The buzz word going in to 2017 is to look natural
Thursday 12 January 2017

Mr Anthony Barabas, Consultant Cosmetic Surgeon, Boston West Hospital, gives us an update on Cosmetic Surgery in 2017.

The buzz word going in to 2017 is to look 'natural'.

In breast augmentation requests are generally for smaller breast implants, with the average implant size reducing from around 500cc to between 300 - 400cc in my clinics. More ladies are asking for implants to be placed under the muscles (dual-plane) to disguise the upper edge of the implant, and there is even an increasing trend towards teardrop shaped "anatomical" implants (although demand for "anatomicals" still remains much less than for round implants).

The trend for a more natural appearance started a number of years back with facial cosmetic surgery. The original windswept Hollywood facelifts of the 80's (where the face was pulled back towards the ears) has been replaced with techniques that lift the facial tissues upward, reversing the natural descent of facial and neck tissues that occurs with age.

In eyelid surgery (blepharoplasty) there has been a shift away from removal of fat from around the eye, which often gave a sunken, hollowed out appearance to the eye. Instead fat is sculpted, repositioned or even added at the time of eyelid skin and muscle excision and tightening. There are few reliable non-surgical treatment to rejuvenate the upper eyelids, and as such upper eyelid blepharoplasty has always been popular in my practise. Most of my lower eyelid treatments remain non-surgical (fillers) or minimally invasive (fat injections), but I have seen at increase in conversion to lower eyelid blepharoplasty as the changes are more profound and, of course, more permanent.

Body contouring procedures are possibly the exception to the "less is more" trend. Abdominoplasty (tummy tuck) is now frequently combined with liposuction to the flanks and other areas. In fact, the increasingly popular Brazilian tummy tuck puts more of an emphasis on recontouring the abdomen through liposuction than on tissue excision and skin tightening. Liposuction alone still remains a popular procedure, but with improvements in techniques, and post operative compression garments, I have seen an increase in requests for multiple areas to be treated in one session.

I also expect to see a continued increase in men requesting cosmetic surgery in 2017. Treatment of gynaecomastia (man boobs) is now commonplace, and is no longer a taboo subject, and increasing numbers of men approach me for facial rejuvenating procedures, in particular eyelid surgery and neck contouring procedures. I predict that it is particularly this increased interest of men in maintaining a youthful appearance which will maintain the ever increasing demand in cosmetic surgery over the forthcoming years.

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