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Botox in Hollywood: When is it too much?

January 11th, 2011

Hollywood seems to be a great source for extreme cosmetic surgery making pop culture news.  A recent article caught my eye about actresses having too much Botox.  Often medical providers are pressured into injecting more than what might look natural.  Most of my patients respect my guidance, however, I am fully aware that they can walk out my door and go someplace else.

Botox may be injected by various providers, not always done by a physician.  When I see the telltale mask-like appearance  that is likely caused from too much Botox, it makes me cringe.  Injectables can be used effectively in softening facial lines, but too much of a good thing results in an almost freakish appearance.  In a recent post from CafeMom, this popular trend is discussed and the article includes photos of stars that have sadly distorted their beautiful looks, once pivotal in making them become so famous.

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Botox for Teen before TV Debut

July 21st, 2010

The new star of Glee has had Botox right before she makes her debut appearance – at just 18-years-old.  Teenage singer Charice Pempengco says she wanted to have the procedure “to look fresh on camera” before joining the show as a foreign exchange student.  I hope this not another new pop culture trend.

It is hard to imagine any cosmetic facial problem that an 18 year old would have, which warrants the use of Botox.   Facial animation wrinkles just have not had time to develop.   The fact that she had Thermage is quite disturbing.  Thermage is a non-surgical procedure that tightens skin and smoothes wrinkles.   Superficial skin conditions like irregular pigmentation might also be improved by Thermage, but she was reported to be treated for wrinkles.   Skin tightening effects are not necessary, nor are they indicated for teens.  This is particularly true for Asian women.   In my experience, their skin remains tighter than patients with lighter skin tones.  Thermage cannot narrow the face.  This requires facial sculpting.   Liposuction or buccal fat pad excision remove facial fat to narrow the cheeks and certainly not recommended for teenagers.

The entire situation is absurd!  It sounds like another Hollywood publicity stunt or medical grandstanding to me.

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