Yearning to Remain Viable, an Increasing Number of Americans 65 and Older are Turning to Plastic Surgery

Maria Vargas resented looking like an old woman. That was how the 68-year-old felt when she walked down the street. “I’d lost the looks of men,” said Vargas, who is divorced. “I’d walk by men and men would probably go, “Yeah, there’s a cute grandma’.” So in February, after months of grappling with the choice, she decided to have a Neck Lift.

“I got so excited about the difference that it made that I was like, ‘Oh my god, I want more’,” said Vargas, a Sacramento, CA resident who had never undergone elective Plastic Surgery before. Now, she said, “No 30-or 45-year-old guy is going to ask me, ‘Hey, what’s your number, honey?’ But a 60-year-old will.”

As reported by the American Society for Aesthetic Plastic Surgery, the number of people 65 and older receiving Facelifts and Cosmetic Eyelid Surgeries has more than doubled over the last two decades, with much of that increase occurring over the last five years. In 2015, 39,772 Eyelid Surgeries and 37,632 Facelifts were performed on people 65 and older. Although there is no age analysis within the category, doctors report that most of their older patients are between 65 and 75, and around three quarters are new to Plastic Surgery.

Part of it is related to demographics. People are living longer, and the baby boomer generation started turning 65 five years ago, so there are more people over 65 than in the past. But even taking that into consideration, the rate of Eyelid Surgeries among that age group has increased 62% and the rate of Facelifts has doubled.

The trend seems to reveal both cultural and economic shifts, including a growing acceptance of elective surgery helped along by popular shows like Nip/Tuck and a reduction in the procedures’ cost and invasiveness. Then, too, people are remaining in the work force and dating game later in life and dread becoming victims of age discrimination.

Some supporters argue that in trying to avoid the latter, older people who undergo Plastic Surgery to look younger are unintentionally bolstering ageism. But simultaneously, they acknowledge that in a world that fetishizes youth, the impulse may make practical sense.

“People are making a calculated decision, trying to escape the stigma of aging and buy a little time, be in the world and not be sidelined because of their appearance,” aid Bill Thomas, a Geriatrician who is trying to push Americans toward accepting old age as a welcome stage of life.

“It’s the age equivalent of ‘passing’,” Thomas stated. “You’re actually in this cohort but can you get everybody to believe you’re in a different cohort?”

Recently, both surgical and non-surgical options have increased. Doctors operating on older patients face factors like whether they are on blood thinners or need a stress test. Many people are forgoing the far more expensive Traditional Facelift, choosing minimally invasive in-office surgical procedures instead that cost $4,500.00 to $6,500.00, and also minimize the risk of medical complications more prevalent in older patients.

“Over the past five years, I have definitely seen in a dramatic increase in patient requests for minimally invasive Facelift Surgery using only Local Anesthesia. Yet, many are demanding the same results that a Traditional Facelift achieves. I developed the SLUPlift™ mini lift, which addresses all concerns. I have performed this procedure on patients from 40 years of age up to 79 years of age with excellent results.”

— Dr. Slupchynskyj

The reduced cost has made Plastic Surgery an option for more individuals. A generation ago “you may have had the odd movie star having something done, but it wasn’t something for the masses,” said Colin Milner, CEO of the International Council on Active Aging, an organization that promotes healthy aging. “Where it was once exclusive, it’s no longer exclusive.”

Presently, there are numerous economic factors. More Americans 65 and older are working than at any time since the turn of the century, and many encounter age discrimination.

If opportunities are favoring the young “and you begin to get old, you want to fit in….You’re invisible. And maybe this is the way for people to be visible.” Milner said.

But the change also reflects an evolution of how older people perceive themselves—which is to say, typically not as old as they have previously.

“I’m 60 and I remember when my grandfather and grandmother were 60 and it was like they had a foot on a banana peel and the other in the grave—and now (people their age) are skiing,” said Dan Mills, president of the American Society for Aesthetic Plastic Surgery.

More and more, as Americans stay more physically fit later in life, they often see a disconnect in how they look versus how they feel. That concern is not limited to baby boomers. Mills recalled a 78-year-old woman who played tennis and yet was constantly fending off a little boy who wanted to carry her groceries. After a Facelift and a Forehead Lift, the offers stopped.

It should come as no surprise, now that women are under more pressure to remain physically attractive, most older patients are women. But rather than the wholesale change in appearance that was more common in the past, they are more often seeking to return to work or social lives looking more refreshed than transformed.

