The Biggest Medical Aesthetics Trends Of 2020

Earlier this year Amber Katz wrote a blog in New-York-based beauty blog AEDIT about the biggest aesthetics trends for the year ahead – so now Pete Richardson (PR) is looking back at her blog and assessing if they are still trending.

Amber Katz (AK) firstly took a look at hair trends saying it was no longer just about treating hair loss once it happens, hair restoration procedures can have a preventative effect as well.

  1. Platelet-Rich Plasma (PRP) to Prevent Hair Loss

AK said: PRP is now considered standard protocol for hair growth. The treatment, which works for both men and women (Kourtney Kardashian documented her experience with the procedure on Keeping Up With the Kardashians), involves injecting platelet-rich plasma from the patient’s own body into the scalp to repair damaged hair follicles and encourage fuller, thicker growth.

The treatment’s mechanism of action and injection protocols are being demystified daily, as the topic continues to come up in cosmetic journals. PRP’s use as adjuvant treatment to lasers and as a stand-alone injectable has been gaining traction and will only continue to rise come 2020.

PR – yes this is a massive growth industry and follows on from the use of PRP in facials, including the Nytox Vampire Facial trademarked by Manchester’s Cosmetic Couture.

AK: 2020 Face Trends

From innovative uses for Botox® and dermal filler to advances in skin tightening, there is an array of minimally invasive advances to address any number of complexion concerns on the horizon.

  1. PRP Skin Resurfacing

AK: Surprise! Platelet rich-plasma is also used on the skin. “The use of PRP with small amounts of additives, like neuromodulators and hyaluronic acid, delivered with handheld microneedle chambers to provide mesotherapy to the superficial structures of the skin can provide complexion improvements that were only previously seen with laser resurfacing,” Dr. Linkner says of the technique that is often colloquially referred to as the ‘vampire facial.’

PR: WOOHOO…as sated above its been done in Manchester for years!

  1. New Filler Products

AK: New York City-based board certified plastic surgeon Umabreen Mahmood, MD, says the U.S. Food and Drug Administration (FDA) will likely approve several new soft tissue fillers in 2020 that are already used abroad in Europe, “which will be an exciting addition to the current portfolio of fillers.”

PR: The fillers market continues to grow – or did before Covid-19. And the market is expected to triple in size over the next five years.

  1. No-Downtime Laser Rejuvenation

AK: New year, new lasers! Board certified dermatologist Claire Chang, MD, of Union Square Laser Dermatology says that 2020 is all about Picosecond lasers. One of the newest lasers on the market, it can be used for everything from overall skin rejuvenation and skin brightening to the targeted treatment of fine lines, brown spots, melasma, acne scars, and unwanted tattoos. It has minimal downtime and is very well tolerated, she says.

PR: Lasers are not as popular yet as fillers and facial treatments like mesotherapy. But watch this space as technology tracks trends and consumer demands for more and more options to look younger!

  1. The “LitLift”

AK: Manhattan-based board certified facial plastic surgeon Dara Liotta, MD, says that one of the biggest non-surgical requests she receives at her practice is for general facial optimization with fillers and neurotoxins. Dubbed “the LitLift,” Dr. Liotta says “millennials, in particular, don’t want to look like someone else.” Instead, “they just want to ‘dust’ a bit of filler and Botox® around the face to make them look like their best selves without makeup,” she says. #NoFilterJustFiller is one of her favorite hashtags to see patients use after an appointment with her. “I like to say that the new trend for 2020 is to be a bit ‘high maintenance’ in my office chair once or twice a year in order to be ‘low maintenance’ all year long,” she explains.

PR: I don’t think this has happened in 2020 in the UK where full-on filler seems to have been the trend. Top ups and extra treatments are more common than dustings…..but who knows post Covid-19?

