buttocks long being a symbol of social standing, youth, fertility, and sexual authority. This is a global boom, and it’s just beginning to take off.”

As demand for the BBL continues to mount, however, so does uncertainty surrounding its safety. Shouldering an alarmingly high fatality rate of one in 3,000 and a string of recent casualties resulting from pulmonary fat emboli (which cut off blood flow to the lungs), the procedure prompted an urgent warning this past summer from the MultiSociety Task Force for Safety in Gluteal Fat Grafting, an international group of doctors from five plastic surgery societies charged with investigating BBL complications and sponsoring safety research. Last October, following the deaths of two British women who sought BBLs abroad, the British Association of Aesthetic Plastic Surgeons called a moratorium on the procedure in the UK, pending more data. While studies are currently underway, the task force has firmly declared that harvested fat should only ever be injected into the subcutaneous tissue, or superficial fat layer, of the bottom—never into or below the muscle, as invading this zone risks nicking gluteal veins, and opening a siphonic portal to the heart and lungs for any fat globules in the area. “These emboli are not like ordinary clots, which can be dissolved with drugs—there is no pharmacologic treatment for them,” explains Eugene, OR plastic surgeon Mark Jewell, MD. “When fat gets into the lungs, patients suffer a loss of pulmonary function. It’s a God-awful problem, and those who are lucky enough to survive it almost always have ongoing lung issues.”

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Taking the muscle out of play “is absolutely necessary, as it maximizes safety,” says New York plastic surgeon Adam Kolker, MD, “but it does limit the size increase we can achieve during a single procedure.” The reason is twofold: meager surface area and poor blood supply. The tight pocket between the skin and the muscle can hold only so much new fat, he explains, and the tissue that lives there isn’t as vascular as the muscle itself, so grafts may struggle to bloom in this less-nourishing environment. Still, “there’s no justification for injecting fat into the muscle,” adds Dr. Jewell.

“Surgeons want to please their patients, but pushing the envelope with fat grafting can create irreversible problems,” including some still unforeseen.

“While a patient’s own fat appears to be the best material for buttock augmentation, long-term outcomes with this technique have not been studied, especially the effects of weight gain and hormone replacement treatments,” says Dr. Jewell. “Patients who have BBLs could find themselves with enormous growth of the gluteal area during the perimenopausal years or later.”

Since the task force advisory last July, “many plastic surgeons have been scrambling for competitive BBL alternatives,” says Toronto plastic surgeon Stephen Mulholland, MD. The best options surmised thus far, he adds, deliver “more modest and gradual results than a surgical BBL—perhaps 50 percent of the payoff if you’re lucky—but they’re still far safer.” Another plus, the latest gluteenhancers carry little to no downtime (unlike the BBL, which bans sitting for four to six weeks), and can be combined to customize the effect. Here, let us explain...

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BEFORE

SCULPTRA AESTHETIC: GRADUAL VOLUME

Los Angeles plastic surgeon Peter Lee, MD treated this 37-year-old patient (his wife, a mom of three) with two rounds of Sculptra Aesthetic to address the loss of fullness in her buttock region.

(She lacked the fat necessary for a BBL.) Dr. Lee injected 10 vials of Sculptra Aesthetic into each buttock during the first appointment; and five vials per side at the second. The “after” photo was taken six months later.

body. In reality, there’s very little published evidence supporting its use in the butt, particularly at such high doses.

We also spoke to doctors who advise against using synthetic filler of any kind in the tush, citing a long history of disastrous consequences. As Dr. Jewell stresses, “The clinical outcomes from off-label use of synthetic tissue fillers for buttock augmentation have simply never been studied with regards to long-term aesthetics, safety or patient satisfaction.”

KLAWITTER PRODUCTIONS/GETTY IMAGES

HERE’S HOW IT WORKS:

Doctors dilute the drug significantly with sterile water, encouraging a good amount of spread, and slashing the likelihood of lumps. The water gives an instant but fleeting boost, which dwindles within a week. It then takes the particles of poly-l-lactic acid within the suspension six to 12 weeks to

construct the scaffolding needed to grow new collagen in the area.

“We’re essentially putting in a foreign body, which triggers fibroblasts to build collagen around it,” explains New York dermatologist Estee Williams, MD. While patients may notice some degree of change at the six-week mark, full effects take six months to show.

“Most people need three treatments, four to eight weeks apart,” Dr. Sadick says. While a subtle shaping may require five to 10 vials per visit (at roughly $1,000 a vial), injectors sometimes push up to 60 vials at a time if chasing a more voluptuous goal. Doctors can also use Sculptra Aesthetic to fine-tune key aspects of the anatomy, perking up just the tops of the cheeks, say, or fleshing out pronounced hip dips. Shifts in size can be hard to predict, but “we can usually achieve a 20 to 50 percent increase, depending on how much we inject, the number of sessions and how vigorously the patient responds to the drug,” says Dr. Bashey. Complications from Sculptra Aesthetic are rare, he notes, because it is so heavily diluted (and, thus, lacks clogging capacity), and it’s typically injected with shallow-reaching needles, which keep a safe distance from vulnerable vessels.

Still, some experts worry that Sculptra Aesthetic’s favorable track record for the face may give injectors a false sense of security when using it on the

AFTER

“While the traditional BBL is still the gold standard of butt augmentation, I’ve seen quite a few cottage cheese–like results from fat that has not been distributed evenly,” says Beverly Hills, CA dermatologist Sameer Bashey, MD. Contour irregularities are not uncommon, as generally “only about half of grafted fat survives,” he adds, and there’s no way to ensure it takes uniformly. Sculptra Aesthetic, on the other hand, is praised for its ability to enhance the topography of the region by “stimulating collagen production to improve elasticity and the overall quality of the skin,” says New York dermatologist Neil Sadick, MD. The filler is made from poly-l-lactic acid, the same material composing absorbable sutures. Though its use on the body is considered off-label, its “safety and efficacy [for the face] have been established in numerous clinical trials” since it arrived on the scene in 1999, Dr. Sadick notes, “and it’s a great option for anyone seeking lift, projection, natural contour, and smoothness without surgery or downtime.”

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“leading to minimal fat loss while sustaining the muscle effects,” Kinney adds, supposedly preserving precious padding in the rear while bulking up glutes for a pert booty that “feels firm when contracted and soft when relaxed.” In a company-funded, multicenter study, 85 percent of subjects who were initially unhappy with the appearance of their bums reported significant improvement following the fourth treatment, and were still satisfied one month later.