When Linda Dodson, 68, of Oroville, CA, had a complete Facelift in March, “a lot of people, unless I told them, they didn’t really notice. They all just said I look great.”

She made the decision after receiving treatment for Breast Cancer, including a Mastectomy. “Things had been taken away from me personally, because of the cancer, and this was something I wanted to do for me,” she said.

Not everyone was convinced. “My husband was totally against it. He’d say, ‘I don’t want you to change, I love you the way you are.’ It made me feel good, because that’s how a husband should feel about you, but…I wanted to wake up in the morning and feel better about myself.”

Her husband wound up liking it—and it had other effects. “As I became older I had noticed that the general public isn’t as interested in what you have to say,” she said, “but afterwards I noticed a big change in how people react to me.”

That reality is discouraging for Ashton Applewhite, an anti-ageism activist who likens Plastic Surgery to “a prejudice against your own future self.”

“I really, really get the reasons why people dye their gray hair, lie about their age, and have Cosmetic Surgery,” she said. “But it’s not good for us, because it’s not authentic and it gives a pass to the underlying discrimination that makes those things necessary.”

She recommended that older women seeking romance “look around at your friends who are dating—they’re not the thinnest, they’re not the most wrinkle-free. They’re the ones who believe they’re the most fun in bed and who feel the best about themselves.”

However, Jean Stark, 83, a retiree in Lakewood, CO, isn’t interested in dating and sees no need to hold off as a political statement. She had work done on her eyelids a decade ago and is planning further procedures, including to her neck and jaw.

“It’s no big deal,” she says.

“If you look in the mirror and you don’t like the way you look, if you can improve yourself, why not?” Stark said. “I would have done this years and years ago, but then a lot of this wasn’t available years and years ago…What in the world have I got to lose? If I drop dead the next day, at least the undertaker will have a good face to look at.”

Getting a Facelift New York

Are you thinking about getting a facelift in NYC?

The general rule of thumb is that the firmer the skin the more attractive. Any skin that is wrinkled and droops can be unsightly, this is especially apparent when it is located on the face. Loosened fat and skin can lead the appearance of jowls to the point where you may be considering getting a jowl lift. The good news in all of this is that there are a variety of facial plastic surgery options available to you in New York City. Depending on what needs to be done, a surgeon can confidently recommend an upper facelift, a mid facelift or a lower facelift. One of these facelift surgery options could bring back your youthful appearance once again.

I’ve heard of them before, but what exactly is a facelift?

As one of the most popular facial plastic surgery procedures performed in New York City, facelifts tighten the skin that has begun to sag and droop on the face. Any facelift surgery, will be tailored to the individual patient’s needs. The skin can be tightened in specific areas of the face, along with the removal of fat that has migrated to the lower area of the face reducing the appearance of unsightly jowls and replacing it with a youthful more chiseled jawline.

What can be expected from a facelift surgery?

Facelift

With the number of intricacies and small details that a surgeon must take into account for each individual patient, every surgery is different. If an upper facelift, a mid facelift, or a lower facelift is needed, you can be sure that the procedure will be explained in great detail. With most facelifts and incision is made behind the ears and along the hairline. The amount and length of these incisions will vary greatly between patients, but the general principle is the same.

During this process in order for the patient’s face to retain its natural unique beauty, fat is often moved from the face and neck to more aesthetically pleasing areas, as well as being removed entirely. Any and all incisions will be hidden in the naturally occurring creases in your face. The incisions that are made during the facelift surgery will be closed and any sutures will be removed at a follow up appointment.

What happens after the facelift surgery is finished?

After the surgery, you may be unsure of what you will look like in the mirror. You may even recognise yourself from years in the past as the years have fallen off you once you are fully healed and the swelling has subsided.

What do you do when you get home after a facelift surgery?

Usually, immediately after you get home following a facelift surgery your face will be wrapped in multiple layers of bandages and drainage tube will likely be attached as well. A common sensation for patients that have had a facelift surgery is to feel a tightness in their skin.

What to expect during the recovery period?

Depending on exactly what the facelift surgeon was able to accomplish during the surgery you can expect to have swelling a bruising for three to four days following the procedure. This is completley normal and should not be any cause for alarm. If you notice any changes that concern you during this period, you should contact your doctor immediately, if only for a little peace of mind. Your facelift surgeon will have scheduled a number of follow up appointments so you will have the opportunity to ask as many questions as you need to.

