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Why it makes sense to preserve your own fat

Dr. Calabria is honored to announce that he was named the “preferred provider plastic surgeon” for Beverly Hills for the first stem and regenerative cell bank in the world. Dr. Calabria has been on the forefront of regenerative plastic surgery, a new branch of plastic surgery that uses stem and regenerative cells for rejuvenation procedures.

He has performed one of the first “stem cell facelift ” in the world in Italy and he has pioneered the new “cell-enhanced face lift” which combines the vertical face lift with stem and regenerative cells facial rejuvenation with a break trough technology from Cytori including the “pure graft” system in the U.S. and the “Celution” device in Europe.

Now Dr.Calabria has been able to offer for the first time in Beverly Hills the possibility of storing your own adipose tissue (fat) and stem and regenerative cells for future use. Until today the fat has been traditionally thrown away as medical waste. With this new technology we are now able to maintain these youthful cells for a life time.

Dr.Calabria is relying more and more on the use of adipose tissue ( fat) and stem and regenerative cell for facial, breast and body cosmetic procedures because it offers a more natural alternative over foreign and synthetic material which can cause risks to the patient. It is a very straight forward process: The adipose tissue is extracted during liposuction and then processed and cryogenically preserved. If the patient desires to preserve stem cell directly the fat is processed in a different way separating the stem and regenerative cells for cryogenic preservation with a system called “Pure Graft” by Cytori.

The stem and regenerative cells are preserved and stored in a state of suspended animation in cryopreservation and their potency is preserved for years and, theoretically, indefinite. By storing healthy tissues today, the patient will avoid undergoing extra liposuction in the future which means that you can store youthful cells of today for use five, ten, twenty years from now.

With the current progress of tissue technology, Dr.Calabria sees a not to far away future in which regenerative plastic surgery will offer alternatives not even imaginable now. Why preserve fat for the future? These are the current and future possibilities in plastic and cosmetic surgery: Facial augmentation and rejuvenation, breast augmentation and rejuvenation, treatment of asymmetric breasts, breast cancer reconstruction, post liposuction asymmetry, body asymmetry, and wound care.

What is Thermage®?

Thermage is a safe, non-invasive procedure that’s clinically proven to help tighten and contour your skin. Its unique deep-heating technology stimulates and renews your own collagen, resulting in tighter, smoother skin.

Thermage is completely non-invasive – no surgery or injections. Unlike lasers, Thermage works on all skin types and tones. The procedure is typically performed in a single session. And there’s little to no downtime – so you can quickly resume your normal routine.

How Does Thermage Work?

To understand how Thermageworks, it helps to know a little about how your skin works.

The skin is made up of three distinct layers: a visible outer layer on the surface called the epidermis, a collagen-rich underlayerbeneath the surface called the dermis, and an inner layer beneath the dermis called the subcutaneous layer (also known as the fat layer) that has a web of collagen fibers running through it.

As you age, collagen in these three layers break down and your skin begins to sag and wrinkle. Naturally, treatments that work on just the surface can’t do anything to restore the collagen in the dermis or the inner subcutaneous layer of your skin.

Thermage is the only non-invasive procedure available that tightens and renews your skin’s collagen in all three layers. How? Thermage’s unique Capacitive Radiofrequency (CRF) technology safely heats your skin’s underlayer and the web of collagen in the inner layer, causing an immediate tightening as well as improved tone and texture. The improvements will continue and become even more noticeable for four to six months following treatment, due to newcollagen growth.

Thermage is safer than invasive cosmetic procedures. Unlike lasers, it works on all skin types and colors. Best of all, you only need one treatment to obtain the full benefits. In addition, there is little to no downtime, so you can quickly resume your daily routine.

The Treatment Procedure

During the treatment, you’ll feel a brief, heat sensation each time Thermage delivers energy to the underlayer of your skin. This indicates that your collagen is being stimulated and tightened. Thermage is a very safe procedure. Side effects are generally mild and may include redness, swelling, blisters, bumps and rare instances of surface irregularities.

As time passes, the face begins to show signs of aging and may cause an individual to appear older than he/she truly is. To help alleviate some of these undesirable features, Renato P. Calabria, M.D., F.A.C.S. performs mini facelift surgery at his practice in the Los Angeles area. This facial rejuvenating procedure targets the mid-face, cheeks, and lower eyelids.