Chicago dermatologist Carolyn Jacob, MD, co-author of the aforementioned study, says the greatest change in volume is generally seen in the upper portion of the butt—it gets rounder and firmer, pulling up the crease where butt meets thigh to give people the lift they’re looking for. “Results can be seen after three or four treatments, spaced over two weeks,” she adds, and further improve for up to six months following as the muscles continue to get stronger. (Evidence of sustained results at six months and one year is currently being reviewed for publication in a peer-reviewed journal.)

While some dermatologists question the machine’s efficacy and staying power (as the tech is still very new and the data is limited), others are cautiously enthusiastic. “It’ll be interesting to see, once the early excitement dies down, which patients keep coming in for it,” says New York dermatologist Heidi Waldorf, MD. (Ballpark per session is

HERE’S HOW IT WORKS:

Like most of-the-moment body-contouring tools, Emsculpt is also engineered to whittle fat, but only in select situations.

There are two distinct protocols: one for the stomach, another for the butt. The ab-targeting program includes “a series of ultra-long stimulations that cause the muscle to ripple and fibrillate in a way that promotes fat burning,” says Beverly Hills, CA plastic surgeon Brian Kinney, MD, lead researcher on the Emsculpt trials. The butt protocol truncates those prolonged contractions,

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AFTER

Since winning FDA-clearance for strengthening, toning and firming the abdomen and butt, Emsculpt has mastered the Insta takeover, filling our feeds with Boomerangs of undulating bodies and posts of pros touting its benefits. Using high-intensity focused electromagnetic energy, the device is said to activate 20,000 contractions in a 30-minute span, working our muscles more wholly and intensively than we, as mere mortals, are physiologically capable of doing on our own.

(It’s a pain-free experience, both during and after, but seeing your muscles move independently can be oddly unsettling.) “The contractions thicken and strengthen existing muscle fibers, as well as build new fibers, to increase muscle mass by 16 percent after four treatments,” says New York dermatologist Bruce Katz, MD.

BEFORE

EMSCULPT: HIGH AND TIGHT GLUTES

To lift and tone the buttocks of this 22-year-old patient, Beverly Hills, CA plastic surgeon Brian Kinney, MD performed a series of four 30-minute Emsculpt sessions. The “after” was taken three months following the fourth and final treatment.

$1,000, and maintaining longterm results requires touch-ups beyond the initial four-pack.)

“I did my research; I didn’t rush in. But I knew as soon as I demo’d it that I wanted this machine, even if only for my personal use, because I think what it can do for core strength is exciting.

And yeah, it would be nice to have a toned butt, too.”

On the horizon: Aesthetics giant Allergan is said to be developing its own muscleconditioning technology to augment its popular fatfreezing CoolSculpting device, which it expects to launch within the next three years.

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RADIO FREQUENCY: A SMOOTH, AIRBRUSHED FINISH

San Diego plastic surgeon Joseph L. Grzeskiewicz, MD paired a Fractora radio-frequency treatment with Sculptra Aesthetic injections to volumize, tighten and lift the buttocks of this 47-year-old patient while reducing dimpling.

(She had significant age- and weight loss–related laxity of her buttock skin, and had previously undergone unsatisfactory liposuction, which left her with contour irregularities and insufficient fat for a BBL.) The patient received two combination treatments, six weeks apart.

Ten vials of Sculptra Aesthetic were injected via cannula (five per side) each time. The “after” photo was taken six weeks following her last treatment.

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AFTER

HERE’S HOW IT WORKS:

By deep-heating both the skin and the septa—the bands of connective tissue running through the fat layer, which attach the skin to underlying structures—RF boosts collagen throughout to tighten everything up.

“As the lower half of the butt raises up, you get more projection on top,” Dr. Grossman says, adding that most patients can score this low-key lift in one or two appointments ($3,500 each).

“But if you’re not seeing much improvement at that point, it’s probably not going to give you what you want.”

Not on its own, anyway, but RF can help take other treatments to the next level.

New York dermatologist Dendy Engelman, MD says she often combines “Emsculpt for heavy lifting of the muscle with radio

frequency for an airbrushing of the skin.” Dr. Mulholland relies on RF to bolster the butt-elevating effects of thread lifts and injections, explaining that “if the overall shape of the bum is good, but it’s just starting to sag a bit, then dissolvable polydioxanone (PDO) threads paired with Sculptra Aesthetic, Emsculpt and a RF-based heating regimen can work together to safely lift and support the skin.”

The use of threads on the body is largely unproven, we should note, and Dr. Mullholland offers this additional caveat: “PDO threads are not very resilient and usually take six weeks to recruit new collagen and develop the tensile strength needed to resist everyday pressures.” Sitting, lying on your backside, or exercising before that time can cause threads to snap, sabotaging your results. (For a more in-depth look at thread lifts, see page 112.)

BEFORE

Wary not only of the BBL’s checkered past, but of how such bloated bottoms will fare in the future, Santa Monica, CA dermatologist Karyn Grossman, MD steers patients away from surgery, recommending instead radiofrequency (RF) treatments, like Thermage. “RF is not going to add fullness,” she stresses, “but it can give a more toned, youthful-looking butt in the short-term while slowing down the aging process over time.”

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Should I consider implants?

We say “implant,” you say... probably not “butt.” We get it: The association is pretty flimsy, as “butt implants have never really been more than a fringe procedure,” says New York plastic surgeon David Shafer, MD. Only about 1,300 operations were performed in 2017—that’s 56 percent fewer than the previous year, according to data from ASPS. Dr. Nykiel, for instance, performs only a couple of butt-implant augmentations each month compared to six-plus BBLs weekly. But given the limitations of the modern BBL, could silicone butt implants perhaps become more of a contender? “If you weigh all of the risks and benefits, implants can still be a good long-term shaping option for certain people,” says Dr. Mulholland—particularly very thin patients, with a BMI less than 20, who lack the fat needed for a BBL, and those wanting a truly bubble-esque backside. Because barring multiple rounds of fat grafting, says Dr. Nykiel, nothing gives more oomph than implants: “Fat is soft and fluffy, and can push the butt out only so much,” he explains. “It can’t create the same degree of projection as a firm, structural implant.” Implants come with their own set of drawbacks, however: The surgery is

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Turn to page 137 to find one near you.

more invasive than a BBL (implants are generally inserted directly into the gluteal muscle), scarring is inevitable and patients can’t sit on their bottoms for two weeks post-op. “Gluteal implants also carry a very high incidence of complications,” notes Dr. Jewell, with studies estimating rates upwards of 38 percent. The main risks include infection, rotation, capsular contracture (the formation of a hard sheath of scar tissue around the implant), and extrusion (a concern primarily with toolarge implants). And then there’s the matter of comfort: “Imagine having a thick wallet tucked in your back pocket and sitting on it all day,” says Dr. Shafer. Still, some believe butt implants are ripe for evolution. “I think we’ll soon see a push from manufacturers to come up with an implant that makes sense—something durable and safe that actually feels like a bum,” says Dr. Mulholland. Until then, though, review the pros and cons of every potential procedure with a board-certified plastic surgeon, and be sure to prioritize safety over size.