Following the instructions of your surgeon is crucial to ensuring that you have a good recovery. You will be instructed as to which medicines to avoid along with any foods that could cause problems. You may be surprised at the list, aspirin and garlic can both thin the blood so make sure you pay close attention on what to steer clear of.

Towards the end of the recovery period, patients are often thrilled and amazed at how well they have healed. They will know exactly where the incisions were made, but will be unable to see them. You will look and feel younger following your facelift procedure. Your doctor will also have advice for long term care as well.

The Correlation Between the Health of the Global Economy and Cosmetic Surgery Revenue

The U.S. is currently the largest market for cosmetic procedures globally.

Recently, a report published by The American Society of Plastic Surgeons demonstrated that service profits for Plastic Surgery increase and decrease with economic trends. The journal has analyzed the revenue trends and their possible relationships with numerous economic statistics. According to their analysis, profits from surgical procedures are reflected by economic criterion like stock market averages. When the stock exchange average increases, the revenue from Cosmetic Surgeries also increase. When the unemployment rate goes up, the revenue from Cosmetic Surgeries tend to decrease. During 2015, in the U.S., which is the largest market for cosmetic procedures, the overall revenue increased 20%, but there was 10% decline in service profits from surgical procedures, such as Breast Augmentation and Facelift.

On the contrary, trends in minimally invasive procedures reflect microeconomic benchmarks. Revenue from minimally invasive procedures increased along with real estate value, disposable income per capita and real Gross Domestic Product per capita. Consequently, there was an approximate 200% increase in service revenues generated by minimally invasive cosmetic procedures, such as Botulinum Toxin and dermal fillers. The market shares for service profits from these procedures increased from 30% in 2000 to about 50% in past two years. Subsequently, the service revenues from surgical procedures have remained stable.

Non-surgical treatments blazed a path across the globe; they are generally divided into three major categories: injectables, energy based devices and active cosmetics. Injectables include neurotoxins, such as Botox® and dermal fillers like Restylane® and they have the largest market share. These are followed by energy–based devices, such as lasers, radio frequency and Intense Pulsed Light (IPL). The cosmeceuticals include skin care, eye care, skin lightening, and scar care products.

The North American market comprises approximately 45% of the global market; however, the dominance of the U.S. is migrating towards Asia, specifically in the energy–based devices sector. Asia is considered the next frontier and the number of physicians and clinics in China and India has been steadily increasing, along with medical tourism in the region. In the injectables and devices category, the E.U. occupies the second position behind the U.S. Brazil remains a strong market for aesthetics and cosmetic procedures. Russian market is also experiencing fast growth than many E.U. countries and the Russian market is especially strong for devices and topicals.

Along with the global giants like Allergan, Galderma and Merz, a lot of smaller companies are offering wrinkle relaxing agents and wrinkle fillers. These products have only temporary effects requiring repeated procedures. The market for these products is nearing maturity and they are widely accepted only in the U.S. and E.U., whereas, permanent fillers are widely in demand in Asia. Artefill is considered to be a semi–permanent to permanent filler. It contains a synthetic ingredient known as polymethyl methacrylate (PMMA) mixed with animal collagen. Use of off–the–shelf dermal fillers and fillers containing Lidocaine for pain management is becoming a gold standard in the E.U. and U.S. markets.

Aesthetic practitioners have now the choice of new instruments such as, soft and bendable needles, blunt-tip cannulas and injector pens for minimally invasive procedures. Recent years have seen wide acceptance by consumers for microneedle treatments administered via handheld guns, for restoring skin with vitamins, amino acids and hyaluronic acid. Consumer aesthetic products, such as “micro–botox” and “bro–tox” are experiencing substantial growth. Adipose Derived Stem Cells (ADSC) have gained acceptance for rejuvenating face and breasts, and stem cells from green apple, lilac and alpine roses are now being integrated as ingredients in topical cosmetics. Facial treatments have gained a significant market share with the availability of plenty of off label products. New technologies to treat excessive sweating, Cryoneuromodulation for wrinkles and eradication of toenail fungus offer new areas for physicians.

Another growth market is for body shaping procedures that involves reduction of fat, cellulite, skin laxity and vein removal. An injectable drug, currently in clinical trials is most likely to become a game changer in body contouring segment in the near future. On July 10, 2014, FDA accepted the filing of a New Drug Application (NDA) for the drug Kybella (deoxycholic acid) by Kythera Biopharmaceuticals. Plug–in at–home devices for treating sun damage, hair removal, skin decoloration, acne, hair growth, skin texture, microdermabrasion, and cellulite continue to expand particularly in developed markets. The aesthetic market is expected to witness a new innovation, the introduction of transepidermal drug delivery technologies for facilitating topical treatments.