MINI FACELIFT INFORMATION

Designed for those who require only minimal rejuvenation, a mini facelift (“rhytidectomy”) entails a shorter incision than that of a traditional facelift. In addition, patients who undergo a mini facelift will benefit from minimal downtime, and have the chance to undergo this procedure with local anesthesia. Post-surgery, some bruising and swelling is present but will subside over time, revealing a refreshed and natural-looking appearance.

Furthermore, the mini facelift procedure is also suitable for those who have previously undergone other cosmetic surgeries. It can help to revitalize the facial contours and provide balance to features that have started to return to their aging state. Dr. Calabria can discuss additional details regarding your procedure during an initial consultation.

Prospective patients are encouraged to browse results achieve by Dr. Calabria in before and after facelift photos prior to surgery. Many patients find that doing so provides greater confidence in their procedure.

“I can say with great certainty that Dr. Renato Calabria is one of Southern California’s finest and talented leading plastic surgeons.”
-Patient Testimonial

Dr. Calabria has been in practice for more than 15 years, throughout which he has been named one of “America’s Top Plastic Surgeons” by the 2008 Guide to America’s Top Plastic Surgeons, as well as nominated for one of 2005’s “Physician of the Year.” He is board certified by the American Board of Plastic Surgery(ABPS), as well as a member of American Society of Plastic Surgeons (ASPS). Additionally, Dr. Calabria has made several television appearances in which he discusses plastic surgery; some of these include the “Tyra Banks Show,” “Inside Edition,” “Extra,” the CBS News, and the NBC News.

Beverly Hills and Los Angels mini facelift candidates may call Dr. Calabria at (310) 777- 0069. His Palm Springs office may be reached at (760) 836-0077, and international patients can call 39.346.1776896. If you prefer, a contact form is also available. Be sure to ask about our free online computer imaging consultation.

With board certification from the American Board of Plastic Surgery (ABPS), Los Angeles plastic surgeon Renato P. Calabria, M.D., F.A.C.S. routinely performs some of the most highly requested cosmetic procedures available, including facelift surgery, breast augmentation, and liposuction.

When choosing Dr. Calabria’s outstanding Beverly Hills facility, patients are provided with the following distinct advantages:

Accuracy:

As a Beverly Hills plastic surgery specialist, Dr. Calabria understands the patient’s desire to play an active role in his or her surgical plans. Therefore, to assist in this endeavor, he offers computer imaging technology. This allows the ability to preview the anticipated results from surgery after e-mailing your photos to Dr. Calabria.

Safety:

A specialist in minimally-invasive techniques, Dr. Calabria offers endoscopic methods for several popular cosmetic procedures. By providing patients with multiple surgical options, he is helping to reduce the risk of potential complications associated with cosmetic surgery, such as excessive bleeding or scarring.

Results:

At his practice near Los Angeles, facelift, breast augmentation, liposuction, and other procedures are performed skillfully by Dr. Calabria, resulting in a beautiful and unique surgical outcome. Our doctor strives to provide his patients with the significant aesthetic improvement they desire.

The excellent results of many past patients are featured in before and after plastic surgery photos.

If you would like to benefit from the expertise of Dr. Calabria, he invites you to schedule an initial consultation to learn more. The questions you have regarding the procedures of your interest can be discussed in greater depth during that time.

Later, if you choose to become a patient of our practice, the fee for this appointment will be applied toward your procedure costs as a courtesy.

Call the office of our Los Angeles plastic surgeon at (310) 777-0069, or you can reach him at his Palm Springs facility at (760) 836-0077. To receive a call from a member of our staff, please utilize our contact form, or request a free online computer imaging consultation of your photos by Dr. Calabria.

Each year, many individuals opt to undergo a facial plastic surgery procedure in order to regain a more youthful appearance. Renato P. Calabria, M.D., F.A.C.S. frequently helps those in the Beverly Hills and Los Angeles area. Dr. Calabria highly encourages individuals to view facelift before and after photos when researching their procedure.

What do I need to know before my surgery?

During an initial consultation, Dr. Calabria will explain the procedure and examine your facial structure in order to determine the best treatment plan. This is an opportune time to view before and after photos of previous patients who have undergone a facelift procedure (“rhytidectomy”). You may find these beneficial in making a decision regarding your surgery.

Furthermore, Dr. Calabria can use computer imaging to show you a realistic prediction of your results. Based on each patient’s facial anatomy, age, and desired outcome, this advanced technology is an excellent aid. You may also view facelift before and after photos in our photo gallery.

