8 Simple Ways to Detox Your Body

Original Article By Ysolt Usigan

Cut Your Sugar Intake
A seasonal detox is an effective way to clear your body of toxins, which will also speed up your metabolism and enhance your overall health. Start by decreasing the amount of sugar you consume, says Matt Dower, spa director at Mirbeau Inn & Spa in Skaneateles, NY. And that includes honey, molasses, and artificial sweeteners.

“If you eat more sugar, you ask your body for more insulin, straining your pancreas and wearing yourself out,” he says. “In the long term, this kind of habit can cause you to become chronically fatigued, diabetic, develop cancer, and pack on excess weight.”

Start with Water Dower also suggests you drink a tall glass of water with juice from half of a lemon in the morning. “Lemon helps re-hydrate the system and promotes digestion, which will help the flow of waste out of your body,” he says.

Move Your Body
Regular exercise encourages circulation in the blood and lymph system, Dower says. Doing so will also enhance digestion, reduce tension, lubricate joints, and strengthen your body. It’s a proven fact. “People who exercise regularly have far fewer total toxins in their systems,” he points out.

Drink a Lot of Tea “Not only is tea full of antioxidants, it hydrates you (especially if it’s herbal) and fills you up,” says Ashley Karr, a research psychologist and wellness coach. “This means you will be less likely to overeat or eat the wrong things!” Keep in mind, the caffeine in tea is different than the caffeine in coffee—it’s gentler on your system. It’ll also give you a pick-me-up minus the jitters.

Eat Organic
Chad Sarno, research and development chef for Whole Foods’ Health Starts Here initiative suggests you reconfigure your diet this year. “A colorful variety of fruits and veggies should be the main focus of your diet, along with whole grains, beans and legumes, and small amounts of nuts and seeds,” he says.

You should eat whole plant foods because processed foods lack the nutrients your body needs. Dark green vegetables, for instance, are full of micronutrients and are very low in calories, so you can eat a lot of them.

Combat Environmental Pollutants
Don’t forget that pollution and allergens are all around you. They’re in the air and can trigger allergy symptoms (such as yucky, puffy, red eyes). Dr. Travis Stork, host of daytime talk show The Doctors advises you flush your nasal passages regularly with a Neti Pot. Doing so can eliminate the side effects of air pollutants and lead to better breathing naturally. If you use the Neti Pot before bed, even better—it will enhance your sleep.

Sweat It Out in a Sauna
Forbes Riley, creator of fitness product SpinGym who you may also remember co-hosting Jack LaLanne’s juicer infomercial, is a big fan of detoxing. It’s how she lost her pregnancy weight gain at the age of 42 after giving birth to twins. She suggests you use a sauna regularly. “There’s nothing more detoxing than sweating it out,” she says.

Exfoliate “Skin brushing and oil massages will help exfoliate the toxins from your skin and refresh circulation,” says Christina Chodos, a certified health counselor and educator from Chicago, IL.

"Bridal Botox" Is the Pre-Wedding Beauty Ritual That’s All the Rage

Original Article By Sarah Kinonen

Wedding season is officially upon us. And along with flower arrangement ideas, color scheme options, and bridesmaid dresses suggestions to plan, brides-to-be are also adding another unexpected element to their pre-wedding bridal beauty regimen: Botox.

According to a survey conducted by RealSelf, an online forum for cosmetic treatment information and reviews, newly engaged are increasingly opting for non-invasive treatments, including injectables, before the Big Day. Coming in hot on the list of pre-wedding procedures? Botox, with 14.8 percent of participants interested in the treatment.

“There are so many great non-invasive treatments that brides get before their weddings, such as lasers, light peels, Botox, and fillers,” agrees Debra Jaliman, a New York City-based dermatologist. “The great thing about these treatments is that they are quick, easy, effective, and [natural-looking].”

Following Botox in the survey was CoolSculpting, a non-invasive weight loss treatment, with 8.4 percent, Invisalign clear aligners at 8 percent, Juvéderm at 7.22 percent, and Restylane at 4 percent.