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FACELIFTS AT 40-SOMETHING HOW THE “SLACKER GENERATION” IS REINVENTING AGING

I

BY J O L E N E E D GA R

n what could be perceived as an apathetic eye-roll to the rising “anti anti-aging” movement, a slice of Gen X is pursuing a younger look by the most radical means imaginable—facelifts in their 40s. “Here we have this group who doesn’t want to go through the aging process,” says La Jolla, CA plastic surgeon Robert Singer, MD. They’re detouring from the timeworn path of previous generations, who either let themselves grow old, and then fought to turn back the clock in their 60s or 70s, or used liquids to stave off surgery during the dawn of injectables. (In fairness, most old-school lifts, even those from the early-’90s, left faces overprocessed with sizable scars, “so folks usually waited until they looked terrible before making a move,” explains New York plastic surgeon Gerald Imber, MD.) For today’s 40-somethings, it’s more logical to hit slow-mo than rewind: “They never want to get to a point where they look like they need a facelift—where they have to undergo a dramatic change in appearance,” says New York plastic surgeon Sherrell Aston, MD. Aiming to maintain their current visage—to keep their reflections recognizable for as long as possible—they’ve adopted “a new approach to aging,” adds New York plastic surgeon Lara Devgan, MD. “They want to look better, but still the same, and having a facelift at a younger age allows that magical paradox to occur.”

The under-50 set now comprises nearly a third of Dr. Devgan’s facelift

practice. Other surgeons shared similar estimates. “There is unquestionably a trend developing,” says New York facial plastic surgeon David Rosenberg, MD. “In the last week, I had 12 new facelift consults, and four were in their 40s.

These women are seeing laxity that wasn’t there in their 30s, and it really bothers them.” While hardly over the hill, 40 does represent a sort of tipping point. As we inch closer to menopause during this decade, our estrogen levels begin to wane.

The estrogen receptors on our fat cells and collagen-making fibroblasts, which click with the hormone to promote healthy functioning, also take a hit, resulting in a communication breakdown that translates to thin skin and volume deflation. “The fat loss first appears as sunken under-eyes, flattened cheeks and hollow temples,” explains Dallas plastic surgeon Rod J. Rohrich, MD. Our bony framework gradually shifts and shrinks, and facial muscles droop. “As the underlying foundation of the face starts to change, the cheeks slowly fall into the nasolabial folds and jawline,” says Dr. Aston. And just like that, we’ve entered facelift territory.

While there are untold iterations of the procedure, a modern lift involves hoisting the muscles of the lower face and neck to restore the topography of youth, before trimming excess skin, and oftentimes, rounding out the restoration with a modicum of fat. Thanks to a slew of upgrades over the years, the facelift has become a routine three-hour affair delivering appreciable but natural results with generally undetectable scars and a manageable recovery period—all boons

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to early agers, whose relative youth breeds advantages. “The building blocks of the face are so much better at 40 than 60,” says Dr. Devgan. The skin still has some spring to it and is less likely to droop back down after surgery, whereas more mature skin tends to have “an almost taffy-like quality,” she says, stretching out when pulled tight. If the underlying tissues are in decent shape, one may qualify for a less aggressive operation, or a partial lift that tackles just the midface, say, or the neck only—all scenarios begetting less downtime and a more discreet transformation. #Goals, as they say. (Short scars and a swift rehab make mini-lifts hugely appealing, but “in certain patients, a limited approach can make one area [of the face] look imbalanced relative to others,” cautions Dr. Singer, so trust your surgeon’s judgment here.) Beyond achieving softer, more durable results, a lift in the 40s can, in a way, serve to wrinkle-proof your future face: “By taking away redundant skin, we prevent it from hanging, and forming folds and etched-in wrinkles—wrinkles that, once there, are almost impossible to get rid of,” Dr. Imber says. (Facelifts reverse laxity, not lines.)

Acting early clearly has its perks, but these alone aren’t driving Gen X’ers to the OR. Intrigued by the changing face of the century-old surgery, New York facial plastic surgeon Andrew Jacono, MD conducted a study on the regressing demographic. According to his findings, published in the Aesthetic Surgery Journal in 2016, more women are abandoning nonsurgical anti-aging treatments for facelifts in their early 40s. Subjects reported that devices and

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says Vero Beach, FL plastic surgeon Alan Durkin, MD, explaining that while “injectable, laser and energy-based technologies can be incredibly effective for the face, they’re less reliable for the neck, where surgery remains the gold standard.” Indeed, once fatty jowls slip below the jaw and neck bands jut out, only surgery can create real change.

Of course, not every woman under 50 feels bad about her neck; still, a fine-tuning of the platysma (the broad muscle that influences signs of aging in the neck) often comes standard with a facelift. To Dr. Devgan, “it’s the same operation, and pretty much every outcome will be improved by an angular jawline and a crisp demarcation between face and neck.”

With wind-tunnel clichés and one-for-all maneuvers now relics of nip-tucks past, we’re in an age of individualization.

“This, I think, is the most significant advance in recent history,” says Dr. Singer—the newfound understanding that distinct techniques exist for different anatomies and ages.

What remains universal is this: The reinvented facelift grants what no other treatment can— defined cheekbones, a clean jawline and a contoured neck.

“And that,” says Dr. Rosenberg, “is beauty in the 40s.”

To correct lower-face sagging, prominent jowls, and loose skin on this 48-year-old patient’s neck, New York plastic surgeon David P. Rapaport, MD performed a lower facelift. Her “after” photo was taken only two-and-a-half weeks post-procedure.

AFTER

down,” adds Dr. Jacono. Many patients will also dabble in devices before yielding to the knife. “And all of these tools—lasers, microneedling, radio frequency—can help build up collagen, but a point comes at which they are no substitute for surgery,” notes Dr. Imber.