Dr. Calabria strongly encourages patients to view images that represent results achieved by their surgeon and not from an outside source. This often provides patients with a peace of mind and confidence in the surgeon who will be performing the surgery.

“Dr. Calabria is an artistically skilled and talented surgeon, of the finest caliber, who understands each individual patient’s needs. His sensitive and caring persona and rapport towards his patients makes all the difference.”
-Patient Testimonial

Board certified by the American Board of Plastic Surgery (ABPS), as well as a member of American Society of Plastic Surgeons (ASPS), Dr. Calabria has more than 15 years of experience. His skills and qualifications have also acquired him a nomination for one of 2005’s “Physician of the Year,” as well as the honor of being named one of “America’s Top Plastic Surgeons” by the 2008 Guide to America’s Top Plastic Surgeons. Additionally, Dr. Calabria has made various television appearances in which he discusses plastic surgery; some of these include the “Tyra Banks Show,” “Inside Edition,” “Extra,” the CBS News and the NBC News.

To learn more regarding facial surgery and to view facelift before and after photos, Los Angeles and Beverly Hills surgeon Dr. Calabria may be reached (310) 777- 0069. You may also call his office in Palm Springs at (760) 836-0077 or by filling out the contact form. International patients may call 39.346.1776896. Be sure to ask about our free online computer imaging consultation.

Individuals who are interested in undergoing a facial rejuvenation procedure typically research the procedure and the surgeon’s background. Another important factor to look into is the doctor’s patient results. This is why Renato P. Calabria, M.D., F.A.C.S. strongly encourages patients to view facelift before and after photos when visiting his Beverly Hills practice.

FACELIFT SURGERY RESULTS

During an initial consultation, Dr. Calabria will thoroughly explain the facelift procedure (“rhytidectomy”) and answer any questions you may have. It is extremely important for patients to be fully informed about the procedure prior to committing to surgery in order to achieve a satisfying outcome.

A key element in understanding potential results is viewing before and after photos of Dr. Calabria’s work. Doing so will allow you to see others who have undergone the facelift procedure; these would be patients at various ages and with different skin types. Some have found that they identify with a previous patient, and feel that they may be able to achieve a similar outcome. In addition, with the use of computer imaging, Dr. Calabria can show you a realistic image of your potential results.

No matter where you may go for your facelift procedure, we strongly recommend that you research the physician and pay close attention to his or her before and after photos. Also, be sure that the images being shown are those of patients treated by the surgeon and not generic images from outside sources. Consistency and a natural appearance are important factors when browsing before and after images.

To see examples of Dr. Calabria’s patient results in Beverly Hills, you may view before and after photos.

Experienced Plastic Surgeon

Board certified by the American Board of Plastic Surgery (ABPS) and a member of American Society of Plastic Surgeons (ASPS), Dr. Calabria has been in practice for more than 15 years. His skills and qualifications have acquired him a nomination for one of 2005’s “Physician of the Year,” as well as the honor of being named one of “America’s Top Plastic Surgeons” by the 2008 Guide to America’s Top Plastic Surgeons. Additionally, Dr. Calabria has made multiple television appearances to discuss plastic surgery procedures; some of these include the NBC News, CBS News, “Extra,” “Inside Edition,” and the “Tyra Banks Show.”

To schedule an appointment with Dr. Calabria, you may call his Beverly Hills practice at (310) 777- 0069. He can also be reached at his office in Palm Springs at (760) 836-0077 or by filling out the contact form. International patients may call 39.346.1776896. Be sure to ask about our free online computer imaging consultation.

“No one wants to look done,” says Southern California plastic surgeon Dr. Renato Calabria. “I can deliver a natural-looking result.” A board certified plastic surgeon who has been in practice in Beverly Hills since 1995, he says that gone are the days when dramatic changes were requested by individuals seeking enhancement; today, the goal of most patients – both men and women – is to appear more youthful in a subtle manner.