Makes sense considering a recent report proved the fact people, including brides-to-be, aren’t afraid to turn to non-invasive treatments to better their appearance. In fact, last year alone, Americans spent an estimated $16 billion on both non-invasive and plastic surgery procedures, according to the American Society of Plastic Surgeons. Which further proves our point: Cosmetic enhancements are becoming increasingly less taboo in today’s society — and you know what? It’s about damn time.

Learn more about Botox | Atlanta. Request for a Free Consultation.

Under-the-Radar Uses for Your Favorite Injectables

Original Article By Elise Minton

You may love the way your doctor wields his or her needle to inject your favorite fillers and injectables, giving you the look you’ve always wanted. But for the most part, doctors like to use these products off-label, meaning for a purpose (albeit safe) other than what they are FDA-approved for. We asked six expert injectors what their favorite under-the-radar uses are for injectables and fillers—their answers may surprise you.

To diminish the look of cellulite and dimples
New York dermatologist Gervaise Gerstner, MD, likes to use filler to treat dimples and cellulites on the thighs. “There are a plethora of perfectly sculpted ladies who are 99.99 percent perfect but they obsess over very small dimples or fat pockets. When we use filler to fill in the divots or dimples, it also helps to lift the skin so the appearance of some of that superficial crepiness and cellulite is diminished.”

To add structure to the temples
The temple region is one part of the face that most people don’t realize can really age you. As volume is lost from the area, the temples can start to become hollow and sunken. “One of my favorites uses of injectable filler is for filling in the temples,” says Troy, MI, plastic surgeon Anthony Youn, MD. “A lot of people have hollowing of the temples with age and loss of fat. Filling them in with either Sculptra Aesthetic or Juvéderm can be a very effective way to treat facial wasting and loss of volume.”

To plump up the earlobes
It may not be the first part of the body that you think of when battling the signs of aging, but the earlobes can actually become aged and damaged, looking droopy, thin and even wrinkly. Washington D.C. dermatologist Tina Alster, MD, says injecting the earlobes (hyaluronic acid fillers are usually used) helps to prevent further stretching or widening of the pierced hole. “And, it shows off your earrings better!”

To get rid of wrinkles on the knees
One of the best kept (and off-label) uses of fillers is in the knees. West Palm Beach, FL, dermatologist Kenneth R. Beer, MD, says that injecting the fine, crepey lines on the knees with Sculptra Aesthetic helps to soften them.

To erase chin wrinkles
Once wrinkles start to set in on the chin, your look can go into full-on aging. “Many people do not realize how the muscles in the chin can contribute to a wrinkly or cobblestone appearance in that part of the face,” says Beverly Hills, CA, plastic surgeon Leslie H. Stevens, MD. “Injecting neurotoxins in the chin relaxes these muscle just enough to smooth out the wrinkles and give more chin projection for a stronger chin.”

To smooth out wrinkles on the elbows
Montclair, NJ, dermatologist Jeanine Downie, MD, uses fillers in a rather unconventional way. By injecting the product into the elbows to even out wrinkles. “When things start to wrinkle women are generally not happy.”

Learn more about Juvéderm | Atlanta. Request for a Free Consultation.

The Makers of Botox May Have Just Solved Your Acne Problems

Original Article By Tatiana Bido

Good news coming from the late-stage trials of an acne medication from drug giant Allergan and Paratek Pharmaceuticals. The companies are reporting that two Phase 3 trails of the drug sarecycline, an oral tetracycline-derived antibiotic with anti-inflammatory properties, has been successful in the treatment of moderate to severe acne.

David Nicholson, chief global research and development officer for Allergan says, “The positive efficacy results observed in the pivotal phase 3 clinical trials indicate that sarecycline can be an effective treatment option for patients with moderate to severe acne.” Results showed patients receiving the once-daily medication had fewer inflammatory lesions than those who didn’t. Based on the outcome of these clinical trials, Allergan has announced plans to file a new drug application for their acne medication with the Food and Drug Administration later in the year.

In addition to treating acne, sarecycline is also being evaluated for the treatment of rosacea, a condition that causes redness, bumps and blotchy skin on the face. If a daily pill can deliver clearer, healthy-looking skin, we look forward to seeing this miracle drug on the market in the near future.

