May 21, 2024
Decades of Face: The Seventies, The Encore Decade
For people in their 70’s, Dr. Bass shares the surgical and non-surgical treatments you may want to consider, highlighting how beauty plans have changed in the last few decades.
Many people do a major facial “reset” during their late 50’s or early 60’s. By the 70’s, it may be the last chance to do something major to improve facial appearance.
Sometimes this is a first facelift and other times a secondary or repeat facelift if enough aging has taken place since the first procedure. Surgery may not be right for everyone in their 70’s depending on health, and current aesthetic needs. Surgical and non-surgical approaches can yield big results, but there may be some limitations due to loss of skin elasticity.
Maintenance, prevention and restoration don’t stop at this stage. Non-surgical treatments can still make a difference in your 70’s, but you’ll need to invest more time and effort than you did in your 50’s or 60’s.
In this sixth episode of our mini series “Decades of Face,” find out the top cosmetic surgeries, either for the first time or as a second time around, for people in their 70’s. Learn which treatments Dr. Bass recommends during this decade to improve wrinkles, fine lines, volume loss, and skin quality.
Learn more about facelift and neck lift at Bass Plastic Surgery
Learn more about eyelid surgery
Learn more about non-surgical facial rejuvenation treatments such as laser peels, chemical peels, Botox, and fillers
About Dr. Lawrence Bass
Innovator. Industry veteran. In-demand Park Avenue board certified plastic surgeon, Dr. Lawrence Bass is a true master of his craft, not only in the OR but as an industry pioneer in the development and evaluation of new aesthetic technologies. With locations in both Manhattan (on Park Avenue between 62nd and 63rd Streets) and in Great Neck, Long Island, Dr. Bass has earned his reputation as the plastic surgeon for the most discerning patients in NYC and beyond.
To learn more, visit the Bass Plastic Surgery website or follow the team on Instagram @drbassnyc
Subscribe to the Park Avenue Plastic Surgery Class newsletter to be notified of new episodes & receive exclusive invitations, offers, and information from Dr. Bass.
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Welcome to Park Avenue
Plastic Surgery Class,
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the podcast where we explore controversies
and breaking issues in plastic
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surgery. I'm your co-host, Doreen Wu,
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a clinical assistant at Bass
Plastic Surgery in New York City.
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I'm excited to be here with Dr. Lawrence
Bass, Park Avenue plastic surgeon,
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educator, and technology innovator.
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The title of today's episode
is "Decades of Face: The 70's,
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The Encore Decade." We are approaching
the end of our decades of face series.
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As always, we have another intriguing
episode title. What does it mean,
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Dr. Bass?
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If you've been involved with
maintaining your appearance,
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you've been around the
block by now. Been there,
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done that for most of the
mainstream treatments and surgeries.
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A lot of surgery gets done
in late fifties or early
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sixties. By the seventies,
it's been 10 to 15 years,
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sometimes more since the
big facial reset of the
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facelift.
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This may be the last chance to do
something major to improve facial
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appearance, the last hurrah,
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and medically it may be time
based on what you've done
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previously to go ahead
with another big surgery.
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That makes sense. So what should I be
thinking about in terms of surgery?
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As I said,
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it depends on what you've done and
when you've done it and how you've been
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aging since then. By your seventies,
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you've got a lot of miles on
your face. By this point in time,
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everyone's had a lot of
every kind of aging change,
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but some may have been minimized
by previous treatments or surgery.
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Some may be especially prominent
depending on life stress or other bad
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events or environmental
factors like sun exposure.
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Some people may not have had
any surgery by their seventies,
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so this is the decade probably
your last chance to do anything.
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Many facelift surgeons I know
won't operate on anyone over
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75.
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I do operate on patients in their
seventies and even their eighties,
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but they need to be totally
healthy and there may be some
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limitations on the completeness of
the results that can be obtained
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due to the much greater
loss of skin elasticity.
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Still, you can get some major
improvements in appearance,
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and so if you've waited, now is
definitely the time for action.
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Facelift and eyelid plasty
are common as either a primary
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procedure or a secondary procedure,
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a redo of a facelift
from 10 or 20 years ago,
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and things like laser
resurfacing or laser peel can
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really reduce the amount of
wrinkles or fine lines on the face.
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What about people who have already
had a facelift or an eyelid plasty?
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What are things they should consider?
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That depends predominantly on
how long ago you've had a given
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procedure and how you've aged since then.
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Some people do a lot of maintaining
starting three or four years after
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a facelift and others do not.