Not only does this desire for subtle outcomes continue to reign as a steady trend among those showing signs of aging, but also the average age for facial rejuvenation has shifted over the years. Specifically in regards to facelift surgery (“rhytidectomy”), Dr. Calabria says that this cosmetic procedure used to be commonly performed on those who are 55 years of age or older. Now, he acknowledges that the average age bracket for individuals undergoing some sort of facelift technique is between 40 and 45 years old. Although Dr. Calabria says that there is no perfect age for a facelift (“really depends on the patient”), there is an advantage to performing rhytidectomy on those who are between 40 and 45 years old – it can be used as a preventive measure as well. Nothing can stop the process of growing older, but a facelift helps a patient maintain his or her “fountain of youth” for a long period of time. “I am performing it earlier than later, before the aging really shows,” admits Dr. Calabria, also explaining that there is such a thing as being too young for a facelift; he does not perform this procedure on those who are younger than 35 years old.

Based in Beverly Hills, Dr. Calabria has treated many people who are in the public eye. Whether a Hollywood star or a high-profile business person, there is no one type of patient that he treats. But, he says, he often performs facelift surgery on individuals who are in the entertainment industry because getting some sort of facial rejuvenation procedure, such as a facelift, is a “must in Hollywood” if you are over 40 years old.

During the initial consultation with Dr. Calabria, the various types of facelift methods can be discussed. Two modern approaches to rhytidectomy are the “Adjustable Facelift” and “The Stem-Cell Facelift,” both of which Dr. Calabria offers at his Beverly Hills practice. Should you be interested in attaining a younger-looking appearance through a non-surgical alternative, such as with a facial filler, it is important to realize that this type of treatment will not provide results that are identical to facelift outcomes. Rhytidectomy offers long-lasting results, and can take off 10 to 15 years from a person’s face. Even as he or she ages, this will remain the same. When additional aging develops, it is then that the individual may opt for a secondary procedure.

For more information about facelift surgery, please contact the office of Dr. Calabria. You may call (310) 777-0069 to reach his Beverly Hills location, or fill out a consultation form. He also has offices in the Palm Springs, California area as well as in Italy.

At his highly-renowned cosmetic practice, Renato P. Calabria, M.D., F.A.C.S. offers patients the expertise of Renato P. Calabria, M.D., F.A.C.S. A Beverly Hills plastic surgeon who specializes in minimally invasive surgery, Dr. Calabria is board certified by the American Board of Plastic Surgery (ABPS) and has performed countless successful procedures.

The extensive menu of procedures offered by Dr. Calabria includes:

Facelift surgery (“rhytidectomy”):

Because the traditional facelift procedure is known to sometimes produce an unnatural, “wind swept” appearance, Dr. Calabria offers the “Vertical Facelift.” With this procedure, our Beverly Hills facelift surgeon provides patients with fantastic, youthful results, while avoiding excessive incisions and other unfavorable factors normally associated with facelift surgery.

Breast augmentation (“augmentation mammaplasty”):

With the help of computer imaging, Dr. Calabria can guide you toward choosing the implant size, shape, and type that is right for your unique figure and frame. Whether performed alone or in conjunction with breast lift surgery, this procedure can enhance your breasts to your desired specifications.

Tummy tuck surgery (“abdominoplasty”):

Designed to tone and slenderize the abdomen, tummy tuck surgery is an excellent option for those who wish to reduce the excess fat and skin that has been accumulated through aging, pregnancy, or weight changes. With the advanced techniques offered by our Beverly Hills tummy tuck surgeon, attractive results can be achieved with a significantly reduced risk of scarring and other complications.

For examples of Dr. Calabria’s work, please visit our gallery to view before and after plastic surgery photos.

If any of the above procedures are of interest to you, or you would like to inquire about additional surgeries that are available, please schedule an initial consultation. Dr. Calabria can provide answers to your questions at that time.

Following your appointment, you will have the opportunity to become a patient of our practice. If you choose to do so, the fee for your consultation will be applied toward your surgical costs.

Beverly Hills plastic surgeon Dr. Calabria can be reached at (310) 777- 0069, or at his Palm Springs location by calling (760) 836-0077. To receive a reply from our office, please fill out our contact form or request a free online computer imaging consultation of your photos.

As time passes and the facial skin begins to show signs of aging, many individuals seek the assistance of a medical professional. Patients may find Beverly Hills plastic surgeon Renato P. Calabria, M.D., F.A.C.S. to be an ideal choice to help you achieve a more youthful facial contour with a facelift procedure.

Facelift Surgery Information

Designed to help reduce the appearance of sagging skin in the cheeks, neck, and jowls, facelift surgery (“rhytidectomy”) lifts the facial skin to a younger-looking position and removes any excess. Dr. Calabria offers various techniques to his patients who seek a renewed look; these include the “Vertical Lift,” “The Adjustable Face Lift,” “The Cell-Enhanced Face Lift/The Stem Cell Face Lift/ The Stem Cell-Enhanced Facelift,” and “The Suspenders Face Lift.” You may learn more regarding these methods during your initial consultation.