Everyone Is Secretly Getting This Plastic Surgery Procedure

Original Article by Amanda Montell

If you grew up watching too much early 2000s reality TV like I did, then your impression of plastic surgery might have been similarly influenced by, say, a certain cast member of The Hills or contestants on The Swan. Until very recently, I wrote off all cosmetic surgery as extreme, unnecessary, and unhealthy. But as I’ve gotten older (and as technology has improved), my mind has opened up.

Last year, Americans received 40% more injectibles than we did just five years ago. Thanks to factors like social media and an increase in better surgical techniques, we’re getting more and more used to seeing “medically enhanced” faces, whether we realize it or not. Many types of cosmetic procedures are growing in popularity “because of evolving techniques that lead to more natural results with less downtime,” explains NYC plastic surgeon Michelle Yagoda, MD. A lot of these procedures, though popular, are little-known and seldom discussed outside the doctor’s office.

To shed some light on which under-the-radar procedures are blowing up this year, we consulted two top plastic surgeons. Keep scrolling to learn about seven fascinating plastic surgery treatments taking over 2017.

Liquid Rhinoplasty
You’re already familiar with the traditional rhinoplasty (nose job), but now patients are able to get similar results without going under the knife. Liquid rhinoplasty simply “involves injecting fillers into the bridge of the nose,” explains Park Avenue Plastic Surgeon Melissa Doft, MD. It’s a great option for camouflaging a small bump, building up a flat bridge, or for fixing small imperfections after a normal rhinoplasty. “This is gaining popularity as it leads to a quick fix with no downtime,” Doft says.

Hand Fillers
When creating the illusion of youth, the devil is in the details. “So many people concentrate on their face and then their hands give their age away,” explains Doft. “There is a new focus on the aging hand.”

These increasingly popular injections plump up the hands, minimizing the appearance of bones and tendons to create a smoother, more youthful look.

Jowl Liposuction

Otherwise known as “submental liposuction,” this procedure removes excess fat from under the chin, which can make a person look older and heavier. “Many patients have a little extra fat under their chin, which can easily be removed in the office using micro-liposuction cannulas,” Doft explains. “The only incision is made with an IV needle, and the procedure is performed under local anesthesia.”

According to surgeons, more and more patients are demanding procedures that can be performed without general anesthesia. “No only does it decrease the cost of a procedure, but it also decreases the amount of downtime needed to recuperate from anesthesia,” says Doft.

Jaw-Thinning Injections

When a celebrity’s jaw magically looks slimmer overnight, we assume they went under the knife to have it “shaved down.” But according to Doft, you can actually create the look of a smaller jaw with injections. “Botox can be injected into the masseter muscle,” she says. (That’s the muscle that closes when you chew.) “In some patients this muscle is large, creating a square jaw. By injecting Botox, the muscle weakens and your face looks thinner.”

Botox for Excessive Sweating

Excessive sweating, or hyperhidrosis, is a common concern that surprisingly can also be fixed with Botox. “Many patients will come to the office for Botox injections to decrease the sweating under their arms or on their palms or feet,” says Doft. “The procedure consists of many small pricks and leads to six months of decreased sweating. Some patients will come in during late spring to see the benefits all summer.”

Nipple Reduction

Surgeons also commonly meet patients who don’t like the height of their nipples. “Many women find that large nipples can be seen through their clothing,” explains Doft. To address this, surgeons often perform nipple reductions, which involve “removing a donut of skin around the nipple and then plicating [or tightening] the skin edges together, reducing the height.” According to Doft, “It is an easy procedure performed in the office under local anesthesia with a fast recovery.”

Blepharoplasty (Droopy Eye Surgery)

As we get older, the skin on our upper eyelids droops, and the fat on our lower eyelids becomes displaced, creating a puffy appearance. Doft says doctors are often able to remove excess skin from the upper lids without general anesthesia. “Patients leave with a freshened, more awake appearance,” she says.