Facial Aesthetic Surgery Can be Completed Safely Under Oral Sedation, Local Anesthetics

According to study results, facial aesthetic surgical procedures performed by means of Oral Sedation along with with Local Anesthetics were safe and well-tolerated by patients.

Researchers conducted a retrospective chart review on 199 patients (mean age, 49.8 years; 176 women) who had an office-based Plastic Surgery procedure between July 2008 and July 2014. The patients received Oral Sedation in conjunction with Local Anesthesia.

Patients received minimal Oral Sedation that included a combination of diazepam, diphenhydramine, and hydrocodone/ acetaminophen or acetaminophen alone. There was a minimum of 30 minutes after receiving Oral Sedation before infiltration of Local Anesthesia to the surgical site was administered.

Age, gender, BMI, past medical history, social history, surgical history, allergies, and medications were the patient demographic data collected and included in the review. American Society of Anesthesia (ASA) class, type of procedure, medications administered and major complications related to sedation were measured.

Patients underwent 283 facial aesthetic surgical procedures, with 195 patients in ASA class I and 4 patients in ASA class II. Procedures included 44 Upper Blepharoplasty procedures, 5 Browlifts, 43 Upper Blepharoplasty-Browpexy, 46 Facelifts, 38 Neck Lifts/Lower Facelifts, 54 Fat Grafting, 3 Tip Rhinoplasties, and 15 minor revision cases.

Average follow-up time was 23.5 months. There were no major complications and no sedation issues during the study period, with all procedures completed under Oral Sedation. There were no cases converted to IV sedation, ended due to pain or discomfort, or requiring hospital transfer. All patients tolerated the procedures well, with the average surgery length of 84 minutes.

“In healthy patients, office-based facial plastic procedures can be safely performed under a combination of Oral Sedation and Local Anesthetics,” the researchers determined. “Patient selection and pretreatment counseling are critical in ensuring a satisfactory and safe experience.”

Learn about the major differences between General Anesthesia and Local Anesthesia.

Spring Forward to What’s Hot

Now that it’s officially spring, we bring you the top beauty and fashion trends for making a real splash into the warmer weather. Now that you’ve shed those winter layers, it’s time to unveil something truly amazing to the world.

First we consulted Allure Magazine for the colors to help you “face” the world like a true fashionista:

● Its spring, not Halloween but you still might like to experiment with orange lipstick. Although it’s been trendy for a while, this year’s orange is more explosive. Try an orange with a neon glow. They say it’s hard to stand out on in a place like NYC, but this could be a street-stopper.

● Asking men to look into your “deep blue eyes” will now be easier than ever regardless of your natural features. Cobalt is the color of “cool” this spring when choosing an eye shadow. Lighter shades got ditched for the darker, “diva blue” hues.

● The word is out there was a major break-up. Black liners got bounced and were replaced by a subtle upgrade to navy blue. Step out on a limb and secure something new to frame your magnificent “windows” to your summer soul.

● Although you may have been looking forward to traditional “beachy” colors for your nails and open toed shoes try something “winter retro” this spring. Chocolate tastes good anytime of the year and now it looks great on your nails after a mani pedi, year round as well.

Now what’s “Prêt-à-Porter” from your shopping bags to your first outdoor cocktail? It’s going to be street side dining time soon and we want to help you make the avenues your runway. Elle Magazine recommends a few must-haves:

● Logo your way to cafe seating arrangements this spring. Don’t be afraid to show the world just whose stores you’re shopping in. Anything that displays your favorite designer’s initials with pride will be the best in show.

● If logos are too much for your understated taste, don’t worry because opposites always attract. Minimalism is also heating up like the temperatures. Basic, one shade bags and trousers and classic gold link jewelry will also satisfy any audience’s craving for the latest in style.

● For the men its metro but for the ladies its 80s retro, at least that is when it comes to their shoe fetish. 1980s style, low heeled pumps are back for a spring flash.

● It’s NYC not Cali, however, “casual chic” may hit east coast boardrooms as well this spring. Try some surf inspired, but career ready board shorts. Show off those legs in  unique, bi-coastal fashion.

● If Cali isn’t far enough, pull a piece from even farther away. Traverse the concrete jungle in tribal inspired dresses with fringe and more street stopping orange to match your lips. Let your wardrobe take you far, far away from blending into boring NYC, black and gray favorites.

