The Face of the Future: Look Natural, Not Plastic: A Less-Invasive Approach to Enhance Your Beauty and Reverse Facial Aging
160
The Face of the Future: Look Natural, Not Plastic: A Less-Invasive Approach to Enhance Your Beauty and Reverse Facial Aging
160eBook
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Overview
Product Details
| ISBN-13: | 9781938803017 |
|---|---|
| Publisher: | Addicus Books |
| Publication date: | 08/01/2012 |
| Sold by: | Barnes & Noble |
| Format: | eBook |
| Pages: | 160 |
| File size: | 2 MB |
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The Face of the Future
Look Natural Not Plastic: A Less-invasive Approach to Enhance Your Beauty and Reverse Facial Aging
By Andrew A. Jacono, William M. Winn
Addicus Books, Inc.
Copyright © 2012 Andrew A. Jacono, M.D., F.A.C.S.All rights reserved.
ISBN: 978-1-938803-01-7
CHAPTER 1
The Celebrity Factor
Images of thin, toned, celebrities with "perfect" faces puts enormous pressure on women, starting as early as their preteens. It is no longer good enough to keep up with the Joneses; many younger women feel that they have to keep up with celebrities. But of course that is not realistic. This pressure is not exclusive to women. Men are similarly being held to the celebrity standard; rock-hard six-pack abs and a chiseled jaw and cheekbones are an expectation that is difficult, if not impossible, to meet.
The Ideal Look
The ideal look has changed dramatically over the decades. If you look across cultures and throughout time, beauty standards have certainly evolved, but some aspects of beauty remain constant. For example, the pursuit of symmetry and balance in the face has stood the test of time, even though different ethnicities desire different eyelid, nose, and cheek shapes to maintain their heritage.
Standards of beauty are also very different between the sexes. The beauty ideal for female skin is universally lighter than for males across all cultures. The ideal female face is heart-shaped with a petite jaw, an arched brow, and full lips. Due to a decline in the feminizing hormones estrogen and progesterone as women age, they tend to take on a more masculine appearance. The face becomes square due to cheek volume loss and formation of jowls. Brows flatten, facial hair appears, and lips thin out. The physical traits that can make a man look rugged or handsome tend to make a woman appear more masculine, angry, and tired.
But men are not immune to aging either. Their brows and upper eyelids droop, and lower eyelid bags form, making them look not "rugged" but tired. As the neck loosens, men appear not only older, but also look as if they have gained weight even if they are in good shape.
Focus on Celebrities
Our culture's focus on popular media and celebrity has affected the way we perceive ourselves. A recent study from Harvard University found that "Our society narrowly defines beauty by what we see in entertainment, advertising and fashion runways" so that only 2 percent of women consider themselves beautiful, 5 percent consider themselves pretty, and a mere 9 percent even consider themselves attractive.
This study was based on quantitative data collected from a global survey of 3,200 women from Argentina, Brazil, Canada, France, Italy, Japan, Netherlands, Portugal, the United Kingdom, and the United States. Amazingly, 60 percent of women in this study felt that society expected them to enhance their physical attractiveness. It is no wonder why cosmetic surgery is on the rise! Unfortunately, I do not see our culture changing in the near future, and my goal in this book is to help you to navigate an ever-growing number of options (both nonsurgical and surgical) to enhance your appearance and look great.
While our exposure to beautiful celebrities motivates us to have cosmetic procedures performed on our face, there are other celebrities who make us fearful of making any changes at all. There is no lack of television, movie, and music stars who are examples of "overdone" Botox, fillers injected in the face, and facial plastic surgery. The most common statement I hear is, "If celebrities who have all the money in the world, and the access to the best doctors, look artificial and 'plastic,' what chance do I have at looking good but still like myself after surgery?" The following celebrities are rumored to have had plastic surgery or facial enhancing injections. I split them up into two groups, those who look good and those who look like they "had work done." Some of them have confirmed they had procedures done and some have not; the names are not given in this particular order.