To remove lower lid bags, doctors can also perform blepharoplasty and fat repositioning with local anesthesia. “Instead of removing lower eyelid bags, the fat is lifted from the area of protrusion and then rotated and placed into areas of depression, giving the lower lid area an overall smooth and tight appearance,” explains Yagoda.

Learn more about Botox | Atlanta. Request for a Free Consultation.

The Surprising Reason Women Are Getting Botox in Their Bladders

Original Article by Julie Ricevuto

While you’re probably already well-versed in Botox Cosmetic’s aesthetic uses (good-bye forehead wrinkles), it turns out this anti-aging injection is capable of much more than just addressing cosmetic concerns. Many people turn to Botox Cosmetic for medical reasons such as excessive sweating or reoccurring migraines, but there’s one use for the treatment that’s still sliding under the radar: fixing urinary incontinence.

For those of us who don’t suffer from this condition, urinary incontinence can be categorized into two kinds of cases: the involuntary leakage of urine, or the sudden, urgent feeling to urinate without the bladder actually being full. That being said, Botox Cosmetic as a treatment for urinary incontinence only works for the latter condition, and typically lasts for six to 18 months.

“The urinary incontinence this works to fix is the instance in which the brain tells the muscles in the bladder to squeeze when it’s not time to go, so the muscles are squeezing prematurely because the brain is telling it to,” explains Dr. Kimberly Ferrante, uro-gynecologist with NYU Langone Medical Center. By injecting Botox Cosmetic into the bladder, Dr. Ferrante can actually relax those bladder muscles and prevent them from unnecessarily squeezing.

Luckily, this treatment for urinary incontinence isn’t a surgical procedure, but rather something that can simply be performed in the office. “We go in with a little camera called a cystoscope—it’s actually more narrow than a pen—then we do injections with the Botox after the patient has been treated with lidocaine on their bladder,” she says.

Even better? The success rate is high. “Botox for this issue is typically 70 to 80 percent effective in helping people deal with their urgency incontinence, making it a good option for many who suffer from it,” Dr. Ferrante confirms.

Learn more about Botox | Atlanta. Request for a Free Consultation.

Why This Woman Got a Facelift—And Couldn’t Be Happier

Original Article by Elise Minton

Bothered by loose, saggy skin and moderate wrinkles on her face, this woman explains why she opted to have a facelift and get rid of what she didn’t like once and for all.

“I had a mini-facelift with fat transfer as well as a necklift, lip enhancement, injections of Restylane and Juvederm, microdermabrasion and Fraxel (done by Houston plastic surgeon Henry Mentz, MD) and am so glad I did. I started to feel like I looked aged, and I knew I had to do something about it.

During my consultation with my doctor, we discussed options for surgery as well as post-surgery procedures. We decided that a facelift would be the best procedure to address my concerns.

I wasn’t really nervous in the days leading up to my surgery. But when surgery day rolled around, I started to get nervous. The recovery period lasted about 10 days, and I was pretty swollen, but I used a specialized face mask to help with the swelling and pain. It wasn’t until about week there that I could wear makeup again.

Since having my facelift, I look about 10 to 15 years younger. I love the result and would definitely do it again.”

Learn more about Restylane | Atlanta. Request for a Free Consultation.

Can Collagen Supplements Transform Your Skin – And Body?

Original Article by Elizabeth Varnell

Our beating hearts may keep us alive, but it’s collagen, the most abundant protein in the human body, that gives strength and structure to our bones, muscles, skin, and tendons. So when collagen production slows—as it does with age, stress, and illness—the telltale signs of aging emerge, including wrinkles and weaker cartilage in joints. Now beauty brands and biohackers alike are creating ingestible collagen supplements to help boost natural levels. These powders and elixirs mimic the age-old practice of consuming collagen-rich bone broths for youthful skin and bones. Here, the pros discuss the merits, the risks, and the efficacy of ingestible collagen, and how it aids the body both inside and out.

How It Works
UCLA dermatologist Dr. Hayley Goldbach, M.D., says collagen levels decline naturally with age, starting in our 20s and 30s. “Cells that produce it start to degrade and produce less,” she says. Because collagen provides structure to skin, as levels decline, wrinkles begin and joints become less limber. Sun and smoking both accelerate the process.

