Dr. Azizzadeh Weighs in on the ā€œSizing Downā€ Trend in Plastic Surgery

A significant shift is occurring in the world of aesthetic medicine, as reported by The New York Post and Fox News. Patients are increasingly moving away from the “overdone” looks of the past decade and opting for subtler, more natural refinements. Dr. Babak Azizzadeh, a world-renowned facial plastic surgeon, recently shared his expertise on this surprising turn toward “sizing down.” He notes that many individuals are now focused on reversing previous enhancements to achieve a more balanced and harmonious appearance.

A key part of the natural aesthetic trend is the removal of facial fillers. Dr. Azizzadeh notes an increase in patients dissolving misplaced or over-injected fillers. Unlike quickly metabolized Botox, fillers can last much longer than believed, accumulating and distorting natural contours. As a result, many patients opt to dissolve them, favoring a more conservative and refined look.

A shift toward natural aesthetics is reducing filler use, increasing demand for permanent surgeries like fat grafting and surgical lip lifts, and emphasizing anatomical restoration over volume. This mirrors deep plane facelifts’ focus on natural, youthful results via vertical tissue repositioning.

The increasing use of weight loss drugs is changing aesthetic needs. Rapid weight loss can cause facial hollowing and skin laxity, leading to more demand for facial and neck surgery for correction, with a preference for subtle, personalized, and natural outcomes.

Read the full New York Post feature here:

Plastic surgery trends take surprising turn, as doctors see more patients ā€˜sizing down’ 

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