What could be, however, at least for a select group, is the thread lift (which we explore on page 112). “In my office, the Silhouette InstaLift has nearly replaced the facelift for mild-to-moderate aging changes at 40, especially when combined with laser resurfacing of skin and volume replacement to the face,” says Chicago plastic surgeon Julius Few, MD. Also Team Thread is New York plastic surgeon Haideh Hirmand, MD, who says “threads are a really good short-term option for those in their early 40s with mild-tomoderate drooping just in the midface.” Other surgeons are skeptical: “Historically, thread lifts have been overhyped, short-lived and fraught with problems, and we’ve yet to see successful long-term results,” Dr. Singer says.

One thing experts can agree on: When the neck goes, all bets are off. “In the ’90s and before, the indication for a facelift was an aging face, but today, it’s a sagging neck,”

BEFORE

injectables did help them look younger—by about four years—but surgery bought them twice as much time.

What women in this demo are collectively confronting, Dr. Jacono says, is more than mere filler fatigue—a tiring of the upkeep and expense of shots. Rather, our no-downtime tweaks may eventually exhaust their usefulness.

“If you have at least a centimeter of pinchable laxity at the level of the jowls, jawline or nasolabial folds, you have to acknowledge that injectables aren’t going to make that go away,” says Dr. Devgan, adding that those who overindulge by chasing folds and slack skin with a syringe “can wind up looking very clownish.” This may sound like an obligatory party line for anyone wielding a scalpel, yet most plastic surgeons will admit that needles and wands—used judiciously and early on—can absolutely help “keep the wolf from the door,” says Dr. Imber, delaying surgery for a time.

But it’s important to watch for signs of their impending futility. “Once you get jowling, you’ve got to stop the fillers in the lower half of the face,” says Dr. Rohrich. Otherwise, injections become not only ineffective, but also counterproductive: “As the skin gets loose, fillers only weigh the face

AFTER

“Today’s 40-somethings want to look ‘better, but still the same,’ and having a facelift at a younger age allows that magical paradox to occur.”

Troubled by drooping cheeks, loose jowls, and excessive fullness under her chin, this 40-year-old patient underwent a lower facelift and necklift with a high SMAS flap support, as well as a lower eyelid blepharoplasty, with Tijuana, MX plastic surgeon Juan Carlos Fuentes, MD.

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P

Deep Thoughts: THE DEBATE OVER TOP TECHNIQUE

erhaps the hottest of plastic surgery hot buttons centers on best facelift technique: SMAS lift (short for superficial musculo-aponeurotic system) versus deep-plane. It’s a decadesold debate, with surgeons on both sides fiercely defending their method of choice. (They’re a passionate bunch, and I’m sure to irk a handful in the next few paragraphs.) But first, a bit of backstory to lend context to the controversy…

Skin-only facelifts were de rigueur for the better half of the 1900s. “Anyone could do a skin lift—you could do a skin lift,” jokes Dallas plastic surgeon Sam Hamra, MD. (I’m unconvinced.) “There’s really nothing to it: You lift the skin up and pull it back,” rendering patients predictably lifted and pulled with long and winding scars. Because skin under stress (i.e. tugged taut) is programmed to relax, explains Dr. Hirmand, skin-only results didn’t hold up well. Still, the facelift didn’t see much in the way of innovation until 1968, when Swedish plastic surgeon Tord Skoog incorporated the platysma muscle into his lift to improve the payoff. Soon after, a pair of French surgeons, upon exploring the anatomy of the muscle further, described a valuable offshoot—a thin layer of strong fibrous tissue that stretches up into the cheeks,

cocooning the muscles of expression. They named it the superficial musculo-aponeurotic system, or SMAS. By tugging on the SMAS, one could move the muscles of the face, bolstering them to firm effect. Plastic surgeons began experimenting with the SMAS, dissecting it, folding it, shortening it with scalpels. Meanwhile, gunning for greater improvement, Dr. Hamra devised a way to resuspend not just skin and muscle, but cheek fat as well—all in one fell swoop, keeping the muscle and fat attached to the skin, rather than raising each layer separately as was customary with SMAS lifts. Dr. Hamra published his technique, calling it the deep-plane, in 1990. When he later added the orbital muscle to the equation—raising the entire flap with its myriad parts more vertically to smooth the boundary between lower lid and cheek—the composite lift was born, taking the classic deep-plane facelift to the next level.

The pros and cons of each method? That depends who you ask. Dr. Hamra praises the deep-plane for its power to rejuvenate slumping cheeks by piggybacking fat onto the skin flap. This is impossible with a SMAS lift, he says, because you can’t move the fat on its own, apart from the skin: “It would be like lifting clouds; there’s nothing to attach it to.” (SMAS surgeons often compensate for

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this perceived handicap by injecting fat during a facelift.)

Dr. Jacono, who specializes in the deep-plane, contends that by leaving the various layers connected, “you maintain blood supply to the skin, so the face heals faster.” Since you’re not yanking the skin alone, he adds, “the surface will never look tight,” and “because you’re mobilizing the muscles completely and lifting them in their entirety, the results last longer.”

Proponents of the SMAS lift generally disagree, asserting that the greater dissection and elevation of a deep-plane can hike the risk of nerve injury, make patients look too dramatically different and extend recovery time—without measurably enhancing the outcome or longevity, explains Dr. Singer. (Because we’re focused on the 40s, this tidbit is also worthy of mention: A comparative study in JAMA Facial Plastic Surgery concluded that the deep-plane doesn’t offer superior results over the SMAS in those under 70.)

Dr. Aston’s beef with the deepplane is that it robs surgeons of the ability to customize the procedure. Oftentimes, he says, “To contour the face back to its original structure without creating pull lines, the skin needs to be lifted and repositioned in a different direction than its underlying foundation.” Dr. Singer echoes this concern, explaining that “tissue planes age at different

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rates,” and the deep-plane doesn’t allow for the SMAS to move one way and the skin another. (Again, a key point of distinction between techniques is that the SMAS method lifts skin first, muscle second; the deep-plane adjusts everything in unison.) What’s more, Dr. Aston often manipulates the two sides of the face somewhat differently to account for natural asymmetries and unequal degrees of aging, and says “with the deep-plane moving everything as a unit, one can’t get much variation between sides.”

As for complications, both procedures delve into the SMAS, under which nerves reside. Traumatizing a branch of the facial nerve can cause drooping, which is usually temporary. Some studies show a higher rate of nerve injury with the deep-plane, on the order of 1 percent; others reveal a relatively “equal degree of danger, which is minimal,” Dr. Hamra says. Additional risks, like bleeding and infection, are also rare across the board.