What It’s Made Of
In Asia, collagen supplements are a ubiquitous component of skin-care regimens, but they’re less common in the U.S. Los Angeles–based dermatologist Dr. Karyn Grossman, M.D., of KarynG skin care says ingestible collagen is typically made from hydrolyzed protein from animal sources (generally cows, pigs, and fish). Though she notes that “anything you ingest can upset your stomach or trigger an allergic reaction,” Grossman says it’s typically safe to drink these elixirs provided the collagen comes from a reputable source. “When you eat meat, fish, and poultry, you’re also ingesting collagen,” she says. “These proteins are broken down and absorbed in the GI tract, then used to build your own protein-rich parts: skin, bones, muscle, connective tissue.”

Effects on Skin
Grossman and Goldbach both say it’s hard to determine how much of the collagen you eat (or take via supplement) gets absorbed and then repurposed for various organs. Grossman says, “More studies need to be done to help to figure out how these products may or may not be affecting our bodies.” L.A. dermatologist Dr. George Sun, M.D., of MDSUN agrees. While he notes that a 2015 study of collagen peptide supplements showed improved skin hydration, he adds that “there are few placebo-controlled studies to prove ingestible collagen’s real benefits for skin.” Sun favors tried-and-true methods to improve skin’s collagen production: Don’t smoke; use sunblock; apply photo-protecting antioxidants, hydroxy acids, vitamins B and C, and, most important, Retin-A; and use deep-focused heat from lasers, radio frequency, and ultrasound to thicken and tighten skin. Sun and Goldbach both say that hyaluronic acid fillers like Restylane can also stimulate collagen growth.

Bones and Joints
Biohackers, including Bulletproof founder Dave Asprey, look to collagen supplements to improve bone and joint health. Dr. Zhaoping Li, M.D., director of UCLA’s Center for Human Nutrition, says to first check to be sure you’re not allergic to eggs or any other ingredients in the protein mix. And she’s far from convinced that supplements are needed. “Collagen is a major component of bone and joint health,” she explains, “but those body parts also require lots of other things. Bone density is determined by muscle strength, too.” Like Grossman, she says, “It’s hard to single out the effects of ingesting collagen.” Li notes that eating balanced foods and exercising is “really the only sure way” to keep joints healthy.

Rounding Out Meals
Holistic nutritionist Kelly LeVeque, who works with Jessica Alba, points out that many of us consume less than ideal meals, even if we’re trying to eat well. She agrees with Asprey that adding collagen protein is a bonus for many people, because it fosters a more balanced diet. “A week of juicing, for example, gives the body very few amino acids,” LeVeque warns. Without them, muscles start to break down and skin starts to hang off the body. “To keep muscle and skin tone, protein is important,” says LeVeque, noting that collagen is full of energy-boosting amino acids, the building blocks of protein. Collagen powder, even if it’s being broken up and digested, “is still protein, which helps the body,” she adds.

I Got My Lips Injected and I’m Proof That Fillers CAN Look Natural

Original Article by Brittany Burhop

We all look in the mirror and see things we love and things we wish we could change, whether it’s a pocket of cellulite on our upper thigh, deep wrinkles that just won’t fade, or in my case: thin lips.

I didn’t really notice it until about eighth grade, when I started “dating” and my appearance became more important to me. My girlfriends would make silly comments about how I’d apply lip gloss—one swipe was enough to cover both lips. My family also chimed in with little jabs every now and then about my “mirror face.” I’d push my top lip out with my tongue just enough to see the lips I wish I had, which really did have an effect on my overall look. Anytime I saw my reflection, the “face” appeared automatically. I didn’t even know I was doing it.

Fast-forward to last week, when the opportunity to get lip injections presented itself and I thought long and hard about it. I knew I wanted it, but I was also really scared. I asked around to some other editors and friends, and many of them said that the lips hurt the worst in terms of injections, and not to do it. But, I wasn’t convinced it was as terrible as they made it out to be. I did a lot of research and mustered up the courage to make the appointment. I knew the treatment was safe (and temporary!) and that the result would be worth it—not everyone will come out looking like Kylie Jenner. Plus, my mom and my fiancé supported me and knew how much I’d always wanted to see myself with a plumper pout.

