medical equiments with a woman background

Dr. Azizzadeh Discusses the Growing Popularity of Facial Fat Grafting

Dr. Azizzadeh Weights in on the Resurgence of Volume Restoration

In a Marie Claire article, Dr. Babak Azizzadeh noted the rising appeal of facial fat grafting (fat transfer). Patients favor this natural method over synthetic fillers for restoring youthful contours, aligning with a modern trend of using the body's own tissue.

Addressing the Two Pillars of Facial Aging

Dr. Azizzadeh notes facial aging stems from two factors: downward tissue shift and lost fullness. While skin-tightening fixes looseness, it doesn't restore the foundational support that diminishes with age.

As he explained to Marie Claire, "When fullness fades, lifting alone will not solve the problem. Replacing what the body has slowly lost is essential." Recognizing this difference is key to natural-looking outcomes, since tightening the surface without correcting facial emptiness can make results appear off balance.

The Shift From Fillers to Autologous Fat

Hyaluronic acid injectables were long the standard for restoring fullness, but patient demand is changing. Dr. Azizzadeh observes, "People are asking for results that look real, and fat feels familiar to the body." Fat transfer uses a patient's own tissue collected via liposuction, resulting in a more natural blend with facial structures and less swelling than fillers.

Dr. Azizzadeh states that fat grafting often replaces fillers for volume. When combined with advanced surgery like the deep plane facelift, it offers comprehensive correction for sagging and hollowing, leading to harmonious, long-lasting results.

Here's the Skinny on Fat Grafting Skincare Treatments 

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Irina Shestakova

Dr. Azizzadeh Featured in Vogue: Optimizing Tretinoin Routines

Dr. Azizzadeh Weighs in on Managing Powerful Retinoids

Tretinoin, the gold standard for topical anti-aging surpassing OTC retinol, was recently featured in Vogue. Industry experts, including renowned facial plastic surgeon Dr. Babak Azizzadeh, detailed how to create a routine that maximizes its efficacy and manages the common "retinoid uglies" adjustment period.

Understanding the Side Effects of Skin Renewal

Stronger than over-the-counter retinol products, tretinoin works by speeding up the skin’s natural renewal cycle, which can improve texture and clarity over time. The adjustment period is not always comfortable. Speaking with Vogue, Dr. Azizzadeh noted, "by increasing the rate at which skin cells renew, tretinoin can trigger flaking, redness, and dryness early on." He added that this response is frequently misunderstood, saying, "people often assume they are having an allergic reaction and discontinue use because of those effects." In most cases, these changes are expected and can be eased with the right moisturizing and barrier-support routines.

Curating a Routine for Barrier Support

To combat dryness and sensitivity from tretinoin, Dr. Azizzadeh recommends a hydrating morning routine. This includes a fragrance-free, lightweight moisturizer with ceramides, peptides, and squalane to repair the skin barrier. Because tretinoin increases sun sensitivity, a gentle mineral SPF is also advised for UV protection during skin renewal. Consistent, expert-guided use of this gentle regimen allows patients to safely achieve luminous results.

This Tretinoin Skin-Care Routine Is Key to Calming Skin When Using Retinoids 

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a woman smiling and holding a mirror

Dr. Babak Azizzadeh on the Growing Shift Toward Natural Results in Cosmetic Surgery

BEVERLY HILLS, CA — A growing number of cosmetic surgery patients are moving away from exaggerated, overdone aesthetics in favor of softer, more natural-looking results. According to a recent report by Fox News Digital, board-certified surgeons across the country are noting a clear shift, with patients requesting breast reductions, filler dissolution, and procedures designed to restore symmetry rather than add volume.

Dr. Babak Azizzadeh, a world-renowned facial plastic and reconstructive surgeon at the CENTER for Advanced Facial Plastic Surgery in Beverly Hills, confirmed that a big trend he's observing is patients choosing to dissolve previously placed fillers. Many cases involve filler placed incorrectly or in excess. Unlike Botox, which breaks down in a few months, recent studies show dermal fillers can persist far longer than expected, sometimes lasting years.