The bottom line: As long as surgeons are tightening the SMAS in some manner and not leaning on skin alone to produce a lift, multiple procedures can yield equally great results. What’s most important is that they perform the operations they excel at, and tailor the treatment to one’s individual needs rather than forcing a standard protocol upon every patient.

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PILE ON: POPULAR EXTRAS

FOR A NEXT-LEVEL FACELIFT Stacking is a show of smarts, and not just in toddler circles. Wise to the upshots, people are piling smaller procedures atop facelift surgery to consolidate recovery time and maximize anesthesia (which, by the way, can now be anything from local to IV sedation to general, so be sure to discuss all options with your plastic surgeon). These are the most commonly requested add-ons among Club 40 members.

FAT INJECTIONS

To fill or not to fill: another contentious topic in plastics. Some surgeons, like Dr. Rohrich, find it almost absurd not to complement a facelift with autologous fat grafting: “To me, this is an essential part of modern facial rejuvenation,” he says. Others see the practice as excessive and often unnecessary, especially for younger patients. “Most people in their 40s don’t need volume addition so much as volume repositioning [which is achieved with a lift],” notes Dr. Aston. The happy medium:

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conservatively filling the cheeks and nasolabial area, and expecting about half of the fat to survive and stick around permanently, thereby reducing patients’ reliance on fillers in the future.

Turn to page 137 to find one near you.

EYELIFTS

“A facelift can’t fix aging eyes—hanging lids, under-eye bags—so it’s very common for 40-somethings to do an upper and lower blepharoplasty with their facelift,” says Dr. Devgan. The popular pairing brings harmony to the entire face, ensuring the eye area looks as youthful as the lower face and neck.

“Most people in their 40s don’t need volume addition so much as volume repositioning.”

LASER RESURFACING

To refine skin tone and texture, and refresh the face more completely, some plastic surgeons perform ablative laser treatments during surgery, attacking barcode-like lines above the lips, crow’s-feet at the outer eyes and glow-obscuring sunspots.

BEFORE

SAVING FACE: A POST-LIFT

MAINTENANCE PLAN

AFTER

The facelift may, in fact, be the Rolls-Royce of aesthetic surgery, but (at the risk of taxing this metaphor) it still needs the occasional servicing. To keep results shiny and new (too far?), cultivate a collagen-preserving regimen with daily sunscreen, antioxidants and a retinoid. (“Surgery improves the underlying architecture of the face, but skin care is the icing on the cake,” Dr. Singer says.) Then sketch out a noninvasive maintenance plan with your doctor that prioritizes at least some of the following…

NEUROMODULATORS

This 45-year-old patient was concerned with midface descent, early jowling and premature facial aging, which made her appear older and more tired than she felt. New York plastic surgeon Lara Devgan, MD addressed laxity in the midface, jawline, and neck using her signature short-scar deep substructural facelift for a natural and subtle improvement.

“I’m a huge believer in Botox [Dysport and Xeomin are other options] for the long haul, as it does prevent the formation of deep wrinkles around the eyes and across the forehead,” says Dr. Rosenberg. Booking touch-ups every three to four months can keep expression lines from relapsing.

FAT OR FILLER INJECTIONS

If your facelift came with a side of fat, your surgeon may suggest another serving roughly one year later, knowing “we generally get better take the second time, because there’s more vascularity,” says Dr. Singer. Patients who choose to top off filler annually will typically need only a fraction of their former (pre-facelift) dose.

COLLAGEN-BUILDING DEVICES

“We know facelift longevity is related to skin relaxation, so doing Ultherapy once a year can help keep fibroblasts active and the skin stronger,” says Dr. Hirmand. Similarly, other docs recommend routine microneedling or radio-frequency sessions to enhance radiance and resiliency. Whatever treatments you choose, the “ongoing care should be less burdensome financially” than it otherwise would be had you not reversed aging with a facelift first, notes Dr. Durkin.

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Mile Markers on the Road to Recovery

WHY I GOT A FACELIFT AT 45

by MARIE,* HEALTHCARE PROFESSIONAL, NEW YORK as told to JOLENE EDGAR

Because healing is largely ruled

by DNA, no one can predict with pinpoint accuracy how you’ll look and feel following a facelift. (Some patients are stiff and swollen with minimal bruising; others suffer greater discomfort, plus black-andblues for weeks.) But our plastic surgeons, with hundreds of years of combined experience operating on thousands of unique patients, are the next best thing to soothsayers.

Here, their post-op forecast.

3

Hours the average facelift operation takes.

2 to 5

Number of days you may need to wear a headwrap or chin strap to reduce swelling after surgery.

7 to 10

Days spent waiting for stitches to come out.

PRIOR ANTI-AGING ATTEMPTS

“I’d never had anything done before—no lasers, injections, nothing—so a facelift was a big step.

But I don’t have the patience for fillers, and I didn’t want to waste time with all that, when in one surgery, I could look better, and not have to think about my face for another 10 or 20 years.”

THE CONSULT

“I told Dr. Jacono that I wanted to look as natural as possible—still me, but minus 10 years and all the extra skin. He explained that nonsurgical treatments, like injectables, wouldn’t give me the results I wanted because there was too much laxity, so a facelift was my best option. I also decided to get the bump on my nose removed, figuring I might as well have that taken care of at the same time.”

10 14

RECOVERY REAL-TALK

21

You’re back to life—workouts, sex, all of it—by this three-week mark.

365

It takes a full calendar year for scars to mature. Done right, they should be imperceptible, hidden in the natural curvature of the ears, with no distortion of the hairline.

“It wasn’t terrible. I was uncomfortable for the first few days, but not in pain. I initially felt tight and tingly, but that dissipated after a few months. I took off three weeks from work, as I had bruising from my rhinoplasty, which resolved completely in that time. I probably could have gone back after two weeks, with some makeup on and my hair down.”

THE BIG REVEAL

“When the bandages came off, I was totally amazed! I hadn’t seen this version of myself in 10 years. I was also a little scared because I was still bruised and swollen, and concerned that people could see my scars. But after four

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AFTER

Days until you’re “restaurant ready,” as plastic surgeons like to say.

SELF-ESTEEM, RESTORED

“Getting a facelift didn’t change my life, but it did boost my confidence. Before surgery, I always tried to talk to people head-on to keep them from seeing my droopy jawline and neck.