The day of my appointment (I recommend choosing a Friday if you can so you have the weekend for the swelling to go down), I woke up nervous but excited. I arrived at the office of West Palm Beach, FL, dermatologist Kenneth Beer, MD, ready to go and I knew I’d be in good hands. We took some “before” photos and then headed into the treatment room.

First thing to note: the type of numbing you’d like. Some people will tell you to opt for the lidocaine cream, which gets rubbed all over your lips about 20 minutes before the injections. Others prefer a nerve block, which is an injection inside the mouth similar to novocaine at the dentist. And then there are the fearless few who say you don’t need any numbing (I’m brave, but not that brave!). I settled for the nerve block, which Dr. Beer recommended. This involved four tiny injections into my gums (two on top and two on the bottom—they were quick and felt like a little pinch), which numbed my lips entirely after just a few minutes.

Dr. Beer asked to make sure I felt completely numb, and then it was off to the races. There are a few different options for fillers when it comes to the lips, but I chose Restylane Silk, a hyaluronic acid filler that gives a really smooth, natural-looking result. The thing that makes my treatment different than the standard Restylane Silk lip injection, is that Dr. Beer used a microscopic needling technique (not to be confused with microneedling on your skin). He transferred the contents of one full syringe of the filler into four microneedle syringes (see below; the microneedle is on the left compared to the standard needle), which allows the injector to give a better, more precise result with the slightest amount of trauma to the lips (swelling, bleeding, etc). Dr. Beer explained it as a “low-pressure, small-volume injection that gently reinflates the lips to their normal volume for beautiful results on a consistent basis.” He also mentioned that this method is a little bit more time-consuming and costly than your typical injections, but it tends to be the difference between a really stellar injection and an average one.

So I’m sure you’re wondering about pain. Honestly, I only felt one pinch on my bottom lip the entire time. The numbing took care of everything and I was shocked by the ease of the whole thing. A few other editors who have had lip injections also mentioned that I might feel pain start to sink in a few hours afterward, but I didn’t experience that at all. My lips felt tight and a little sore if I tried to purse them, but not painful. My top lip was a bit stiff for about 24 hours, but my swelling was pretty minimal thanks to the microneedles. This is definitely the way to go if you want natural-looking fullness with minimal downtime. And, if for any reason you don’t like your result, your doctor can inject hyaluronidase into your lips to dissolve the filler. But, know that the swelling (and any apparent unevenness, etc) will go down eventually.

Two post-treatment things I will point out that I wasn’t aware of beforehand. First, my lips felt pretty firm (certain spots more so than others) for about a week, like I could feel the actual filler in them. If this happens to you, don’t worry, it will go down and your lips will eventually feel like normal lips. Each person’s body will handle the swelling and firmness differently. Second, my lips were incredibly dry (they actually peeled a little bit) for about three days. Thankfully I asked another editor about this and she told me it was completely normal and that I should just keep applying Aquaphor or something similar, which I did.

As far as my results go, they should last about six months, and even longer if I’m lucky. I think it’s safe to say I’m obsessed with my new lips. It took me a few days to train myself not to make my “mirror face” when I saw my reflection. Funny how the brain works! I’ve gained a major confident boost and I’ve never been more eager to wear bright lipstick, whereas before I stuck to muted tones that wouldn’t accentuate my tiny pout. For a beauty editor, that’s like winning the lottery.

And as a personal note, I just want to say that cosmetic enhancement shouldn’t come with such a stigma attached. If there’s something about yourself you wish were different or bigger or smaller or prettier, know that there are options to fix it without going overboard, and many of them are temporary solutions. We should support each other for wanting to look our absolute best instead of criticizing. If something makes you feel good, get out there and do it!

Learn more about Restylane | Atlanta. Request for a Free Consultation.

The Anti-Aging Treatments Pain Scale You Need to Know About

Original Article By Katie Becker

Discomfort and beauty are always in tension, so we teach ourselves the algorithm of: Is it worth it? We learn the calculations between ouch and better skin (or flatter abs, or a firmer jawline, or…). But you can’t do the math without knowing what kind of pain you’re in for. We went to the people who know best—the patients—to find out exactly what it feels like to be on the receiving end of all those needles, blades, and lasers.