The increasing use of weight-loss medications like semaglutides is driving a shift in cosmetic surgery. Rapid weight loss and subsequent fat distribution changes can increase skin laxity in the face and neck. This has led to a noticeable rise in requests for facelifts, neck lifts, and fat grafting, even from younger patients who previously might not have considered surgery.

Rather than relying solely on injectables, more patients are turning to surgical procedures like deep plane facelifts and surgical lip lifts to achieve lasting, refined, and authentic results. This shift makes the role of a skilled, board-certified surgeon even more important, as outcomes vary widely based on the physician's experience and artistic perspective. The focus is now on effortless and balanced results, moving away from the once-popular "overdone" look.

Read the full article on Fox News Digital: 

Plastic surgery trends take a surprising turn as doctors see more patients 'sizing down'

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ozempic and hands

Dr. Azizzadeh Discusses the Rise of Microdosing GLP-1s for Wellness

A New Approach to Weight Loss Medications in Hollywood

Southern California's wellness and aesthetic circles are seeing a new trend: microdosing GLP-1 drugs, like Ozempic. Initially popular for weight loss, a Hollywood Reporter study indicates patients are now using smaller doses for anti-inflammatory effects and enhanced mental clarity, moving away from drastic transformations.

Dr. Babak Azizzadeh, a recognized facial plastic surgeon, observes this evolution, comparing GLP-1 agonists to other aesthetic treatments. He states, "Microdosing of GLP-1 receptor agonists is a huge thing in the SoCal community." He compares it to Botox, noting, "It reminds me of Botox, which expanded from medical to cosmetic use, then began being used for headaches and depression." Similarly, he points out, "Initially people were using this for diabetes, then weight loss, and now are seeing other health benefits."

The Aesthetic Advantages of Controlled Dosing

Microdosing GLP-1s offers subtle benefits, avoiding the facial volume loss ("Ozempic face") associated with rapid, high-dose use. This method reduces inflammation, maintains structural support, and preserves a natural, youthful look. Facial plastic surgeons, including Dr. Azizzadeh, emphasize that preserving facial fat is crucial, as rapid weight loss accelerates aging. Microdosing acts as a preventative measure, though treatments exist for volume depletion.

Beyond the Scale: Cognitive and Anti-Aging Benefits

Beyond physical gains, GLP-1 microdosing interests high-functioning professionals for cognitive and behavioral advantages, like dampening unhealthy impulses (e.g., sugar cravings) and promoting balance. For Dr. Azizzadeh's clients, this aligns with a lifestyle valuing sustained health over quick fixes. As the focus shifts from weight loss to holistic well-being, Dr. Azizzadeh helps patients integrate these advancements into comprehensive graceful aging plans.

Forget Psychedelics. Everyone’s Microdosing Ozempic Now 

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Younger patients are now asking about facelifts more.

Dr. Azizzadeh Discusses the Shift Toward Natural Facial Aesthetics

Dr. Azizzadeh Weighs in on the “Sizing Down” 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 ‘sizing down’ 

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Dr. Babak Azizzadeh

Why Celebrities Credit Sleep and Skincare for Results Only Surgery Can Deliver

BEVERLY HILLS, CA - A recent Daily Mail feature asked plastic surgeons across the country about a growing trend in Hollywood: celebrities who undergo cosmetic procedures but credit their refreshed appearance to better sleep, skincare routines, or lifestyle changes. Several board-certified surgeons shared firsthand accounts of patients attributing surgical results to everything from face tape to spa retreats, raising new questions about transparency in the aesthetics industry.