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They just coast for a decade or more.
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Were there any major
stressors in your life?
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Have you had a bad illness
or a family tragedy?
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If you had major weight loss,
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that could be another factor that
would put you in range of a redo
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procedure sooner rather than later.
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Typical interval before a
secondary facelift is 10 to 15
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years. Some patients are lucky
and they go a little longer.
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Other patients are aging a little more
quickly and they don't quite make it that
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long. Eyelid plasty,
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which is commonly done either before
or at the same time as the facelift
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is amongst the most durable of all
of our plastic surgery procedures.
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In aesthetic plastic surgery,
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most people can go 15 or even
20 years before a touchup is
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needed. Sometimes it's
never needed. Unfortunately,
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not everyone hits these target intervals.
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They represent population averages.
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A few people are aging
faster due to genetics,
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life stress or environmental
factors like sun exposure or
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smoking. They'll need a secondary
procedure earlier than expected.
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Deep chemical peels, which are
not used as commonly today,
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often don't require re-treatment,
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but laser peels may
after five or more years.
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Okay. That takes care of the big ticket
items, the ones involving surgery.
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Do I need an encore on anything else?
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Well, Doreen, as you've heard
me say before, maintenance,
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prevention and restoration
continue even after surgery.
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The seventies are definitely a time
to keep up with all the relevant
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non-surgical treatments.
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They really can make a major difference
in your appearance in your seventies.
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The challenge is picking things
that will have a meaningful impact,
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both the right treatment
and the right amount.
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Unfortunately, in order
to make things work,
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you have to put more time and effort
into it than you did in your forties or
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fifties. Just like everything
else with our health,
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what worked to keep us healthy before
is just not enough at this life
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stage.
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I see. I want to make sure I
cover all the bases, so tell me,
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what treatments should
I be thinking about?
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Botox and other
neuromodulators like Dysport,
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Xeomin and Jeuveau
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work and remember,
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they'll only clear the dynamic wrinkles,
the wrinkles caused by muscle tension,
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not the fixed or fine wrinkles
within the fabric of the skin
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itself. But as we get older,
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we might not wake up from
that nerve signal block as
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quickly,
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and that means that we might get a nice
long interval before re-treatment with
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the Botox.
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This is an example of one of the very
few things in aesthetic plastic surgery
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that works better as we age.
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There's unfortunately not
many examples of that.
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Got it. What else should I be considering?
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Injectable fillers. Again,
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injectable fillers are part
of the beauty plan at any age.
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Volume loss in the face is accelerating
and fillers are a good way to help
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restore facial shape and volume without
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surgery,
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but we're not in single syringe
territory anymore. In our thirties,
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one syringe for a little bit in the
folds and the marionette lines might be
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enough or one syringe in the
cheeks when we're a little older.
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At this stage of the game,
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budget more volume in your
injectable filler treatments and
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sometimes fat grafting allows
more volume and facial shaping in
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a single session and with more
durability than injectable fillers,
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but some trade off because there's
always a little bit of recovery time,
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bruising and swelling with
a fat grafting procedure.
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So far,
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this sounds like a continuation of the
central part of my beauty program for the
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last few decades. How is it different?
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The selection of fillers may be heavier.
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We may chase more areas and
we're definitely going to use
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more volume,
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so it's the same idea but
expressed in a different way.
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This is where a partnership with an
experienced plastic surgeon really works
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your advantage because the results
with injectable fillers are
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greatly dependent on the
skill of the injector.
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Tell me what else is on the
agenda in our seventies?
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Skin quality, but now with
the big gun treatments,
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but they're done much more heavily.
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You may have a little more redness or
downtime even if you don't do something
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that leaves the skin raw.
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I'm not sure I follow.
What do you mean by that?
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Specifically there are two things we're
usually chasing at this stage of the
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game with energy treatments,
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and energy treatments means
lasers, radio frequency,
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and sometimes even chemical peels.
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The first thing is pigment.
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If we just remove all
of the brown sunspots,
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blend your skin pigmentation even,
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most people will look decades
younger without having any surgery,
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and this is typically done
with a few treatments with no
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recovery lasers or with
a single medium depth
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laser peel
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and laser peeling brings me
to the second issue: wrinkles.
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This is the big other aging
change in the face after skin
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laxity.
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A lot of people don't understand that
a facelift is not appreciably correct
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wrinkles.
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Laser peels or chemical
peels are needed for this.