*Pain Meter runs on a scale of 1-5.
Botox: An injectable neurotoxin used to temporarily paralyze facial muscles and smooth wrinkles.

The Patient Report: “I get it every four to six months to erase the etched lines on my forehead. Most doctors numb the area first with ice. I dislike that more than the needle—it’s like a brain freeze. Each injection is quick; usually I don’t feel a thing. But the area just underneath the eyebrows really hurts. Like a bee sting. The pain goes away immediately, though. Sometimes I get bruises that last a few days, but I can cover them with concealer. After a week or so, my brow feels a little heavy, like when your hand falls asleep. That’s right around the time people start telling me I look really relaxed, as if I was just on vacation.” —Andrea Modlin, 41

The Doctor’s Note: “I put a little pressure on each injection site right afterward to help with the sting and get very anxious people to do Lamaze-style breathing. The muscles start to feel kind of stiff, once the Botox kicks in, about five days later. You get used to that after a week or so, and soon you almost forget how to frown. Research even shows that you’ll actually feel happier.” —Ava Shamban, a dermatologist in Beverly Hills

The Pain Meter: 1

Restylane and Juvéderm: Hyaluronic acid–based gels injected to restore contours and fullness to the face and lips.
The Patient Report: “My upper lip is much smaller than my lower one. I’ve gotten it filled with Restylane or Juvéderm twice a year for about six years. My first treatment was at a spa, and it was a horror story—they completely overfilled my lips, and it really hurt. I had to go to a doctor for another injection to undo it. Now I always go to a dermatologist. I don’t use numbing cream, just close my eyes and center myself. The needle feels sort of like a splinter, but the pain doesn’t linger. I think a paper cut is worse. My lips are a little swollen for a few hours, but by the next day, kissing and eating feel completely normal.” —Elaine*, 31**

The Doctor’s Note: “The lips are one of the most sensitive areas on the body, so sometimes we start with an injectable anesthetic. Icing first is often enough, though. Plus, the most commonly used fillers, like Juvéderm and Restylane, have numbing lidocaine mixed in. The temporary swelling of the gel might feel a little creepy but should never be painful. The swelling dissipates after about a week. And if a patient doesn’t like the results, there’s an exit strategy: We can inject an enzyme called hyaluronidase that breaks down the hyaluronic acid completely over a couple of days.” —Shamban

The Pain Meter: 2

Kybella: Deoxycholic acid, a fat-dissolving chemical injected to reduce a double chin.

The Patient Report: “I’m skinny, but the fullness under my chin really bothered me. I went in for four Kybella sessions over six months. With the first two, they injected lidocaine before the acid, and I didn’t feel anything after that. I thought the lidocaine increased my swelling afterward, though, so I skipped it for the last two. Without it, the acid felt like a deep, throbbing pain and burned for about 15 minutes. It wasn’t unbearable, but it made my eyes water. There was swelling for a week—a couple days less when I didn’t do the lidocaine—but not so much that people were staring at me. I just wore a scarf.” —Jenny, 35

The Doctor’s Note: “I start with a numbing cream, then draw a grid across the area of about 20 spots. I inject lidocaine in each one, followed by the Kybella. Once the lidocaine wears off, the area can be achy for a few hours and will sometimes bruise. One hundred-percent of patients have some swelling that can last up to two weeks.” —Anne Chapas, a dermatologist in New York City

The Pain Meter: 3

Fraxel Dual Restore: A fractional CO2 laser that diminishes wrinkles, brown spots, scars, and pores.

