Beauty insider or not, there are no easy answers to improve facial appearance

January 12, 2011

Beauty insider or not, there are no easy answers to improve facial appearance
Beauty insider or not, there are no easy answers to improve facial appearance

Dodie Kazanjian, Vogue editor and author of “Icons of Style” and “Dodie Goes Shopping” is a woman of a certain age who became fed up with the way she looks. Already a seasoned fashionista, Dodie wasn’t looking for a makeover; she was looking to improve the appearance of her face. “Last spring, during a ladies’ lunch… it hit me that nobody would have known I was the youngest one at the table. None of the others looked as though they’d had face work, but they all looked radiant.”

Dodie began her quest by speaking to her friends. Her friends, mostly from the beauty and fashion world, supplied inside information, yielding multiple referrals. They suggested a magical dermatologist; a young plastic surgeon; pricey facial treatments; skipping rope; alternating Advanced Night Repair cream with Crème de la Mer; leg and foot massages; and banishing caffeine in favor of a cocktail with hot water and lemon, which, by the way, Richard Avedon used to call “a canary.”

Dodie’s dermatologist supplied her with this wisdom about face lifts: “Do it in your 40s and you’re thrilled; do it in your 50s and you say, ‘Why did I wait?’; do it in your 60s and you say, ‘Why did I bother?’”

Dodie consulted with a plastic surgeon. He said his under-the-muscle deep plane face lift would make her “as pretty as possible with no sign of plastic surgery” and guaranteed no follow-up needlework or maintenance. Another plastic surgeon suggested a SMAS placation, which tightens the subcutaneous layer of muscles without cutting into them. A prominent dermatologist recommended a “conservative tweak,” consisting of a mid face lift with a SMAS and Juvederm filler a year later to fill in the crevices.

Because of the promise of no maintenance work or needles, Dodie scheduled the deep plane surgery. She made all preparations, including purchase of the obligatory extra-large dark glasses. She then continued to talk to friends until she talked herself out of it. She canceled the surgery. Instead, she opted for a less aggressive path, receiving injections, including Botox and CosmoDerm, a collagen-based filler. A couple of weeks later, pleased with her results, she returned for Juvederm in her nasolabial folds and chin. For now, Dodie reports that she has stopped hating mirrors and has overcome her fear of injections.

Beauty insider or not, there were no easy answers for Dodie. To her benefit, she explored her options with qualified, board-certified practitioners.

Injectables may be a good way for you to improve your appearance. But, make sure your injector is qualified, preferably board-certified, is using approved materials, and advises you of any risks involved. For more information about injectables, contact a surgeon recommended by the American Society for Aesthetic Plastic Surgery.

The mission of the American Society for Aesthetic Plastic Surgery (ASAPS) includes medical education, public education and patient advocacy. Plastic Surgery News Briefs are summaries of current stories found through various news and magazine outlets that relate to or mention plastic surgery and cosmetic procedures. The views expressed in these news articles do not necessarily reflect the opinions of ASAPS, but are merely published as an educational service to our members and the general public. For additional information on these subjects and other plastic surgery related topics, please go to

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The American Society for Aesthetic Plastic Surgery (ASAPS), is recognized as the world's leading organization devoted entirely to aesthetic plastic surgery and cosmetic medicine of the face and body. ASAPS is comprised of over 2,600 Plastic Surgeons; Active Members are certified by the American Board of Plastic Surgery (USA) or by the Royal College of Physicians and Surgeons of Canada and have extensive training in the complete spectrum of surgical and nonsurgical aesthetic procedures. International Active Members are certified by equivalent boards of their respective countries. All members worldwide adhere to a strict Code of Ethics and must meet stringent membership requirements.


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