Among the surgeons featured was Dr. Babak Azizzadeh, a world-renowned facial plastic and reconstructive surgeon based in Beverly Hills. Dr. Azizzadeh shared that he treated a celebrity patient who told people she had simply been on a restorative desert spa retreat after undergoing a deep plane facelift, neck lift, blepharoplasty, and CO2 laser resurfacing. Dr. Azizzadeh noted that he appreciated the fact that his patient felt her results were undetectable, allowing her to discuss her appearance on her own terms.

Surgeons noted that patients, including a well-known actor, falsely attributed facelift and eyelid rejuvenation results to lifestyle changes like better nutrition, sleep, or skincare. This reflects a trend of celebrities keeping cosmetic procedures private despite intense public speculation fueled by social media.

For patients considering facial rejuvenation, the best surgical results look natural. Procedures like the deep plane facelift and blepharoplasty restore a rested, youthful appearance without the telltale signs of surgery. When performed by a skilled, board-certified facial plastic surgeon, patients look like the best version of themselves.

Read the full Daily Mail feature here:

Plastic surgeons reveal how celebrities who undergo cosmetic procedures lie about their 'youthful appearance'

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doctor holding a box of ozempic

Dr. Babak Azizzadeh on the Rise of GLP-1 Microdosing and Its Impact on Facial Aesthetics

BEVERLY HILLS, CA - GLP-1 medications like semaglutide and tirzepatide have reshaped the conversation around weight management, but a growing number of patients are now exploring a different approach: microdosing. Rather than taking standard doses for significant weight loss, some individuals are turning to smaller, off-label amounts of these medications for targeted benefits like reduced inflammation, weight maintenance, and even longevity support. In a recent feature for NewBeauty, Beverly Hills facial plastic surgeon Dr. Babak Azizzadeh weighed in on this emerging trend and its potential effects on facial aesthetics.

Dr. Azizzadeh suggests smaller GLP-1 doses might lower inflammation, similar to standard doses, noting this practice often emerges in wellness centers like Los Angeles first. Though some clinicians accept reduced long-term dosing, microdosing lacks FDA approval and requires qualified medical oversight.

 

Dr. Azizzadeh warned that microdosing at a normal weight risks unexpected facial hollowness from even minor weight loss. He now prefers fat transfer over injectable fillers to restore volume, reflecting a broader aesthetic shift toward natural, lasting results.

As GLP-1 medications continue to expand beyond traditional weight loss, the link between these drugs and facial aging is becoming harder to ignore. Patients considering microdosing or currently using GLP-1 medications should consult with a qualified facial plastic surgeon to anticipate and address changes in facial volume.

Read the full article on NewBeauty:

Is Microdosing GLP-1s the Next Big Health Hack?

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Woman Getting a Forehead Botox

Dr. Babak Azizzadeh on Why Botox May Seem to Wear Off Too Quickly

In a RealSelf feature, experts including board-certified facial plastic surgeon Dr. Babak Azizzadeh offered insight into a common concern among neurotoxin patients: why Botox and similar treatments sometimes appear to lose their effectiveness sooner than expected. Although most providers estimate Botox results last three to four months for many patients, individual experiences can differ significantly.

One factor discussed is the body’s potential to develop neutralizing antibodies over time. While all major neurotoxins rely on botulinum toxin, subtle differences in formulation can influence how the immune system responds. Dr. Azizzadeh notes that patients who have used the same product repeatedly for years may benefit from trying an alternative brand, such as Dysport, Xeomin, or newer options, to potentially restore longer-lasting effects.

Metabolic activity also plays a role. Individuals with high metabolic rates or low body fat may break down neuromodulators more rapidly, which can lead to a quicker return of muscle movement and wrinkles. Dr. Azizzadeh has seen this pattern particularly among long-distance runners and highly active patients.

Another contributor to perceived shorter duration is injection technique and dosage. If an insufficient amount of product is placed or if results aren’t fully assessed two weeks after treatment, patients may feel the effects wear off prematurely—even when the neurotoxin is working as intended.

Experts also note that aging skin and changes in elasticity can alter how results are perceived over time, even when neuromodulator activity is consistent.