I wanted to look pretty again, and Dr. Jacono granted my wish—he’s truly gifted. I haven’t done any maintenance treatments since my surgery. I’m a working mother of two, and just managing some face cream in the morning is a small victory. Having a facelift in my 40s was absolutely the right move for me.” *not her real name

PRE-OP JITTERS

“I was most nervous about waking up looking like someone else. I mean, obviously, I was worried about the operation in general, too, as there are always risks. But people reacting like, ‘Oh my God, what did you do to your face?!’—that was my biggest fear.”

Days typically needed off work during recovery.

weeks, I could wear my hair up without worry.

It’s now been two years since my surgery, and no one has ever asked if I had work done. Everybody says I look great, and some have wondered if I lost weight—I get that comment a lot.”

BEFORE

4

Days until swelling generally starts to subside.

CONFIDENCE KILLER

“Around 35, I noticed my skin becoming looser, especially around my neck. I was getting all jowly. I’d stand in front of the mirror with my hands over my cheeks, and lift up and back towards my hairline. That’s what I wanted to look like—my old self.”

DOCTORS’

ORDERS From futuristic-sounding injections to underthe-surface skin evaluations, here are the off-the-radar questions our readers are asking this month.

Q

A friend recently told me about something called carboxy injections, which sound like they can help with fat reduction. The concept sounds pretty out there…is it safe?

DAVID J. PINCUS, MD

Huntington, NY Plastic Surgeon

“Carbon dioxide therapy, or carboxytherapy, was initially developed to minimize skin irregularity because of residual fat deposits after liposuction.

CO2 gas injected into the residual fat deposits may reduce or eliminate

post-liposuction residual fat deposits and improve skin regularity. Carbon dioxide, the invisible, odorless gas that is part of the air we breathe, is injected just under the surface of the skin using a fine needle. According to many studies, it diffuses into the surrounding tissues and causes blood vessels to dilate.

Wider vessels mean a stronger blood supply, which brings a rush of oxygen and nutrients to the treated area.

Evidence shows the carbon dioxide kills fat cells by causing them to distend, the extra oxygen eliminates fluid buildup between cells, and the skin is stimulated to produce more collagen. The result, say practitioners, is fewer fat cells and firmer, younger skin. Each injection feels like a strong sting—on a similar level of pain to electrolysis. Practitioners say that it’s more painful than most cellulite treatments, but has a much stronger effect. You should notice a difference after one treatment, but a course of four to six is recommended. Each treatment takes 40 minutes.”

Q

What are my options for getting rid of pitted acne scars? They don’t cover well with makeup and the better the light, the worse my face looks.

LILY TALAKOUB, MD

McLean, VA Dermatologist

“There are multiple options for treating pitted acne scars—chemical peels, TCA cross technique, subcision, lasers and microneedling. Not every treatment is good for every scar; however, a combination of these treatments works to diminish their appearance.”

THE CLINIC

Q&A

Q My teeth are starting to look almost “see-through.” Can you really rebuild tooth enamel?

RONALD GOLDSTEIN, DDS

PROMOTION

techniques, light pressure post-injection and post-treatment icing usually prevents it in the vast majority of cases. The first step should be a consultation with a properly trained doctor to determine the best possible approach."

FRESH OUTLOOK Cindy | Age 37

Q

Yikes! I just saw my face under a Woods lamp and it showed that I have deep sun damage. Is there anything I can do now to erase it before it shows up on my skin?

Atlanta Cosmetic Dentist

“Over the years, enamel usually wears to some extent. That enamel wear on the front parts of teeth can make them look darker due to the underlying color of the dentin. The ‘see-through’ effect can also look grayer.

The treatment for this wear is usually either bonding with lighter-colored composite resin, or porcelain veneers, which are the very best option. What is surprising to most patients is that bleaching is rarely the best option.”

Q

I bruise really easily. If I get Botox, what will happen?

THE FIRST TIME I NOTICED MY CELLULITE

AMELIA K. HAUSAUER, MD

Campbell, CA Dermatologist

“We are exposed to environmental assault on a daily basis: ultraviolet light from the sun, pollution, smoke and many other toxins.

All of these factors break down collagen and elastic fibers, or lead to pigment in our skin.

Some changes are quickly apparent on our skin, while others take time to develop. At my practice, we offer laser-resurfacing treatments such as Halo, as well as other similar devices.

Lasers are my favorite way of attempting to minimize damage that is not apparent to the naked eye, while accelerating skin rebuilding.”

Completing my first half marathon after having my baby was a great achievement. But when I saw photos afterward, all I noticed was my cellulite.

When I shared the pictures, everyone was shocked. That evening I stood in front of my mirror and had a moment of truth. I had to come to terms with what I looked like. Running alone was not enough to make a difference— I needed professional help.

10 WEEKS LATER

HOW I GOT RID OF IT

I tried other programs—personal trainers, workout DVDs and popular diets, but I never achieved sustainable results until I found Armageddon Weight Loss Fitness Program. My program consisted of a personal coach, strength training, nutrition, cardio, and hard science that fit my lifestyle. Not only did my cellulite disappear, but I also got stronger and more toned, and I could run faster.

NEWBEAUTY

MARK A. PETROFF, MD

Lake Oswego, OR Facial Plastic Surgeon

TOP DOCTOR

Turn to page 137 to find one near you.

“Bruising following Botox injections is possible in every patient; however using careful injection

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AFTER

BEFORE

B+A MOMMY MAKEOVER GALLERY

This procedure addresses post-pregnancy body issues in a single-session surgery that typically combines a breast enhancement, tummy tuck and fat removal with liposuction.

AFTER

Orlando, FL plastic surgeon Armando Soto, MD helped this 29-year-old patient get her pre-baby body back by giving her a Mommy Makeover that consisted of a breast lift without implants and a tummy tuck.

AFTER

BEFORE

AFTER

BEFORE

Wanting to remove stubborn fat and give her breasts a boost after a substantial weight loss, this 32-year-old patient sought Palo Alto, CA plastic surgeon David Boudreault, MD for a breast lift and tummy tuck.

Chicago plastic surgeon Niki Christopoulos, MD performed a breast augmentation with silicone implants and a tummy tuck with liposuction to give this 50-year-old patient the hourglass figure she desired.

After successfully losing 50 pounds to restore her pre-pregnancy figure, this 45-year-old mother of two sought Charlotte, NC plastic surgeon Robert Graper, MD for a breast lift and tummy tuck.

AFTER

BEFORE

AFTER

BEFORE

This 31-year-old patient desired shapelier breasts, a tighter abdomen and a smaller waistline. She underwent a breast augmentation, a tummy tuck and liposuction with Houston plastic surgeon German Newall, MD.

