The Top Aesthetic Trends to Expect in 2020, According to Dermatologists and Plastic Surgeons

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A lot can change in a decade. According to data from the American Society of Plastic Surgeons (ASPS), requests for an upper arm lift have grown a staggering 5,030% since 2010. Other treatments, however, continue to lead the race: ASPS data shows botulinum toxin has ranked number-one on the list of minimally invasive procedures performed since 2005.

So what will remain the same and what changes can we brace ourselves for? We asked top plastic surgeons and dermatologists to predict the aesthetic trends that will make waves in 2020.

The "Fractional Facelift" Will Take Over
New York dermatologist Doris Day, MD calls the fractional facelift the "most exciting and revolutionary of all of the new rejuvenation technology....ever!" According to Dr. Day, the treatment relies on micro-coring of skin—a technique where "anywhere from dozens to hundreds of tiny, full thickness cores of the skin are removed"—which leaves bridges of normal skin between them, "allowing for skin contraction and a veritable lift, without surgery and with very little downtime."

Dr. Day predicts this "facelift" will become very popular for the jawline, neck and eventually around the brows and eyes, too. While the procedure involves no heat, the downtime will be around 10 days.

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Virtually All Procedures Will be Done "Awake"
With help from Numb Master cream, ProNox, and tumescent lidocaine anesthesia (with or without light Xanax sedation), Dover, OH facial plastic surgeon David Hartman, MD says virtually any aesthetic procedure can now be done with the patient very comfortably awake.

"In our practice, we now do all of our facelifts, browlifts, eyelid rejuvenation, high-definition body sculpting and living-fat transfer procedures with clients comfortably awake, making these procedures safer, less-expensive, and with an easier, quicker recovery," says Dr. Hartman.

Jawline Treatments Will Skyrocket
2019 saw a huge influx in jaw "tweakments," and 2020 will be no different. As we enter the new decade, Newport Beach, CA plastic surgeon Sanjay Grover, MD contends we will see more and more patients entering the aesthetic space to refresh and rejuvenate specific areas of their faces with volume: the midface, and of course, the jawline. Popular treatments to enhance the profile of the face include injectable fillers such as Radiesse, hyaluronic acid options such as Revanesse Versa and Juvéderm Voluma, and energy-based treatments to tighten and lift. 

Implants Will be Replaced With Living-Fat Transfers
Living-fat transfers—a procedure Dr. Hartman succinctly describes as "taking fat where it is unwanted and putting it where it is wanted"—is about to have a huge moment in 2020. Aside from more and more women seeking smaller, natural-looking breasts, many have been removing their implants altogether, only sometimes replacing them with smaller implants.

The new solution: "Power-assisted, high-definition body sculpting of unwanted fat from the waist and thighs can be spectacularly repurposed to give beautiful, youthful curviness to smaller or deflated breasts," says Dr. Hartman. More next-gen uses for living fat: filling de-volumized facial features and adding natural volume to a smaller or sagging butt.

"Bespoke" Treatments Continue to Rise
Dr. Day says the trend of "bespoke" treatments—a specialized combination of fillers, neuromodulators and devices, designed by highly trained and thoughtful aesthetic physicians—will continue to take center stage in 2020. "It no longer becomes 'What filler did you use?' but 'Who did the filling?' that will be the question of the day."

Long-Lasting Fillers Will be Used Below the Face
Following the huge success of body-tightening devices—Dr. Hartman says the popularity of muscle-building Emsculpt is just getting started—Dr. Day explains that, when used in combination with these machines, the use of long-lasting fillers can deliver enhanced results. 

"An exciting trend I am seeing is blending biostimulants, such as Sculptra or Radiesse, for use on the neck, arms, abs, cellulite and more. This, in combination with tightening devices, has given us excellent long-term results for cellulite and crepey skin."

Plasma Skin-Resurfacing Is Making a Comeback
As new technology became available, Dr. Day says plasma skin resurfacing fell to the wayside—but it could be having a resurgence with the introduction of new plasma-powered machines. "I used a plasma device nearly 15 years ago but switched to laser. I'm checking out the new devices to see if there are any upgrades or if it's simply a resurgence of older technology." Dr. Grover adds: "Facial rejuvenation via thermal energy created with the aid of ultrasound or radiofrequency energy will continue to on the top of the list of non surgical options."


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