Celebrities who look good as a result of facial cosmetic surgery, are: Madonna, Demi Moore, Susan Sarandon, Ashlee Simpson, Michelle Pfeiffer, Candice Bergen, Kim Kardashian, Julianna Margulies, Jennifer Aniston, Cameron Diaz, and Megan Fox.
In my opinion, the list of celebrities who appear to have had unsuccessful cosmetic surgery and look "done" include: Bruce Jenner, Kenny Rogers, Gary Busey, Joan Rivers, Meg Ryan, Melanie Griffith, Donatella Versace, Heidi Montag, Janice Dickinson, Mickey Rourke, Lindsay Lohan, and Mary Tyler Moore.
It's obvious from this second list that male celebrities walk into these situations as often as women do. Even young celebrities such as Heidi Montag have had procedures done that have left them looking so different from what they did that their look borders on startling. Whether they admit it or not, celebs often don't look "normal" after surgery.
In everyday life many nonfamous men and women also wind up in the same situation. When we look at famous people whose who have had bad results, there are common characteristics of their appearance that make them look manipulated. Using these celebrities as an example we can learn why this happens and how it can be avoided.
Overfilled Lips
One of the most noticeable changes that signal an alteration in celebrities' faces are overfilled lips, especially the upper lip. There are many examples of this, including Meg Ryan, Donatella Versace, Melanie Griffith, and Lisa Rinna for starters. Even young starlets like Lindsay Lohan and at one time Jessica Simpson have fallen victim to these overdone techniques. The filler material can be an injectable product like Restylane, fat transfers, or many others. In an ideal situation, even if one has full beautiful lips, the upper lip should be smaller than the lower lip. In these cases above, that proportion has become reversed. When this happens the entire face becomes unbalanced; it creates an almost apelike appearance with all the focus of the face around the mouth and not on the eyes and cheeks.
The solution to this problem is not to avoid having your lips enhanced (especially if you have thin lips) but to have lip augmentation done correctly, which I discuss in chapter 14. In chapter 4, I discuss how to reverse bad lip injections if your lips don't look balanced.
Overdone Botox
Even a treatment as simple as botulinum toxin injections can leave one looking bizarre. When botulinum toxin is used to reduce wrinkles in the forehead, if the corners of the eyebrows are not treated correctly, they will elevate, leaving you with a "Mr. Spock-like" appearance, similar to the way Jack Nicholson looked in The Shining. A picture of the comedian Carrot Top looking like this surfaced in recent years.
When botulinum toxin injections are overdone, it can make the face look downright frozen, like we see in many female newscasters. It has not been confirmed, but I believe that the singer Fergie has had Botox in her forehead that made her eyebrows look heavy and frozen. While she is beautiful, I believe this detracted from her appearance. Botox Cosmetic is a wonder drug, and when used by an experienced injector who understands the facial muscles, it can leave you looking great. I discuss the issues surrounding this treatment in chapter 4.
Overdone Eyelid and Brow Lifts
Some traditional eyelid lift techniques that are routinely performed today change the shape of the eyes and remove all the natural fat around the eyes, making them look sunken. Other examples of altered eyelid appearance are seen in celebrities Bruce Jenner, Gary Busey, and Janice Dickinson.
Additionally, these same celebs appear as if they had an overdone brow lift at the same time that causes a startled appearance. Singer Kenny Rogers's eyes appear startled and sunken at the same time. With these two problems occuring together, these individuals don't look quite like themselves. This does not mean you shouldn't have these procedures done. Techniques that make you look more youthful yet natural are described in chapter 11. Today we can accomplish eyelid and brow rejuvenation without surgery, as will be discussed in chapters 5 and 7.
Overdone Cheekbones
Higher cheekbones are a classic sign of beauty and are seen in the most iconic beautiful women in popular culture, such as Angelina Jolie and Megan Fox. But in their quest to enhance cheeks, many celebrities become so overdone that their faces can look distorted or appear bloated. Certainly they do not look like themselves. Higher cheekbones are accomplished by an experienced physician who injects either a cheek implant or temporary fillers like Radiesse or your own body's fat into these areas.