Dr. Calabria strives to provide patients with natural-looking results when performing facelift surgery. The goal of this facial rejuvenating procedure is to make a patient appear refreshed with only subtle changes to the face.

You may see examples of Dr. Calabria’s results by viewing before and after facelift photos. Additionally, with the use of advanced photo imaging, you may witness the potential results of your procedure prior to surgery.

“Dr. Calabria made me feel special, like he was working on a masterpiece. I highly recommend Dr. Calabria and his professional and friendly staff to anyone interested in having plastic surgery.”

Board certified by the American Board of Plastic Surgery (ABPS), as well as a member of American Society of Plastic Surgeons (ASPS), Dr. Calabria has more than 15 years of experience. Furthermore, his experience and qualifications have acquired him the honor of being named one of “America’s Top Plastic Surgeons” by the 2008 Guide to America’s Top Plastic Surgeons, as well as a nomination for one of 2005’s “Physician of the Year.” Additionally, Dr. Calabria has made several television appearances in which he discusses plastic surgery; some of these include the “Tyra Banks Show,” “Inside Edition,” “Extra,” the CBS News, and the NBC News.

Once you find that our Beverly Hills plastic surgeon is the right choice to help you meet your desired goals, you may schedule an appointment by filling out a contact form. His Beverly Hills office can be reached at (310) 777- 0069, and his Palm Springs office can be reached at (760) 836-0077. International patients may call 39.346.1776896. Be sure to ask about our free online computer imaging consultation.

The age of inflation is over in Tinseltown, where the over-plumped faces of yore are leading to increasingly diminished returns for celebrities and surgeons alike.

By Rachel Brown :: Photographed by George Chinsee

Did she or didn’t she?

These days, as a new aesthetic takes hold in Hollywood, it’s getting harder to tell. Call it the dawn of a deflationary era, a time in which the pushed, plumped, plucked and pulled Hollywood ideal is yielding to something approaching human. Exaggerated lips, rigid foreheads, jumbo breasts and higher-than-high cheekbones are becoming jarring relics of a desperate battle against aging. (Of course, they can still be examined for historical purposes on reality-television shows like The Real Housewives of Beverly Hills.)

The newbeauty ideal is easy, fresh and relatable. The prototype could be a mash-up of Jennifer Aniston, Kate Hudson, Blake Lively, Paula Patton and Zoe Saldana, all of whom are gorgeous, but none of whom conform to Hollywood’s cookie-cutter beauty ideal. Neither Aniston nor Lively have perky button noses. Hudson’s, Aniston’s and Saldana’s chests are appropriately sized for their athletic builds. All have laugh lines when they smile.

“There is a greater acceptance of women and aging, and a feeling that women can be beautiful without doing all of that,” says Sarah Finn, casting director for TRO1V: Legacy, Wall Street: MoneyNever Sleeps and Thor, discussing Botox, fillers, surgery and the like. “Female-driven movies like The Kids Are All Right are a good example. The movie was trying to be real and authentic, and both Julianne [Moore] and Annette [Bening] looked like real people.”

But don’t be fooled. Screen-worthy beauty is more than ever the craft of plastic surgeons, dermatologists, aestheticians, dentists, makeup artists and hairstylists. It’s just that the craft is changing. The newbeauty bench- mark requires aesthetics professionals to have a deft touch and keen eye. Unlike some reality stars whose anatomy appears purchased off the assembly line, actresses and actors of substance don’t want to look like they’ve popped out of a plastic mold. They want to retain their individual- ity and come across as themselves, but in the best possible state, so that they look immune to the worst effects of aging.

“It is a beauty business,” says April Webster, casting director for the upcoming movie Mission Impossible: Ghost Protocol as well as the television programs Fringe, Criminal Minds and Lost, of Hollywood. “It’s unfortunate, but it is understandable that people want to look younger. We don’t venerate age and experience. We venerate youthfulness and attractiveness, especially when we are doing films and television shows.”

“Celebrities want to portray themselves as natural, so they claim that they don’t have plastic surgery. The fact is that they do,” agrees plastic surgeon Renato Calabria. “Plastic surgery has a bad rap because you see some celebrities that have overdone it.”