The Patient Report: “I got a bad sunburn on my chest that left huge, dark sun spots. When a dermatologist suggested Fraxel, I went for it. She used a numbing cream first, but the pain was still an eight on a scale of one to ten. The first zaps weren’t incredibly painful, but the pain kept building as she covered the area. It became almost unbearable. The whole thing took roughly 15 minutes, and once the laser was turned off, my chest felt like it was on absolute fire for an hour. After that, there was no pain. My skin was red for two weeks and felt rough as it healed. A month later, though, my chest had completely changed: The dark spots had radically lightened or disappeared.” —Sarah, 24

The Doctor’s Note: “The laser makes tiny holes in the skin, so it does create a pinprick-y feeling. We always start with lidocaine cream. We also use a Zimmer fan, which blows supercold air, and I give people squeezy stress balls. Afterward, you may feel badly sunburned for a day. By day three, your skin has a sandpapery texture that lasts a week or two.” —Ellen Marmur, a dermatologist in New York City

The Pain Meter: 4

Ultherapy: An ultrasound-based technology for tightening skin on the face and body.

The Patient Report: “Over the last several years, I’ve done Ultherapy three times on my face and neck. The first time, I took Percocet beforehand for the pain, but it didn’t help much. The doctor held the handpiece against my skin and delivered zaps from the middle of my neck to just above my jaw. With each one, there was an intense burning feeling that lasted two or three seconds. Pain-wise, it was an eight on a scale of one to ten. The next two times, I took Demerol; the pain was more like a three—I just felt a hot sensation every time there was a pulse. Afterward, my skin was slightly flushed, but I didn’t need more painkillers. My jawline definitely looks tighter now.” —Amanda, 42

The Doctor’s Note: “I usually give Valium or Demerol, but some of my patients use no painkillers or sedatives at all. The machine delivers heat into the muscles that tighten up coils of collagen; it feels like a sparkler hitting your skin. We ‘stamp’ it across the face. Most of the time the pain is a four or five out of ten, but you get some zingers of nine. Treating the whole face takes a few hundred pulses—that can wear on you. Most patients see results in about a month.” —Paul Jarrod Frank, a cosmetic dermatologist in New York City

The Pain Meter: 5

CoolSculpting: A freezing procedure shown to reduce fat on the abdomen, thighs, and upper arms.

The Patient Report: “I work out and eat well, but I had this ring of fat around my belly, like a life preserver, so I tried CoolSculpting. A vacuum-like contraption—around the size of an iPad mini—sucks in about two inches of your skin, which feels bizarre. The area starts to feel increasingly cold, but not painfully so…then you go numb. I didn’t need an anesthetic or a painkiller. I did three areas—my love handles and the area below my belly button; each one took 45 minutes. The most uncomfortable part was sitting in the same position for three hours. Afterward, my skin was a little red and felt cold for a while, but I went to dinner that night and the gym the next day. About a month later, the life preserver was gone.” —Allison, 28

The Doctor’s Note:“The best candidates have fat that’s ‘squeezy’—not the hard, beer-belly type. If you make it through the first six minutes of the cold, you’ll be fine. That’s when you go numb. Afterward, we use a massaging device on the area. As the skin comes back to life, it feels sort of good—like your hands warming back up after a snowball fight. You might have some bruising and light soreness, but you can go straight back to work and working out. It takes two to six weeks to start seeing results, and some patients need more than one session.” —Marmur

The Pain Meter: 1

Cellfina: A device with a small blade to sever the fibers under the skin that create cellulite.

The Patient Report: “You lie on your stomach, and the most painful part is the injection of the lidocaine. Once that kicks in, you can’t feel anything. The blade’s motorized, though, and the sound—like an electric knife—is jarring. I had 21 dimples treated across my butt and thighs; it took 45 minutes. The dimples were gone immediately. For 48 hours I had soreness, like after a workout, but it didn’t hurt enough to even take Tylenol. The bruises lasted about ten days.”—Mickey Williams, 42

The Doctor’s Note: “The ideal candidate is under 50, so her skin has enough elasticity to spring back. The device—it looks like a petri dish—hovers over the area being treated and delivers a shot of lidocaine. Then a suction cup grabs the skin and inserts a tiny knife below the skin to cut the fiber that creates the dimple. The sound of the blade is a little disturbing; we offer noise-canceling headphones so you can listen to music. Most patients have tenderness and bruising afterward; improvements are visible in a few days.” —Melanie Palm, a dermatologist in Solana Beach, California

The Pain Meter: 1