A key trend is finding filler alternatives, or things we can do in addition to filler.
So I think thats going to be a trend for 2025less is more in fillers.
Were getting away from distortion, [towards] looking more natural.
Jane Wade top and skirt. Alexis Bittar earrings.
So where, exactly, do these macrocosmic events leave us in the new year?
Heres what plastic surgeons have to say about the trends we will see in 2025.
Brow lifts are back (with a smidge of Botox).
(These are all brand names forinjectable neurotoxin.)
So the pendulum is doing what it always doesswinging away.
This time its away from overly-injected immovable brows and toward a different kind of correction.
Five years ago, he says he would have done maybe five in an entire year.
Five years ago, brow lifts were dead… Now I’ve seen a dramatic uptick in them.
I get patients every week who are frustrated by their Botox.
They say, I saw a picture of myself and I look like a crazy person.
I dont like it, he says.
Because of their anatomy, they’re going to be the hardest to treat withBotox, says Dr. Few.
Theyve often gone to three or four different places for Botox before winding up in his practice.
Having said all that, Botox does have a role in the newest way surgeons are approaching brow lifts.
I still think Botox is the best treatment for the middle, explains Dr. Few.
But if you lift the outer half of the brows, that looks really, really nice.
you’ve got the option to transform the way somebody’s eye area looks.
(The older technique, known as an endoscopic brow lift, entails five incisions in the hairline.)
She finds its also just more in-line with her patients aesthetic goals.
Fuller facesand facial fat graftingwill replace chiseled cheeks.
For so long, this has been our beauty ideal, says Dr. Doft.
Now weregetting away from that.
Dr. Doft thinks its partly a natural ebb and flowaesthetics change.
(Just look at the generational divide overwinged linerand hair thatsparted to the side.)
And its partly a reexamining of whats youthful and, by extension, desirable for many patients.
Could this be our natural reaction, pushing back?
Many of my patients lovefat grafting.
When I performliposuctionI often repurpose the fat in the faceor the chest to increase cleavage, says Dr. Doft.
I personally like fat a lot, because it’s natural, it’s well-tolerated.
So in general, I think that we ought to tread carefully.
Fillers will give way to scalpels along the jawline.
Weve maybejust maybebeen hypersensitized to critiquing our softening jawlines.
People are getting frustrated with the noninvasive stuff, like Thermage or Ultherapy, says Dr. Doft.
It has a lot of people questioning whether they want to continue down the path with filler.
And that brings us to more patients asking aboutfaceliftsfor tightening their jawlines.
Many of them are relatively youngin the mid-40s and early 50s.
The jaw lifting and shaping effect typically lasts for about eight to 12 years.
The art of filler damage control will evolve.
(Restylane was thefirst hyaluronic acid fillerapproved for use in the U.S., in 2003.)
There wasn’t 10-year safety data on fillers when they were brought to market, says Dr. Mofid.
Fillers have been a national experiment for the last 20 years.
Hes noticing these changes in patients who started getting filler in their mid-20s and are now in their 40s.
I don’t know what the long-term consequences are, and I don’t think anyone really knows.
He typically corrects the damage using facial fat grafting.
There may be a role for micro fat and nano fat to restore that, he explains.
Other patients might need a facelift to contend with their post-filler appearance.
That is absolutely ludicrous and produces the side effects were now dealing with.
Theres a reason [some pharmaceutical] companies call these patients users.
Its a lot like an anorectic, who thinks theyre fat at 90 pounds.
Theres a reason [some pharmaceutical] companies call these patients users.
The Ozempic Makeover is the new Mommy Makeover.
The way patients think about contour and shape is changing, says Dr. Williams.
Now Im hearing a lot of people want to be a B cup, says Dr. Doft.
Theyre finding larger breasts make them look more matronly.
Her patients tend to wantperkinessand a beautiful shapeballerina breast is something I do for a lot of people.
When I started my practice, everyone wanted to be a C cup.
Now a lot of people want to be a B cup.
Maybe a lot more liposuction.
And there will be more liftsfor the face, as well as the bodyin the new year.
And now their skin isnt the same.
Patients come in and say, I’m ready to cycle out the implants, says Dr. Few.
Theres a question of whether they put a new implant in, or they just do a breast lift.
Its going to create a whole new avenue for surgery this coming year, for sure.
The breast lift will be an essential part of that process.
And I’m not sure that change goes away once they stop the medication, says Dr. Few.
I think there’s going to be an increase in face lifts, for sure.
A new breast implant will tempt the boob job-curious.
the implant becomes more spherical, firm, and uncomfortable.
And it moves upwards.
Motivas surface is uniqueit has these little bumps 4 microns apart, explains Dr Teitelbaum.
(A micron, or micrometer, is one-millionth of a meter.)
So it creates much less of a reaction.
Thats why Motiva has been shown to have a uniquely low risk of capsular contracture.
Breast augmentation continues to be one of the top five cosmetic plastic surgery procedures.
The company has done something admirable, adds Dr. Mofid.
It’s definitely on the radar of a lot of people.
But this idea of lowering capsular contracture is really exciting.
If this really does decrease capsular contracture, I think that’s a breakthrough.
A new facelift technique will arrive from abroad.
c’mon know, googling the words facelift and quilting together is not for the faint of heart.
(I, for one, Xed out immediately.)
Most plastic surgeons put drains under the skin after a facelift to prevent excess fluid from collecting there.
Its an antiquated approach that is still commonly used, but it is steadily being abandoned by experiencedfaceliftsurgeons.
Thats partly because quilting could offer an extra anchor for skin.
I understand why people are willing to do this kind of grotesque stitching.
I personally don’t think it’s necessary.
There is real downtime involved with it, says Dr. Few.
But it will be a hot topic.