Melanie Griffith and Joan Rivers are likely to have had overdone fat transfers to their faces, which is why their faces look unusually round and bloated. It has been suggested recently that Lindsay Lohan has had some injectable fillers and fat transfers in her face at the age of twenty-five! Pictures that have circulated of her show her looking "different" and probably ten years older. This demonstrates how when facial filling is overdone it can sometimes actually make a person look older and not younger. I discuss this phenomenon in chapter 2. Many celebrities get facial fillers, but we may not be aware of who does because when done well they look fresh faced and beautiful, not manipulated. Madonna and Cameron Diaz are likely examples of these, even though we have no confirmation they have had anything done. Heidi Montag has admitted to having had large cheek implants. Heidi's case is an example of how overdone implants can even make one's skeletal structure so strong that it masculinizes the face. I will discuss how the cheeks should be properly balanced and proportioned to avoid the "done" look in chapter 13.
Avoiding the "Facelift Look"
The result that no one wants, but many icons acquire, is the stretched look of a more-traditional facelift. Bruce Jenner, Joan Rivers, and Mary Tyler Moore have a classically "facelifted" appearance in which the face appears tight almost to the point of distorting normal facial features such as the mouth. This is generally because the most common technique in face-lifting is to pull the skin up and place some kind of stitching to hold up the underlying muscles of the face. This leaves an excessive amount of tension on the skin, hence it looks pulled or windswept.
Examples of good facelift surgery can be seen in beautiful actresses who seem almost ageless. Although it is not confirmed, it appears that Susan Sarandon, Michelle Pfeiffer, Candice Bergen, and Demi Moore have had exceptionally good surgery. The most state-of-the-art facelift techniques today incorporate less-invasive, small-incision approaches that support the underlying muscles of the face and don't overstretch the surface of the skin. These state-of-the-art techniques are described in chapter 12.
I think that the above examples serve to show how plastic surgery can go wrong, and it is the goal of this book to help you understand how it can go right. In upcoming chapters, I discuss all of the procedures available in facial cosmetic surgery. I thank you for taking the journey of reading this book. I know that using it as a resource will allow you to avoid the pitfalls we see in popular culture and help you attain your goals for your appearance. With the help of a great doctor, and there are many out there, you can reclaim your natural beauty that declines with age, and, if you're younger, even enhance the beauty you already have.
CHAPTER 2Where Beauty and Youth Converge: The Golden Proportion
"'Beauty is truth, truth beauty — that is all Ye know on earth, and all ye need to know." — John Keats, Ode on a Grecian Urn
Actress Angelina Jolie is widely considered to be one of the most recognizable and beautiful faces in the world. Beautiful faces such as hers arouse the senses to an emotional level that pleases us. But what are the essential characteristics of a beautiful face? The answer to this question is crucial, especially if a plastic surgeon is going to modify facial features toward a goal of rejuvenating the face and making it appear more attractive. Our goal here is not to make everyone look the same, but to better define the science of beauty so that we can unlock the potential that exists in every person's face.
Interestingly, British researchers asked European white, Asian, and Latino people from a dozen countries to select attractive faces from a diverse collection, and they all chose the same type of faces. Even babies have a sense of what is attractive, as studies have shown that infants three to six months old gaze longer at a nice-looking face than at one that is not attractive.
When we look at a beautiful face, our eyes focus on features that draw highlights and attention, including the eyes, eyebrows, lips, nose, and overall facial shape defined by the cheeks, chin, and forehead. The relative proportion of these features is what can be analyzed and demonstrated to be attractive when proportionate or unattractive when disproportionate.
Deconstructing the Ideal Face
In looking for what the correct relationship is regarding length and proportion within individual facial features (for example the lips) or the relationship of different features to each other (for example the eyes to the eyebrows), we need to look no further than the Golden Ratio. The Golden Ratio has also been referred to as the Golden Proportion by Renaissance artists, as it has been consistently and repeatedly reported to be present in beautiful things, from architecture to animals to human beings.