Read the full New York Post feature here:
5 Reasons Your Botox Feels Like It Isn’t Lasting

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Dr. Azizzadeh on PSP press release

Dr. Azizzadeh Explores the Modern Surge in Facelift Popularity

In an expert commentary published by Plastic Surgery Practice, Dr. Babak Azizzadeh examines the renewed and rapidly growing interest in facelift surgery—and why today’s patients are embracing surgical rejuvenation more than ever before.

Dr. Azizzadeh explains that the surge in facelift popularity is largely driven by significant advancements in surgical techniques, improved outcomes, and widespread filler fatigue among patients seeking longer-lasting, more natural results. Unlike traditional facelift approaches that focused on pulling skin, modern techniques prioritize restoring facial structure and repositioning deeper tissues to achieve a refreshed, authentic appearance.

At the center of this evolution is the deep plane facelift, which Dr. Azizzadeh describes as the most advanced and effective approach for addressing facial aging. By lifting the deeper muscular and connective tissue layers—rather than just tightening the skin—the deep plane technique produces results that look natural, youthful, and durable. He emphasizes that this procedure requires an exceptional level of surgical expertise, advanced anatomical knowledge, and a refined aesthetic eye.

The article also highlights the importance of deep neck contouring as a critical complement to facelift surgery, allowing surgeons to achieve a cohesive and harmonious rejuvenation of both the face and neck. Additional procedures—such as blepharoplasty, brow reshaping, facial fat grafting, lip lifts, buccal fat repositioning, and chin augmentation—may be incorporated on a personalized basis to enhance overall balance.

Dr. Azizzadeh further addresses the growing trend of younger patients seeking surgical solutions. While non-surgical treatments remain valuable, certain individuals—due to genetics or accelerated aging—may benefit from earlier surgical intervention. He stresses that careful patient evaluation and individualized treatment planning are essential to achieving optimal, long-lasting results.

👉 Read the full article on PlasticSurgeryPractice.com:
https://plasticsurgerypractice.com/client-objectives/aesthetics/new-choices-fuel-surge-in-facelift-popularity/


Rolling Stone feature showing Justin Bieber (photo credit: ANGELA WEISS/AFP via Getty Images)

Justin Bieber’s Recovery From Facial Paralysis Brings Attention to Ramsay Hunt Syndrome

In a Rolling Stone feature, global pop star Justin Bieber shared an encouraging update nearly nine months after being diagnosed with Ramsay Hunt Syndrome, a rare viral condition that can cause facial paralysis. In a recent Instagram Story, Bieber smiled on camera, signaling significant improvement after previously losing movement on one side of his face.

Ramsay Hunt Syndrome occurs when the varicella-zoster virus affects the facial nerve near the ear, often leading to facial weakness, impaired blinking, and asymmetry. Bieber first revealed his diagnosis in June 2022, explaining that the condition forced him to pause and eventually cancel his world tour in order to focus on recovery.

At the time of the diagnosis, Rolling Stone consulted two facial paralysis specialists, including Dr. Babak Azizzadeh, a world-renowned facial plastic and reconstructive surgeon. Dr. Azizzadeh noted that Bieber’s outlook was promising because his paralysis affected only one side of the face, suggesting that not all nerve fibers were permanently damaged.

According to Dr. Azizzadeh, recovery from facial paralysis can take weeks or months and, in some cases, up to a year. He emphasized that early treatment with high-dose steroids and antiviral medications significantly improves the likelihood of nerve recovery and restored facial movement.

Bieber’s gradual return to public appearances and surprise performances highlights both the physical and emotional challenges associated with facial paralysis. His experience has helped raise public awareness of Ramsay Hunt Syndrome and the importance of early intervention, expert evaluation, and patience throughout the recovery process.

Read the full feature here:
Justin Bieber Gets His Smile Back Nine Months After Facial Paralysis Diagnosis – Rolling Stone

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