Whoa: This Is the Most Requested Plastic Surgery Procedure in L.A

Updated 04/17/19
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Beauty trends are shockingly different from state to state—even when traveling only a few hundred miles away. We’ve talked to women coast to coast about their makeup routines, how they do their hair, and what features are most important to them. We even looked into which lipsticks they were buying. But what about plastic surgery trends? I’ve read about treatments for skin, breasts, hands, and even earlobes. I discuss lip injections and fillers over dinner. Sure, the demand for these procedures isn’t new—but does it differ from city to city? I decided to find out. 

I reached out to doctors in cities across the country and had them report which procedure was the most popular and why they thought that may be. The answers were wildly different. Keep scrolling to see what’s most requested in your city. 

Jason B. Diamond, MD, F.A.C.S. of Facial Plastic & Reconstructive Surgeon in Beverly Hills reports the most requested procedures are rhinoplasty, facelifts, and diamond facial sculpting. “In regards to rhinoplasty,” he explains, “the younger generations are all about wanting to correct what they can from a cosmetic standpoint. Facelifts will always be common, especially in my practice, because it is the most long-lasting procedure for those wanting to look more youthful. Lastly, diamond facial sculpting is high in demand because it is a quick, in-and-out, procedure leaving patients [with results] in a matter of minutes.” 

Dara Liotta, a board-certified facial plastic surgeon and RealSelf contributor, weighs in: “I think that part of [the appeal of a nose job for young people] is the increase in social media. Selfies center on your nose and the iPhone camera has a fisheye lens effect that makes the nose look bigger, and draws attention to the nose like never before. There’s also a decrease in the stigma around plastic surgery—people (both men and women) are feeling less guilty about their insecurities.” 

Beverly Hills board-certified plastic surgeon and RealSelf contributor, Sheila Nazarian, MD, says she sees a lot of breast procedures as they can assist in obtaining a coveted body proportion.

The estimates for rhinoplasty, facelifts, breast procedures, and diamond facial sculpting are completely dependent on the consultation and the patient’s facial anatomy because I customize each treatment specific to the person. A rhinoplasty takes two to three hours to complete while a facelift takes anywhere from four to six. Diamond facial sculpting can be done in under a half hour. With each procedure (minus the facial sculpting, which has virtually no downtime) it is recommended to take it easy for one to two weeks.

David M. Shafer, MD, of Shafer Plastic Surgery in NYC, says the most popular treatment in NYC is Botox, followed up closely by lip injections. “Over the last year, however, lip injections have increased significantly. For Botox and lips,” Shafer explains, “the treatments are fast, effective, and yield essentially no downtime.” That’s New York for you, instant gratification.

“Also,” he adds, “many celebrities have been open about having lip injections this past year, so patients feel more comfortable coming in for the treatments. There has been an explosion of selfies and social media postings, and, I think, people want to look their best online and in pictures.”

“For lip rejuvenation, usually one to two syringes is plenty to achieve a nice result. In our practice, syringes are $1000 each,” Shafer says. A typical patient will have one syringe of Juvederm Ultra to help plump the lips and one syringe of Juvederm Volbella for fine tuning and to fill any wrinkles around the mouth. It takes 15 to 30 minutes in the office.

“Most of the time, I’m applying numbing cream and then holding some ice after the injection. The actual injections are just a few minutes. There is essentially no downtime. Perhaps a little swelling the first night but most people have injections during the day and head right back to work or school. There is a small chance of tiny bruising and we have a laser which can help to quick fade any bruising.”

We spoke with John Q. Cook, MD, a Chicago-based plastic surgeon, for details from the Midwest. Cook mentioned that requests in his practice (neck and jaw border lift under local anesthetic) were different than the most requested procedure in the Chicago Metropolitan Area (liposuction under anesthesia and IV sedation).

His patients, he mentions, want significant results—better than what they can obtain with fillers and relaxants, but prefer to avoid general. As for the interest in liposuction, he admits patients seem more body conscience than in the past. “Also,” Cook continues, “the availability of Sculpsure and other non-invasive fat melting technologies has increased the overall demand for liposuction.”

Neck and Jaw Border Lift can cost from $12,000 to $18,000 depending on surgical time needed. The surgery itself takes anywhere from three to five and a half hours, and recovery time is about two weeks.

Liposuction is tagged at $3500 to $10,000 depending on the number of areas treated. The surgery takes one and a half to three and a half hours with only a few days recovery time. However, you should wait three weeks to return to heavier exercise. 

Jennifer Walden, MD, a board-certified plastic surgeon based in Austin, Texas, says the trends in her state are similar to those in Los Angeles. “Breast augmentation and liposuction are the most requested (and for women and men seeking a non-invasive fat reduction procedure, Sculpsure is seeing a rapid increase in popularity).” She thinks it has to do with the warmer weather and the state’s affinity for fast food: “People don’t walk like in the Northeast, they drive—there are a lot of fast food chains and drive-throughs.”

Breast augmentation with implants take anywhere from one to one and a half hours and cost $7000 to $8000.

With liposuction, it depends on the area. It’s usually around $6000 to $7000 for the first area being treated and an extra $3000 to $4000 for other areas added on to that.

If you’re interested in a few not-so-obvious cosmetic procedures, we did some research on that, too.

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