BEFORE

AFTER

BEFORE

Guilford, CT plastic surgeon Beth Collins, MD performed a tummy tuck to remove excess abdominal skin after a massive weight loss, and a breast lift with implants to reshape this 45-year-old patientâ&#x20AC;&#x2122;s breasts.

This 39-year-old patient wanted a flatter tummy and fuller breasts. St. Louis plastic surgeon Paul Rottler, MD gave her a Mommy Makeover that included a tummy tuck and a breast augmentation using Natrelle 300-cc implants.

THE CLINIC

GALLERY

AFTER

BEFORE

AFTER

BEFORE

Unhappy with her lack of breast volume and excess abdominal fat, this 33-year-old patient underwent a Mommy Makeover with Sugar Land, TX plastic surgeon Ankur Mehta, MD to achieve her desired body shape.

New York plastic surgeon B. Aviva Preminger, MD restored this 34-year-old patientâ&#x20AC;&#x2122;s shape with a breast augmentation and tummy tuck with liposuction, giving her a beautiful, youthful-looking result.

AFTER

BEFORE

AFTER

BEFORE

Voorhees, NJ plastic surgeon William Franckle, MD performed a tummy tuck and breast lift with saline implants on this 41-year-old patient. He placed the implants under the muscle for a more natural look.

Old Lyme, CT plastic surgeon Vinod V. Pathy, MD gave this 36-year-old patient a breast reduction and tummy tuck, which contoured her waistline and alleviated the neck and back pain caused by her larger breasts.

AFTER

BEFORE

AFTER

BEFORE

This 38-year-old patient sought Irvine, CA plastic surgeon Andrew Smith, MD for a tummy tuck with liposuction of the waist and a breast augmentation using 435-cc silicone, high-profile, smooth, round implants.

This 33-year-old patient complained about her drooping breasts and lax skin and stretch marks on her stomach. La Jolla, CA plastic surgeon Johan Brahme, MD performed a Mommy Makeover to address her concerns.

AFTER

BEFORE

AFTER

BEFORE

To reposition her breasts and give her a toned physique, San Diego plastic surgeon Larry H. Pollack, MD performed a Mommy Makeover, including a breast lift and tummy tuck, on this 43-year-old patient.

Unhappy with her body changes after two pregnancies, this 33-year-old patient underwent an abdominoplasty and a bilateral breast augmentation using 360-cc implants with New York plastic surgeon Elie Levine, MD.

Individual results may vary. Undergoing this treatment does not guarantee these exact results.

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AFTER

BEFORE

B+A BODY SCULPTING GALLERY

Desiring a slimmer, trimmer abdomen without going under the knife, this 32-year-old patient went to Newport Beach, CA plastic surgeon Sanjay Grover, MD for a CoolSculpting treatment on her stomach.

From fat melting to liposuction and targeted muscle building, there are now more ways than ever to sculpt, contour and slenderize almost any part of the body.

To reduce this 48-year-old patient’s upper arm fat, Greenwich, CT dermatologist Mitchell J. Ross, MD performed a CoolSculpting treatment on each arm. The “after” photo is shown three months post-treatment.

AFTER

BEFORE

AFTER

BEFORE

Unable to achieve a flat tummy with diet and exercise alone, this 27-year-old patient sought Newton Centre, MA plastic surgeon Joseph A. Russo, MD for liposuction and a Thermi250 treatment.

Elmer, NJ dermatologist Ingrid Warmuth, MD performed a CoolSculpting treatment on this 43-year-old patient using the CoolCore applicator on her abdomen and the CoolCurve applicator on her love handles.

Wanting to contour her arms with a minimally invasive method, this 47-year-old patient underwent a Smartlipo (laser-assisted liposuction) procedure with Miami plastic surgeon Sean Simon, MD.

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AFTER

BEFORE

AFTER

BEFORE

To contour this 39-year-old patient’s abdominal area, Chula Vista, CA dermatologist Dr. Eugene Nowak used a combination treatment of liposuction for targeted fat reduction and Thermage for skin tightening.

N E W B E A U T Y.C O M

AFTER

BEFORE

AFTER

BEFORE

Bothered by what she called her “double chin,” this 26-year-old patient sought Windermere, FL oculoplastic surgeon Keshini C. Parbhu, MD for two treatments of Kybella, spaced one month apart.

SPONSORED

THE CLINIC

GALLERY

For real people seeking real results. Emsculpt® is the solution to strengthen and tone the abdomen and lift the buttocks. No sweat—seriously!

AFTER AFTER

This 51-year-old patient wanted to enhance her buttocks without surgery. Delray Beach, FL dermatologist Dr. Janet Allenby performed Emsculpt treatments to give the backside a lifted, fuller shape.

AFTER

BEFORE

AFTER

BEFORE

This 34-year-old patient visited New York dermatologist Bruce E. Katz, MD for four Emsculpt treatments completed over the course of two weeks.

The result shows a tightened, toned tummy and an hourglass shape.

Four separate Kybella treatments with Grand Rapids, MI plastic surgeon Bradley Bengtson, MD dissolved a significant amount of submental fat, recontouring this 55-year-old patient’s neck and jawline.

An Emsculpt treatment twice a week for two weeks with Cockeysville, MD dermatologist Robert Weiss, MD helped this patient strengthen her abdominal muscles, giving her abdomen a slimmer, flatter look.

AFTER

BEFORE

AFTER

BEFORE Individual results may vary. Undergoing this treatment does not guarantee these exact results.

BEFORE

AFTER

BEFORE

To reduce the fat bulges on this 32-year-old patient’s lower back, hips and thighs and give her a more streamlined shape, Miami plastic surgeon Daniel Careaga, MD performed a Smartlipo treatment.

Princeton, NJ plastic surgeon Adam Hamawy, MD performed a Smartlipo treatment on this 24-year-old patient’s abdomen and waist, which eliminated stubborn fat and gave her a trimmer waistline.

BEFORE

AFTER

BEFORE

To give this 39-year-old patient a high and tight derrière, Bellaire, TX dermatologist Suneel Chilukuri, MD performed four noninvasive Emsculpt treatments, which strengthened the gluteal muscles.

This 27-year-old patient wanted a better contour for her thighs.

Atlanta plastic surgeon Carmen M. Kavali, MD sculpted the legs using liposuction to give the thighs a slimmer shape.

