Top Facial Plastic Surgery Predictions for 2019

AAFPRS Members Look Into Their Crystal Balls for the Year Ahead

Facial plastic surgeons are taking out their crystal balls to share a glimpse of what we will see more, or less of, in the coming year in cosmetic surgery.


Natural-looking results are here to stay.

Gone, but not totally forgotten, are the highly sculpted noses, plumped-out puckers and frozen faces of plastic surgery past. Today’s procedures create natural-looking results so you look refreshed, relaxed and like the best version of yourself. As the memories of that over-done look fade to black, we can expect an even greater uptick in the number of men and women seeking cosmetic enhancements. “The desire to look better, but natural, is not new. In fact, most patients fear the stretched or windblown look as well as the overdone, un-natural looking nose. Overdone Hollywood celebrities do more to create fear of surgery. The biggest challenge for well-trained facial plastic surgeons is to help patients understand that they can have improvements, while looking totally normal, just better,” says Phillip R. Langsdon, MD, President of the American Academy of Facial Plastic & Reconstructive Surgery (AAFPRS).

“We have seen a definite trend towards more natural facial results in our practice and nationwide. Patients are asking us for less overfilling of the lips and cheeks and a more graceful look” says Mitchell D Kaye MD, AAFPRS Board Certified Facial Plastic Surgeon and Cosmetic Surgeon in Clarksville, Tennessee.

More is not necessarily better.

Excessive tightening or “too much” volume can produce a look that is instantly recognizable as artificial and overdone. “By using the right amount of the newest fillers available, in the right place we can sculpt a nose, cheek, lips or chin without surgery. Knowing which filler to use and where is critical.” says Dr. Kaye. Downtime is usually limited to no gym that day. Skin care with prescription medications can restore the skin to a healthy balance, reduce wrinkles by increasing collagen content in the skin and get rid of sun damage and brown spots. Peels and lasers will give skin a new start by removing the damaged outer layer. There is a whole new class of injectable fat dissolvers for use in the neck that can limit the need for liposuction in some patients. “There are definitely people who still need eyelifts, nasal reduction or refining surgery and face and neck lifts. The trick is using surgical or non-surgical treatments in the right patient and blending them if necessary. Too much of one or the other is not going to benefit the patient. It’s definitely a balance,” says Dr. Kaye of the Advanced Cosmetic Surgery Center of Kentucky & Tennessee.

Micro will be a macro buzz word in 2019.

Microneedling with platelet rich plasma (PRP), microblading and micro- or baby Botox will gain momentum in the coming year. Microneedling uses a special roller or device with needles to create tiny channels in the skin to trigger its natural wound healing capabilities, namely the production of collagen and elastin, the building blocks of supple, youthful skin. PRP injections jump-start this healing response. Microblading is the new go-to for over-plucked or waxed eyebrows. It’s a type of tattooing where pigment is implanted under the skin with a manual handheld tool. Micro-Botox involves injecting small amounts of neuromodulator within the upper layers of the skin to enhance tone, smooth wrinkles and reduce the size of pores.



Dr. Kaye’s Board Certifications include: American Board of Cosmetic Surgery, American Board of Facial Plastic & Reconstructive Surgery & American Board of Otolaryngology/Head & Neck Surgery. He is a Fellow/Member of: American Academy of Cosmetic Surgery, American Academy of Facial Plastic and Reconstructive Surgeons, American Society of Cosmetic Breast Surgery & American College of Surgeons.