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RF microneedling can often
help, but at this stage,
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the heavier treatments are typically
needed unless there's been a
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lot of chasing of wrinkles
earlier in the game,
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so things like lipstick, bleed lines,
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and crow's feet are obvious
signs of aging in later
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decades,
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and those are examples of wrinkles.
Sometimes they're showing in a
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major way in the seventies,
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but often they've been visible or
sometimes even prominence since the
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fifties. When this extends
into the rest of the face,
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cheek burrows,
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wrinkles that cascade down the cheeks
vertically or sometimes even look cross
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hatched,
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it gives a very aged look to the
face and this can be minimized or
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in some cases nearly eliminated
with laser peels or laser
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resurfacing, and that has a
drastic effect on apparent age.
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Totally separate from removing
skin laxity in the gel
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jawline and neck with a
facelift or neck lift.
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My usual approach is laser resurfacing
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with surgery.
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The recovery is usually less
than the surgery or as a
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standalone.
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There's typically about a week of hiding
out and then some camouflage makeup for
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a number of weeks after that,
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but the transformation
is typically dramatic.
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Before we wrap up Dr. Bass,
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can you give our listeners some important
takeaways from today's discussion?
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The seventies are the encore time to keep
turning the wheel on those things that
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are part of recurrent maintenance and
restoration, but in a heavier way,
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more doing more an amount and more often.
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Most important, they're the
final Casablanca moment,
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the time to play it against
Sam for the last time
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when it comes to surgery.
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While it's not an absolute,
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the seventies are pretty
much use it or lose it
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forever. Final opportunity.
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Don't be disheartened.
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You can still get major
improvements in your seventies
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and again, get yourself to
that adult indeterminate stage.
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Everyone knows you're
not twenties, thirties,
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but they can't quite peg
what decade you're in.
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Not quite as completely as we
can in your fifties or sixties,
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but still to a major degree
if you go to work on it.
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Surgery is great if you're healthy.
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Non-surgical treatments are still part
of the plan and can give a major boost to
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your appearance if you're
doing them inadequate amounts.
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If you haven't ever done a big
cleanup of pigment or wrinkles,
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it's a game changer in terms of giving
you a more youthful look along with
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skin laxity, reduction from things
like facelift and neck lifting.
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As always,
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facial shape and facial volume
help give a youthful look and
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accent your beauty in
really pleasing ways.
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Thank you,
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Dr. Bass for sharing your expertise and
giving us valuable insight into how we
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can combat facial aging in our
seventies and turn back the clock.
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After today's discussion,
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I now see that replaying working
strategies both big and small can help us
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maintain a great appearance
well into the seventies decade.
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Thank you for listening to the Park
Avenue Plastic Surgery Class podcast.
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Follow us on Apple Podcasts,
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00:13:42,430 --> 00:13:44,470
write a review and share
the show with your friends.
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Be sure to join us next time to avoid
missing all the great content that's
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coming your way. If you want to
contact us with comments or questions,
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we'd love to hear from you.
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Send us an email at podcast@drbass.net
or DM us on Instagram
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@drbassnyc.
00:00:00,720 --> 00:00:03,390
Welcome to Park Avenue
Plastic Surgery Class,
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00:00:03,660 --> 00:00:07,350
the podcast where we explore controversies
and breaking issues in plastic
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00:00:07,350 --> 00:00:09,810
surgery. I'm your co-host, Doreen Wu,
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a clinical assistant at Bass
Plastic Surgery in New York City.
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I'm excited to be here with Dr. Lawrence
Bass, Park Avenue plastic surgeon,
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educator, and technology innovator.
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The title of today's episode
is "Decades of Face: The 70's,
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The Encore Decade." We are approaching
the end of our decades of face series.
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As always, we have another intriguing
episode title. What does it mean,
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Dr. Bass?
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If you've been involved with
maintaining your appearance,
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you've been around the
block by now. Been there,
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done that for most of the
mainstream treatments and surgeries.
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A lot of surgery gets done
in late fifties or early
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sixties. By the seventies,
it's been 10 to 15 years,
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sometimes more since the
big facial reset of the
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facelift.
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This may be the last chance to do
something major to improve facial
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appearance, the last hurrah,
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and medically it may be time
based on what you've done
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previously to go ahead
with another big surgery.
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That makes sense. So what should I be
thinking about in terms of surgery?
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As I said,
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it depends on what you've done and
when you've done it and how you've been
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aging since then. By your seventies,
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you've got a lot of miles on
your face. By this point in time,
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everyone's had a lot of
every kind of aging change,
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but some may have been minimized
by previous treatments or surgery.