Plausible deniability—or the art of fine-tuning in the range of the genetically probable—is the objective. Moderation is critical to success today, a stark contrast to the age of overload that took off when Botox first promised wrinkle-free ambitions in the Nineties and early 2000s, and injectable fillers such as Restylane, Juvederm, Sculptra, Radiesse and Artefill further inflamed the intemperate mood. “Anything can be done to excess,” says plastic surgeon Norman Leaf. “It is all a matter of balance and taste, and that is hard to acquire and learn.”

In particular, filler was responsible for absurdly swollen faces and bodies. Plastic surgeon Sherrell Aston says too much caused lower eyelids that sometimes appeared gray and lumpy, ropy nasal labial folds and chipmunk cheeks. “The pendulum is starting to swing,” he says. “We are seeing more and more people who are coming in now who have tried the filler route and realize that they have spent the cost of two facelifts, and many times they look worse or certainly no better than they did before the first filler.”

In fact, a good old-fashioned facelift is now preferred. New techniques are being used to prevent the tightly pulled, windswept look of yore. Plastic surgeon Daniel Ronel performs what he calls a modern facelift, in which he pulls the skin straight up rather than at a diagonal. “It is a more natural look because it puts things where they were before, and the healing is easier because that’s where the skin came from,” he says, adding, “It avoids the ugly incision behind the ear that the traditional facelift surgery has.”

Likewise, Bernard Markowitz, a surgeon who’s rumored to have attended to Sharon Stone, tends to shun cheek or chin implants in his facelifts, choosing instead to strategically reposition fallen facial fat and tighten the layer beneath the skin to add volume to the upper middle of the face. He says the method addresses both volume and skin-quality issues, while fillers can only attempt to tackle the lack of volume. “When you have a young, full face, when it changes it is not just fat volume being lost, the skin changes as well, so to get that youthful appearance you have to put so much stuff in there that it looks ridiculous,” says Markowitz, referring to fillers.

Fat – a dirty word in Hollywood—is also being looked at in new terms, particularly fat grafting to improve facial volume. “As we age, we lose the fat in our face. It is not just the stuff that makes us look round and pudgy. It is the deep fat,” says plastic surgeon John Layke, who performs fat injections in the face. “If we can revolumize the deep compartments of the face, then everything tends to be lifted, it looks more youthful.”

Still, the process is easier said than done, and the results can be uneven at best. It takes expert extraction, washing and insertion of the fat. “It is like seeds,” says plastic surgeon Lawrence Koplin. “It works, but you have to do it right and put extra in because not all the seeds germinate….You overcompensate a little bit because you know you are going to lose some.”

Plastic surgeon Robert Guida has been using a process called Natural- Fill for the last few months, in which he harvests a patient’s own fat and keeps it intact for a transfer to the face. Compared to fillers, Guida says NaturalFill procedures can “last longer” —he approximates around 12 months to fillers’ six to nine months—and give “a more contoured, softer look as opposed to a more elevated, arched, extreme look.”

The difficulties of fat grafting—its variability and short-term nature—are driving an interest in procedures tapping stem cells found in fat in what could perhaps be the next revolution in cosmetic medicine, if not almost every medical discipline. Fat has a very high concen- tration of stem cells—higher than even bone marrow and skin—that can be segregated and inserted, along with fat, during boob jobs or facelifts. The stem cells signal blood vessels to grow into the fat, and the fat flourishes to encourage lasting volume.

“We notice that the skin looks better when you put fat stem cells in,” says Koplin. “It has more of a blood supply to it, and even the tiny fine lines get better. You don’t get that from fillers.”

Plastic surgeon Calabria has employed Cytori Therapeutics’ cutting-edge Celution System for procedures in Europe (it is not approved by the U.S. Food and Drug Administration) to isolate the stem cells in fat. After they are isolated, he then mixes the stem cells with purified fat for injections into the face. That mixture contains a much greater amount of stem cells than in fat alone and increases the chances that healthy stem cell activity will occur.
“You have turbocharged fat,” says Calabria. “It is too early to predict how much potential this technology has, but the same type of surgery is going to be used [for] other areas of the body. “This is the future,” he adds.

All of this doesn’t mean that Botox is down for the count, just that its use is becoming more refined—and covert. Actresses Teri Hatcher and Courteney Cox have publicly sworn off Botox, and even Meg Ryan and Nicole Kidman, who could have been spokeswomen for frozen faces and megalips, seem to have checked their facial manipulation. “That Nicole Kidman, total emotionless look was so obvious,” says dermatologist Harold Lancer. “The majority of people just want to be softened a little bit.”