In addition to your beauty and fashion routine, occasionally people like to prepare for summer “stepping out” in other ways as well. Minimally invasive interventions like Botox®™ or dermal filler injections may also be nice additions to your vacation checklist. If you’ve been considering surgical options like a Facelift or Eye Lift, now would be the best time to schedule your surgery so you’re healed in time for friends’ seaside parties on the beaches of the Hamptons or New Jersey. The Aesthetic Institute of New York & New Jersey has immediate consultations available.

References:
http://www.elle.com/fashion/trend-reports/fashion-rules-of-the-winter-season#slide-7

http://www.allure.com/makeup-looks/2014/new-makeup-color-trends-for-2014#slide=7

How Far Should I Travel for Cosmetic Surgery?

Making the decision to have Plastic Surgery should not be taken lightly. There are plenty of fluffy, happy articles online and in magazines about the wonderful benefits of looking younger and more attractive via Cosmetic Surgery procedures, but those results are only possible when clients do their homework. Choosing the best Plastic Surgeon is imperative to getting the results you desire, and that can mean traveling outside of your local area.

Here are things to consider if you are trying to determine how far you should travel for Cosmetic Surgery.

Who is the best Plastic Surgeon I can afford?

Just as with any profession, there are amazing Plastic Surgeons and there are those with a less than desirable track record. When you make the decision to have a Facelift, Rhinoplasty, or other procedures that will permanently alter the way you look, you want the most experienced and qualified Plastic Surgeon at the helm. Do your research and study credentials, their reputation and reviews, and view plenty of before and after pictures. Ask for references. Do they have a specialty? For example, Dr. Slupchynskyj is known for his revolutionary Ethnic Rhinoplasty procedures, so many of our patients travel a long ways to ensure their Ethnic Rhinoplasty or Revision Surgeries are done by the best.

If the Plastic Surgeons in your area don’t make the cut (pun intended) then make the investment to travel to a surgeon who you trust will provide the most desirable outcome. In other words, you want to travel as far as you need to in order to have your procedure(s) performed by the best Plastic Surgeon you can afford.

How long can I take off work?

Many people are concerned that traveling will cause them to miss additional work time; however, this isn’t necessarily the case. With more major procedures, such as a full Facelift or Nose Job, we recommend that patients take 7 to 10 days off anyway to allow any swelling, bruising, or discomfort to fade and to allow the stitches to heal. Being away from home can often enhance the recovery period, because you are able to fully relax, rest, and recuperate. You will need to meet with the doctor at the one week mark to ensure your incisions are healing properly. Then you are free to return home.

Many of our patients travel from other states and make this their “vacation” for the year. Their families take advantage of all there is to do and see here and New York, and our patients return home looking better, and feeling more confident, than ever before.

Understand the risks of traveling abroad.

There has been a recent trend to travel abroad for Plastic Surgery procedures. We wholeheartedly recommend that you think twice before leaving the United States to have Cosmetic Surgery. In most cases, patients go abroad for Plastic Surgery because the procedures cost considerably less money. However, they are not taking into consideration the holistic costs of your safety and well-being. The United States has some of the most stringent medical regulatory measures of any country in the world. You want to ensure someone who is fully educated, trained and qualified, and adheres to the industry standards does your surgery. Your life is literally in their hands.

Dr. S. has performed countless revision surgeries to correct shoddy work done overseas. In these cases, the clients spend considerably more money, when you take into consideration their initial expenses for travel and procedure(s), and then add them to the cost of Revision Surgery, not to mention the pain and suffering that occurs in between. When you travel outside the country for your Cosmetic procedures, you are putting yourself at risk for poor quality care before, during, and after your surgery. You are also exposed to foreign contaminants and diseases that can compromise your immune system, which will further complicate your recovery period. It is always best to find a Board Certified Surgeon in the United States who comes highly regarded.

Don’t Let Finances Keep You from Visiting the Best Plastic Surgeon Available

Never let finances get in the way of a top-notch Plastic Surgery procedure. Investing in the best possible outcome is well worth it. If finances are the only thing keeping you from having your Cosmetic Surgery procedures performed by a reputable surgeon, ask their office about financing options. Dr. Oleh Slupchynskyj is one of the best Plastic Surgeons, and our office offers a variety of financing options to ensure you receive the high-quality procedures you deserve.

Contact us today to schedule your consultation, and begin making your travel plans for a Plastic Surgery procedure that will be done expertly the first time around.

eyelid sluplift facelift Rhinoplasty