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Some may be especially prominent
depending on life stress or other bad
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events or environmental
factors like sun exposure.
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Some people may not have had
any surgery by their seventies,
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so this is the decade probably
your last chance to do anything.
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Many facelift surgeons I know
won't operate on anyone over
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75.
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I do operate on patients in their
seventies and even their eighties,
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but they need to be totally
healthy and there may be some
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limitations on the completeness of
the results that can be obtained
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due to the much greater
loss of skin elasticity.
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Still, you can get some major
improvements in appearance,
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and so if you've waited, now is
definitely the time for action.
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Facelift and eyelid plasty
are common as either a primary
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procedure or a secondary procedure,
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a redo of a facelift
from 10 or 20 years ago,
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and things like laser
resurfacing or laser peel can
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really reduce the amount of
wrinkles or fine lines on the face.
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What about people who have already
had a facelift or an eyelid plasty?
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What are things they should consider?
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That depends predominantly on
how long ago you've had a given
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procedure and how you've aged since then.
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Some people do a lot of maintaining
starting three or four years after
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a facelift and others do not.
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They just coast for a decade or more.
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Were there any major
stressors in your life?
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Have you had a bad illness
or a family tragedy?
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If you had major weight loss,
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that could be another factor that
would put you in range of a redo
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procedure sooner rather than later.
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Typical interval before a
secondary facelift is 10 to 15
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years. Some patients are lucky
and they go a little longer.
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Other patients are aging a little more
quickly and they don't quite make it that
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long. Eyelid plasty,
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which is commonly done either before
or at the same time as the facelift
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is amongst the most durable of all
of our plastic surgery procedures.
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In aesthetic plastic surgery,
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most people can go 15 or even
20 years before a touchup is
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needed. Sometimes it's
never needed. Unfortunately,
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not everyone hits these target intervals.
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They represent population averages.
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A few people are aging
faster due to genetics,
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life stress or environmental
factors like sun exposure or
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smoking. They'll need a secondary
procedure earlier than expected.
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Deep chemical peels, which are
not used as commonly today,
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often don't require re-treatment,
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but laser peels may
after five or more years.
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Okay. That takes care of the big ticket
items, the ones involving surgery.
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Do I need an encore on anything else?
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Well, Doreen, as you've heard
me say before, maintenance,
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prevention and restoration
continue even after surgery.
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The seventies are definitely a time
to keep up with all the relevant
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non-surgical treatments.
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They really can make a major difference
in your appearance in your seventies.
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The challenge is picking things
that will have a meaningful impact,
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both the right treatment
and the right amount.
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Unfortunately, in order
to make things work,
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you have to put more time and effort
into it than you did in your forties or
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fifties. Just like everything
else with our health,
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what worked to keep us healthy before
is just not enough at this life
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stage.
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I see. I want to make sure I
cover all the bases, so tell me,
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what treatments should
I be thinking about?
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Botox and other
neuromodulators like Dysport,
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Xeomin and Jeuveau
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work and remember,
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they'll only clear the dynamic wrinkles,
the wrinkles caused by muscle tension,
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not the fixed or fine wrinkles
within the fabric of the skin
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itself. But as we get older,
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we might not wake up from
that nerve signal block as
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quickly,
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and that means that we might get a nice
long interval before re-treatment with
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the Botox.
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This is an example of one of the very
few things in aesthetic plastic surgery
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that works better as we age.
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There's unfortunately not
many examples of that.
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Got it. What else should I be considering?
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Injectable fillers. Again,
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injectable fillers are part
of the beauty plan at any age.
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Volume loss in the face is accelerating
and fillers are a good way to help
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restore facial shape and volume without
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surgery,
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but we're not in single syringe
territory anymore. In our thirties,
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one syringe for a little bit in the
folds and the marionette lines might be
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enough or one syringe in the
cheeks when we're a little older.
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At this stage of the game,
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budget more volume in your
injectable filler treatments and
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sometimes fat grafting allows
more volume and facial shaping in
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a single session and with more
durability than injectable fillers,
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but some trade off because there's
always a little bit of recovery time,
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bruising and swelling with
a fat grafting procedure.
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So far,
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this sounds like a continuation of the
central part of my beauty program for the
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last few decades. How is it different?
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The selection of fillers may be heavier.
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We may chase more areas and
we're definitely going to use
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more volume,
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so it's the same idea but
expressed in a different way.