Plastic surgeon Daniel Ronel estimates he uses 30 percent less Botox per patient than he would have around five years ago. “I see people getting a little bit less and maybe stretching it out before their next time. Instead of four months, they go six months,” he says. Likewise, Lancer says he usually injects four drops of Botox alternative Dysport twice a year to level frown lines rather than the 10 drops he injected previously on a more frequent basis.

Dermatologist Jessica Wu says she now uses Botox to soften expression lines instead of totally wiping them out by injecting small doses all over the face rather than condensing doses in the upper face. “I will no longer do so much Botox that a forehead is completely stiff,” says Wu. “That used to be our goal.” Wu notes that she’s also more frequently addressing the lower face and injecting Botox at the jaw in front of the earlobe to sharpen the jawline.

Fillers are being treated with much more discretion as well. Lips pumped up from one end to the other are too extreme for the emerging aesthetic. Even Lisa Rinna- who for years denied having artificial fillers in her overinflated pout—recently admitted that she asked plastic surgeon Garth Fisher to deflate her famous pucker.

For his part, Guida focuses on accentuating the peaks of the upper lip called the Cupid’s bow and likewise amplifies the middle of the lower lip before tapering filler out to the corners of the mouth. “People laugh at that [fish lips] look, but they still want their lips fuller—just in the center part of the lip or a Cupid’s bow,” he says. In terms of natural beauties, Scarlett- Johansson has the most covetable natural mouth.

As with lips, breasts, too, are being downsized, and implants kept more natural-looking. When Kate Hudson reportedly decided to celebrate her 31st birthday with newbreasts, the results were subtle. In his practice, Ronel says the average breast implant five years ago was 400 cc’s, and it has gone down almost a cup size smaller to 300 cc’s. For women with athletic builds, Calabria recommends no larger than a C cup regardless of height. “Big breasts are completely out,” he says. “The look is in proportion with the body frame.”

Surgeons are vigilant about preventing breast scarring that’s a dead giveaway for surgery, and Ronel says he’s noticing women are more often opting to place implants behind their muscles. “It adds an extra layer of padding over the implant so it looks more natural,” he says.

Also out are rhinoplasties leading to scooped-out, turned-up and pinched noses, according to plastic surgeon Richard Fleming. In fact, he says around two-thirds of the nose jobs he does correct a previous error in the minds of patients, many of whom complain about not getting a natural nose. “You want a strong, well- defined nose in general,” says Fleming.

Plastic surgeon Raj Kanodia, whose nose jobs are prized in Hollywood (reportedly by the likes of Jennifer Aniston and Cameron Diaz), adheres to a scar-free closed rhinoplasty method without cutting at the columella or base of the nose between the nostrils that he figures 95 percent of other surgeons do. “They are using a lot of [cartilage and bone] grafting, which takes away the subtlety of the nose, and it no longer looks like the original nose,” he says. “I do a little file here, a little touch there, and I don’t take away the character of the nose.”

It’s not just plastic surgery that’s geared toward the new, restrained norm. Dentists have sharpened their skills at producing perfectly imperfect smiles, crafting veneers with variations to resemble real teeth. The secret is re-creating translucency at the tip of the teeth, a higher value of color at the middle and a warmer color toward the gums, says cosmetic dentist Bill Dorfman. “People who want teeth that are all one color end up with Chiclets, and those don’t look natural,” he says.

Dentist Bill Frey expounds that veneers shouldn’t be smooth and flat but should mimic the curves of teeth that “go up and down like a rolling hill. When light refracts and saliva gets on it, it is going to look more natural,” he says.

If this all sounds high maintenance, it’s because it is. The bottom line, according to Kate Somerville, whose eponymous skin clinic in West Hollywood is a magnet for young Hollywood, the emergence of a new beauty standard doesn’t mean the efforts of the old disappear. “We are trying to achieve this natural beauty that looks like it doesn’t take a lot of work, but unfortunately it still does,” she says. “We want flawless skin. We want white teeth. We want our hair to be silky. Like the Jennifer Anistons of the world, we want that beachy beauty. It still takes work,” she sighs, “but I wish it didn’t.”

“We are trying to achieve this natural beauty that looks like it doesn’t take a lot of work, but it still does.”