Menopausal Makeover Series: Part 1 - Berman Cosmetic Surgery Blog

Menopausal Makeover Series: Part 2 – Botox

Botox is definitely your friend as you try to minimize the effects of aging. We all know men and women who have those permanent “11’s” – vertical lines running upwards between their eyebrows. These stem from years of contracting those “glabellar muscles” from such activities as staring at a computer screen or squinting in the bright sunlight. The good news is that those deep lines do not have to be permanent! If you get 20-25 units of Botox every 3.5-4 months for a year, those lines will soften tremendously. If you want to fast track this, you could also get a small amount of filler injected when you get your Botox.

There is another difference with getting Botox when you are post-menopausal. As you age, those transverse forehead lines that you may not be in love with are caused by the same muscles that hold up your eyebrows. This means that you will be much more prone to getting a descent of your eyebrows, particularly if Botox is injected into the lines extending directly above your eyebrows, all the way up to your forehead hairline. Sometimes it is better to accept the transverse forehead lines above your eyebrows, rather than to also get a descent in your eyebrows. It can be impossible to predict if this will occur for you. Therefore, if you elect to inject Botox into your forehead, it is always better to start with a low dose and see how you respond. If there are no concerns, you can always add more after two weeks.

The crow’s feet often become deeper as you age and frequently, I like to increase the amount of Botox I inject into the crow’s feet from 20 units total for both sides to 25 units total per side, along with 3 small injections per side.This will help with the dynamic lines of movement, as with smiling for example. If you want to decrease those lines when your face is static, you could also do a series of 3 Picosure Laser Facials.

Stay tuned for additional topics in my Menopausal Makeover Series, designed to address the special considerations of women in this time in their life.

If you have any questions, or would like to talk about your specific concerns, please call my office at 703-406-2444 to schedule a private, complimentary consultation with me!

Menopausal Makeover Series: Part 1 - Berman Cosmetic Surgery Blog

Menopausal Makeover Series: Part 1 – What is this Exactly?

You probably have never heard the term “Menopausal Makeover” before. I had never heard of it either. I give credit to my wife’s friend, Chris, who is struggling with menopausal issues, for bringing this concept and term  to my attention. A quick Google search did return this term from another excellent plastic surgeon, Dr. Robert Gartside, though we have different approaches to this concept.

What Chris recognized is that for women struggling with menopause, which can occur uncommonly in your 30’s, but more commonly in your 40’s and early 50’s, there are a host of hormonal changes, which contribute to all aspects of a woman’s life both emotionally and physically. I am not going to touch on areas outside of the area of plastic surgery. I would like to add that many of these women still feel young at heart and want to re-capture some or all of their youth. They realize that they cannot stay totally youthful but want to retain as much as they can – i.e. slow down and even reverse some of the changes of aging and menopause.

It goes without saying that no one can fully turn back the clock. regardless of how much money and effort you expend. Most everyone realizes that at 48 years old, you cannot look 28 years old. However, you can almost always be improved. Many of my patients in this position come in requesting a natural look that compliments you and is does not look “fake.” I don’t think I’m alone is not personally liking the overly-operated upon and overly Botoxed look that aging (and even non-aging) Hollywood stars have now made famous!

The problem is that as we age, there are a multitude of changes that all occur simultaneously. In general, each of our “solutions” can only address generally 1-2 aspects of this aging – thus there is no one simple fix. In the subsequent blogs in this series, I will discuss some of the aspects of a “menopausal makeover”.

Stay tuned: In the next article in this series,  I will discuss Botox for the post-menopausal patient.