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This is where a partnership with an
experienced plastic surgeon really works
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your advantage because the results
with injectable fillers are
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greatly dependent on the
skill of the injector.
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Tell me what else is on the
agenda in our seventies?
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Skin quality, but now with
the big gun treatments,
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but they're done much more heavily.
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You may have a little more redness or
downtime even if you don't do something
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that leaves the skin raw.
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I'm not sure I follow.
What do you mean by that?
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Specifically there are two things we're
usually chasing at this stage of the
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game with energy treatments,
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and energy treatments means
lasers, radio frequency,
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and sometimes even chemical peels.
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The first thing is pigment.
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If we just remove all
of the brown sunspots,
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blend your skin pigmentation even,
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most people will look decades
younger without having any surgery,
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and this is typically done
with a few treatments with no
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recovery lasers or with
a single medium depth
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laser peel
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and laser peeling brings me
to the second issue: wrinkles.
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This is the big other aging
change in the face after skin
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laxity.
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A lot of people don't understand that
a facelift is not appreciably correct
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wrinkles.
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Laser peels or chemical
peels are needed for this.
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RF microneedling can often
help, but at this stage,
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the heavier treatments are typically
needed unless there's been a
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lot of chasing of wrinkles
earlier in the game,
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so things like lipstick, bleed lines,
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and crow's feet are obvious
signs of aging in later
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decades,
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and those are examples of wrinkles.
Sometimes they're showing in a
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major way in the seventies,
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but often they've been visible or
sometimes even prominence since the
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fifties. When this extends
into the rest of the face,
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cheek burrows,
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wrinkles that cascade down the cheeks
vertically or sometimes even look cross
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hatched,
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it gives a very aged look to the
face and this can be minimized or
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in some cases nearly eliminated
with laser peels or laser
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resurfacing, and that has a
drastic effect on apparent age.
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Totally separate from removing
skin laxity in the gel
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jawline and neck with a
facelift or neck lift.
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My usual approach is laser resurfacing
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with surgery.
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The recovery is usually less
than the surgery or as a
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standalone.
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There's typically about a week of hiding
out and then some camouflage makeup for
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a number of weeks after that,
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but the transformation
is typically dramatic.
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Before we wrap up Dr. Bass,
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can you give our listeners some important
takeaways from today's discussion?
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The seventies are the encore time to keep
turning the wheel on those things that
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are part of recurrent maintenance and
restoration, but in a heavier way,
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more doing more an amount and more often.
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Most important, they're the
final Casablanca moment,
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the time to play it against
Sam for the last time
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when it comes to surgery.
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While it's not an absolute,
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the seventies are pretty
much use it or lose it
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forever. Final opportunity.
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Don't be disheartened.
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You can still get major
improvements in your seventies
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and again, get yourself to
that adult indeterminate stage.
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Everyone knows you're
not twenties, thirties,
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but they can't quite peg
what decade you're in.
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Not quite as completely as we
can in your fifties or sixties,
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but still to a major degree
if you go to work on it.
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Surgery is great if you're healthy.
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Non-surgical treatments are still part
of the plan and can give a major boost to
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your appearance if you're
doing them inadequate amounts.
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If you haven't ever done a big
cleanup of pigment or wrinkles,
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it's a game changer in terms of giving
you a more youthful look along with
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skin laxity, reduction from things
like facelift and neck lifting.
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As always,
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facial shape and facial volume
help give a youthful look and
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accent your beauty in
really pleasing ways.
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Thank you,
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00:13:18,340 --> 00:13:22,780
Dr. Bass for sharing your expertise and
giving us valuable insight into how we
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can combat facial aging in our
seventies and turn back the clock.
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After today's discussion,
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00:13:28,450 --> 00:13:32,980
I now see that replaying working
strategies both big and small can help us
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00:13:32,980 --> 00:13:35,770
maintain a great appearance
well into the seventies decade.
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00:13:36,820 --> 00:13:40,360
Thank you for listening to the Park
Avenue Plastic Surgery Class podcast.
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00:13:40,900 --> 00:13:42,370
Follow us on Apple Podcasts,
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00:13:42,430 --> 00:13:44,470
write a review and share
the show with your friends.
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00:13:44,920 --> 00:13:48,010
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missing all the great content that's
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00:13:48,010 --> 00:13:51,520
coming your way. If you want to
contact us with comments or questions,
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00:13:51,550 --> 00:13:52,450
we'd love to hear from you.
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00:13:52,930 --> 00:13:57,220
Send us an email at podcast@drbass.net
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