“Am I Too Young to Use Anti-Wrinkle Cream?” — RealSelf Docs Answer the 5 Most Interesting Questions of the Week

Jager Weatherby on 26 Jan 2015 at 5:00pm


Skincare in 30sWe here at RealSelf receive a whopping 1,500 questions on average a week — questions on every aspect of nearly every cosmetic procedure, from the basic cost of breast implants to musings on the psychological effects of surgery.

As expected, we’ve seen some pretty interesting questions as of late. Here are the RealSelf editors’ picks for the top 5 inquiries of the week:

1. Liposuction and hunger: Leptin in the “satiety hormone” made by fat cells. Liposuction removes fat cells, so could lipo cause more hunger due to a decrease in leptin?
“The increased hunger you mention does not happen. There are a multitude of factors that make one hungry, and leptin is part of that. But the number of fat cells removed of your total fat is miniscule [compared to total amount in your body], so there is no shortage of leptin.” — Ronald V. DeMars, MD, Portland Plastic Surgeon

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2. If you’re not a big person to begin with, where does the fat come from for a Brazilian butt lift?
“There are many potential donor sites that can be used to harvest fat. These include the abdomen, hips, waist, thighs, knees, upper back, and arms. You need to consult with a Board Certified PS with extensive experience performing the BBL.” — George Lefkovits, MD, New York Plastic Surgeon

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3. Can I be awake during my mommy makeover?
Many procedures can safely and effectively be performed with local anesthesia or IV sedation (aka “being awake”). But a mommy makeover is not one of them! Why, you ask? Essentially, it is related to the length and complexity of the surgery. A surgery of this length would require so much local anesthetic that it would become dangerous. Deep IV sedation could be considered, but this would not allow appropriate muscular relaxation to accomplish abdominal muscle tightening.” — Scott D. Holley, MD, Portage Plastic Surgeon

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4. Can fat be transferred to the back of my hands?
“Yes, fat transfer is a great way to rejuvenate the back of your hands giving more volume and subsequently a more youthful appearance. The procedure is performed as an outpatient, usually under light sedation. You can return to desk type work after 1 or 2 days.” — Robert Steely, MD, Houston Plastic Surgeon

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5. I’m 30 years old. Am I too young to use anti-wrinkle creams?
“The best ‘anti-wrinkle’ cream should be started at a very early age, and that cream or lotion should be a sunscreen that protects against both UVA and UVB sunrays. The sun plays the biggest role in the production of aging skin (wrinkles), therefore it's always better to prevent with early use versus correct when wrinkles have appeared. Additionally, in your twenties and thirties (and after an in-office evaluation to obtain an accurate evaluation of your skin), skincare products with Retin-A and/or anti-oxidants can be recommended to help restore, repair, or prevent the progression of aging skin.” — Timothy R. Miller, MD, Aliso Viejo Facial Plastic Surgeon

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Have a question of your own? Head to our Q&A section to ask our knowledgeable group of board-certified doctors.

Photo credit: Some rights reserved by Tamas Garam