AFTER

BEFORE

B+A SMILE GALLERY

No matter the tooth trouble, there’s always a solution. Whether it’s whitening, straightening, contouring, crowns or veneers, getting a brand-new megawatt smile is now easier than ever.

AFTER

BEFORE

AFTER

BEFORE

To fix this 60-year-old patient’s receding gum line and the dark areas above her crowns, Atlanta cosmetic dentists Marko Tadros, DMD and Gerard Chiche, DDS used zirconia crowns, a gum lift and veneers.

To correct this 60-year-old patient’s dark, uneven teeth, San Francisco cosmetic dentist Swati Agarwal, DDS performed a smile makeover with veneers and crowns to give the teeth a whiter, more uniform look.

AFTER

BEFORE

AFTER

BEFORE

This 48-year-old patient did not like how her smile made her appear older. Washington, D.C. cosmetic dentist Peter Rinaldi, DMD performed a laser gum lift and used crowns and veneers for a total smile makeover.

This 28-year-old patient hated to smile because of her short, dulllooking teeth and gummy smile. Wellington, FL cosmetic dentist Sam Sadati, DDS gave her smile a makeover with a gum lift and veneers.

Unhappy with the discoloration and the length of her teeth, this 38-year-old patient sought Beverly Hills, CA cosmetic dentist Katherine Ahn Wallace, DDS for a full smile makeover using 10 top and 10 bottom veneers.

AFTER

BEFORE

AFTER

BEFORE

To give this 21-year-old patient’s stained teeth a sparkling new look, Austin, TX cosmetic dentist Elizabeth L. Lowery, DDS removed the old, discolored bonding and replaced it with new bonding for a whiter smile.

Beverly Hills, CA cosmetic dentist Kourosh Maddahi, DDS used porcelain veneers along with tooth contouring and teeth whitening to fix the gaps between this 25-year-old patient’s teeth and give her a bright, new smile.

THE CLINIC

GALLERY

AFTER

BEFORE

AFTER

BEFORE

This 32-year-old patient was self-conscious about what she called her “spacey, baby teeth.” New York cosmetic dentist Husam Almunajed, DMD used tooth contouring and veneers to completely redesign her smile.

A weakened tooth enamel made it difficult for this 36-year-old patient to eat. Powell, OH cosmetic dentist Neal Patel, DDS used porcelain veneers to strengthen the teeth and alleviate pain.

AFTER

BEFORE

AFTER

BEFORE

This 37-year-old patient traveled from Chile to see Houston cosmetic dentist Guy Lewis, DDS for a gum lift, crown lengthening and veneers to reduce her gummy smile and brighten her discolored teeth.

Beverly Hills, CA cosmetic dentist Laurence R. Rifkin, DDS performed a smile restoration using six veneers, which revitalized this 18-year-old patient’s discolored teeth.

AFTER

BEFORE

AFTER

BEFORE

New York cosmetic dentist Jason Kasarsky, DDS used an Invisalign treatment plan and prepless, microthin veneers to rejuvenate this 43-year-old patient’s smile and straighten her worn, misaligned teeth.

This 30-year-old patient was unhappy with her gummy smile. To give her the new look she wanted, New York cosmetic dentist Jan Linhart, DDS performed a laser gum lift and placed 10 porcelain veneers.

AFTER

BEFORE

AFTER

BEFORE

Wanting a brighter, more symmetrical smile, this 34-year-old patient sought Boulder, CO cosmetic dentist Lori Kemmet, DDS, who placed eight veneers on the upper row of teeth.

New York cosmetic dentist Nargiz Schmidt, DDS used minimally invasive porcelain veneers and a laser gum lift to elongate this 30-year-old patient’s upper row of teeth, giving them a healthier look.

Individual results may vary. Undergoing this treatment does not guarantee these exact results.

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crow’s feet to spider veins,

From Acne Scars Age Spots Aging Skin Birthmarks Cellulite

Crow’s Feet Droopy Eyelids Excess Fat Excessive Sweating Facial Redness Forehead Furrows Frown Lines Hair Loss Sagging Skin Skin Cancer Spider Veins Sun-Damaged Skin Unwanted Hair Unwanted Tattoos Varicose Veins Wrinkles

choose a dermatologist.

There are countless reasons to protect, enhance and treat your skin. %RH RS SRI QSVI UYEPM½ IH XLER E HIVQEXSPSKMWX XS WYTTSVX ]SYV WOMR LIEPXL ERH FIEYX] XLVSYKL IZIV] WXEKI SJ PMJI =SY´PP PSSO ERH JIIP ]SYV FIWX [LIR HIVQEXSPSKMWXW GSQFMRI XLIMV XVEMRMRK ERH I\TIVXMWI [MXL XLI [MHIWX VERKI SJ STXMSRW EZEMPEFPI %7(7 QIQFIV HIVQEXSPSKMWXW TIVJSVQ QSVI XLER QMPPMSR GSWQIXMG TVSGIHYVIW IEGL ]IEV

asds.net

BEHIND THE SHOOT A view of the Hollywood sign, Trader Joe’s on the corner, strong coffee and the staff are all pluses of shooting at Quixote Studios in West Hollywood.

LESLIE SMILES AS MUCH IN REAL LIFE AS SHE DOES ON SCREEN—HER ENERGY IS CONTAGIOUS. WE JUST WISH HER GLOWING SKIN AND ABILITY TO PULL OF A BOLD LIP WERE AS WELL.

Moment of panic: Snow back in New York kept some of our pulls from flying, but stylist Sonia Young still pulled out all the stops.

JAMES D. MORGAN/GETTY IMAGES

Our color-blocked creative concept featured unexpected pops of color, bright backdrops and a styling mix of tailored classics and soft fabrics.

Chanel Rouge Allure Velvet La Precieuse #317 is one of Leslie’s favorite lipsticks.

The shoot was originally scheduled to take place at the Native Hotel in Malibu, but due to the California wildfires, we had to relocate. As of press time, the property is scheduled to reopen in the spring. We appreciate all of the hotel’s help in planning and wish them the best during the rebuilding phase.

YOUR BROWS: A WORK OF ART.

YOUR FIRST BROW WAX IS FREE* DON’T HESITATE. YOUR FIRST WAX IS ON US. WAXCENTER.COM I europeanwax *First-time guests only. Valid only for select services. Additional terms may apply. Participation may vary; please visit waxcenter.com for general terms and conditions. © 2019 EWC Franchise, LLC. All rights reserved. European Wax Center and the other identifi ed marks are trademarks of EWC P&T, LLC.