The beauty of a butterfly can be demonstrated to have this proportion. Even the structure of a DNA molecule is in this proportion. The Golden Ratio is a mathematical ratio of 1.618:1.0 (this means 1.618 to 1.0) and describes the relationship of one length to another. It is often called Phi (the Greek symbol for Phi is Φ as it was regularly used by the Greek sculptor Phidias. Interestingly, this number is the only one in mathematics that when subtracted by units (1.0) yields its own reciprocal (.618), called phi with a lowercase φ which makes it a uniquely balanced proportion.
A California-based maxillofacial surgeon, Stephen Marquardt, has derived a perfect face from this Golden Ratio that he refers to as the "Golden Mask," which, when superimposed onto beautiful faces, will routinely match. By superimposing this mask onto a face that lacks aesthetic balance, we can define areas of the face that are deficient or excessive and that can be changed with plastic surgery techniques.
Artists have used the Golden Proportion for more than two thousand years. This has resulted in the development of Golden Calipers that can be used to measure the relationships within and between facial features to create the most beautiful results. I use the calipers when I examine my patients; during injection treatments when trying to create the most beautiful eyebrows, eyes, cheeks, or lips; and during surgery.
Beautiful and natural eyebrow position respects the Golden Proportion (Figure 5). The eyebrow should start at the level of the inner corner of the eye. At this point, the vertical height of the eyebrow should be where the forehead bone starts. The length of the eyebrow should be 1.618 times φ the distance between the inner corners of the left and right eyes. (This is called the intercanthal distance.) There should be a gentle upward curve to the brow's lateral tip. The upward curve of the lateral brow tip should be placed .618 times the intercanthal distance above the bone underneath the eyebrow.
If one does not have eyebrows that have this relationship, they can be changed simply with grooming or makeup. For example, by tweezing the bushiness of eyebrows along their lower edge toward the lateral tip, the Golden Ratio of a beautiful eyebrow tilt is created. Alternatively, an eyebrow pencil can be used to draw a higher brow that respects the Golden Proportion.
Another approach is to perform a brow-lift surgery to tailor its shape. Endoscopic techniques help us control the shape of the eyebrows and not overelevate them, as we will see in chapter 11. Patients are extremely anxious about brow-lift surgery because they see bad results in some people who have had this surgery and now have their eyebrows placed in an overly high position. This gives a deer-in-headlights or startled and surprised look. This look is especially noticeable when the eyebrow position at its beginning is higher or at the same height as its outer tip, not respecting the Golden Tilt of the eyebrow.
(Continues...)
Excerpted from The Face of the Future by Andrew A. Jacono, William M. Winn. Copyright © 2012 Andrew A. Jacono, M.D., F.A.C.S.. Excerpted by permission of Addicus Books, Inc..
All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.
Excerpts are provided by Dial-A-Book Inc. solely for the personal use of visitors to this web site.
Table of Contents
Contents
Acknowledgments,Introduction,
Part I. Characteristics of Beauty,
1 The Celebrity Factor,
2 Where Beauty and Youth Converge: The Golden Proportion,
Part II. New Minimally — Invasive Methods,
3 Optimizing Your Skin Care Regimen,
4 Injection Treatments,
5 The Art of Injectable Rejuvenation,
6 The Stem Cell Facelift, Volume Restoration with Fat Transfer, and the Vampire Facelift,
7 Skin Rejuvenation with Laser and Energy-Based System Treatments,
8 State-of-the-Art Hair Restoration,
Part III. My Surgical Approach,
9 Anesthesia: Local or General?,
10 Preparing for Surgery and Enhancing Healing,
11 Younger-Looking Eyes and Brows,
12 Facial Rejuvenation: Lifting the Face and Neck,
13 Facial Recontouring: Cheeks and Chin,
14 Lip Augmentation,
15 The Art of Rhinoplasty,
16 Men and Plastic Surgery,
17 Choosing a Facial Plastic Surgeon,
18 Pro-Bono Surgery: You Can Help,
Index,
About the Author,