  1. Minimally Invasive Skin Tightening

AK: Dr. Chang believes minimally invasive skin tightening procedures like Ultherapy® will continue to be on the rise in 2020. “As the global life expectancy increases, many patients are searching for non-surgical, preventative treatments to start in their twenties, thirties, and forties to avoid or delay the need for more aggressive surgical procedures in the future,” she says.

Ultherapy® uses microfocused ultrasound to stimulate collagen deep in the skin, causing a skin-tightening effect to prevent and treat sagging, loose skin. “With the advent of treatments like Ultherapy, which have been shown to be safe and effective in skin tightening and lifting, patients are reaching for less invasive rejuvenation options,” Dr. Chang says.

PR: Another no from me. Well not in the UK anyway. Another machine another fad?

  1. Preventative Injectables

AK: Board certified dermatologist and founder of Spring Street Dermatology Sapna Palep, MD, says the light use of neuromodulators (think: Botox®, Dysport®, Jeuveau®, and Xeomin®) and fillers early in life has been clinically shown to have anti-aging benefits. “We see those results commonly in patients proactively using injectables in their twenties and thirties to resolve mild aesthetic issues, rather than investing in plastic surgery later in life as a full overhaul,” Dr. Palep explains. With the technical advancements of neurotoxins and fillers lasting longer and having additional flexibility within the skin, it’s possible to achieve natural results without a lot of product. It is important to note that less is always more and the earlier you begin small aesthetic procedures, the less maintenance will be required over time, she adds.

PR: 100% agree. Young people are tuned in to the benefits of aesthetic treatments and continue to be at the forefront of demand.

  1. Bespoke Lip Augmentation

AK: At her Manhattan practice, Dr. Liotta offers a custom, non-surgical lip treatment she calls “couture lips” that she expects will continue to gain popularity in 2020. “Lips are always ‘in,’” she shares. “More and more patients are willing to pay a bit more for a perfect, couture, natural-looking lip.”

PR: Just look at the buzz around Russian Lip styles to know that this is 100% true. And more styles are sure to follow as lip trends evolve. Maxine Hopley at Cosmetic Couture recently did a live podcast on Masterclass Lip Techniques and has trade-marked several styles including HD lips and B-stung.

  1. Microneedling with Radiofrequency

AK: Whether you look at is as radiofrequency reaping the benefits of microneedling or vice versa, Dr. Palep says the combination of the two treatments is seriously amplifying results. “A wound-healing process ensues,” she says of the technique. “Results peak through within two weeks.” The procedures are blood-free due to the coagulation effects of the needles, which means patients rebound quickly post procedure. RF microneedling treatments like Vivace® further up the ante with the addition of red and blue LED light, which further speeds up the anti-acne and brightening effects. Another add on? PRP. “The complement of PRP to this laser treatment also minimizes downtime while maximizing results,” Dr. Palep says. “That increased efficacy is well-received by millennials.”

PR: One for 2021?

  1. Masseter Botox® for TMJD and Jaw Slimming

AK: “2020 is all about mixing wellness and beauty, and masseter Botox® is a great example of this,” Dr. Liotta says of the off-label use of the neurotoxin that can treat temporomandibular joint disorder (a.k.a. TMJD or TMD) and slim the jaw. The masseter muscle sits at the back of the mouth at the angle of the mandible (i.e. angle of the jaw) and is one of the muscles activated during chewing. “In people who grind or clench their teeth, it’s extra tension in this muscle that’s the culprit,” Dr. Liotta points out.

She says that Botox® can be used both functionally to temporarily weaken the masseter muscle (the main teeth-grinding muscle) and improve the pain of TMJD. “When Botox® is used to relieve the pain of TMJ and tooth grinding, patients can expect some pain relief in as little as one to two weeks,” she says. Cosmetically, Botox® can be used to thin the masseter muscle and take away a square look to the angle of the jaw, softening the look of the lower face. In that case, the maximum effect is not seen for six to eight weeks, Dr. Liotta notes.

PR: Sounds very medical to me and not an area of expertise. So let’s see!