Hollywood's Best Botox

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Achieving a natural look, without going, well, just plain old <i>natural</i> (sans makeup or "work"), is harder than one might think. Getting the right amount and type of fillers is key in aging gracefully

All types of fillers and injectables, both those that are FDA-approved and those that are not, can be abused. While it’s not in your best interest to have any one substance overinjected, negative long-term effects of Botox, Dysport and hyaluronic acid fillers are typically less severe than fillers that are intended to be longer-lasting or permanent.

If problems arise with long-lasting and permanent fillers, they can be corrected surgically, whereas the effects of Botox, Dysport and hyaluronic acid fillers will eventually wear away on their own.

Stick with temporary fillers

According to West Palm Beach, FL, dermatologist Kenneth R. Beer, MD., temporary fillers look more natural than something semipermanent or permanent because they are more compatible with the body. “Our bodies naturally do not have plastic or silicone in them. When these substances are injected, they never look as natural,” he says. Permanent fillers also do not age along with the face.

Actress Jenny McCarthy has aged beautifully since 1996. “Her Botox (or Dysport) is perfect,” says Dr. Beer. “And her brows have a very feminine arch.”

Click through this gallery to see the other celebrities we think look the most naturally beautiful as they age, and get tips on how to get a natural look of your own.

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Creating more almond-shaped eyes, like actress Lori Loughlin, can be achieved with fillers, “since it fills in the space under eyes and fills in the cheeks, lifting any loose skin back into place,” says San Antonio dermatologist Vivian Bucay, MD.

Set a schedule with your doctor, and stick to it

Be consistent with injections, but wait until the majority of the results have worn off before re-injecting. “This way, you don’t have to regress back to your baseline, or ‘start from scratch,’ with each session,” says Dr. Beer.

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The right balance comes from keeping the cheeks looking natural and the chin and jaw well-defined, as we see with Christie Brinkley.

“Her chin and jawline are perfectly defined with excellent definition and none of the sloppiness that comes with bad injections,” says Dr. Beer.

Ask your doctor to be conservative

Full correction (when fillers are used to fully diminish lines and wrinkles) may be necessary in some patients during the first series of injections, but, in general, your doctor should not be overinjecting.

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Actress Helen Mirren’s jawline seems more defined, the lines around her eyes and mouth are significantly reduced, which can be achieved through injectables and/or fillers. She also seems to have had some sun-damage correction.

Don't combine injections with too many other procedures

Injectables may be coupled with other treatments, but it’s important not to do too much of anything. “Overdoing anything will distort normal facial proportions and convey a look that is ‘done,’” says Dr. Beer.

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When it comes to the lips, the lower lip should be 30 percent larger than the upper lip. When she was younger, Courteney Cox’s lips appeared somewhat thinner. Today, she still has no lines around her mouth, which can make the lips look older than they really are.

“Her lips look plumper. There are no lines and her border is well-defined,” says New York dermatologist Cameron Rokhsar, MD.

Know what's being injected

There are women who get injected by nonqualified practitioners who don’t use FDA-approved fillers, but rather silicone and nonmedical-grade injectables that can create problems.

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Women with naturally full lips, like actress Jennifer Garner, tend not to lose volume as quickly as those with thinner lips.

“It appears as if she may have had some filler in her lips to make them slightly fuller,” says Santa Fe, NM, plastic surgeon Daniel N. Ronel, MD. “The moderate plumpness is age-appropriate.”

Start early

“After about five years of repeated, regular injections, the skin will look softer, and there will be more collagen in the skin,” explains New Orleans dermatologist Mary P. Lupo, MD.

Adds La Jolla, CA, plastic surgeon Robert Singer, MD, “Continuing with injections of Botox or Dysport every four months or so, before there is full recurrence of muscle activity, seems to slow the progression of aging.”

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Nicole Kidman’s lips have remained plump and defined throughout the years. “She has a nice amount of ‘incisor show’—how much of the front teeth peek out when the lips are at rest. She looks terrific,” says Dr. Ronel.

Restore definition

If the two lines that extend downward from your nose to your lips, known as the philtrum, have become flat (with the ridges almost impossible to see), your doctor can inject them with a filler to reinflate them and restore definition.


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