Plastic surgery is expected to be the biggest emerging market by 2020, according to a report from Persistence Market Research. North America and Europe will dominate the global plastic surgery market due to the growing aging population and a general acceptance of aesthetic procedures. In Europe, France, Germany, Italy, Spain and the U.K. hold the major share of the plastic surgery market. Watch for activity in Asia, namely China and India.
Gender Melding

Caitlin Jenner and other transgender men and women captured our attention in 2016, and as increasingly individuals transition publicly, we will surely reach the tipping point in 2018. This will have a spillover effect on cosmetic surgery as we know it.

“Growing experience with helping masculine faces look feminine has greatly increased our understanding of what it takes to help any woman look beautiful,” says Jeffrey Spiegel, MD, Chief of Facial Plastic and Reconstructive Surgery and a professor at the Boston University School of Medicine. “The old approach of applying one of just a few surgical procedures has proven to be incomplete as we now know many other subtle tweaks that can dramatically improve the attractiveness of a woman’s face.” Watch for an increase in this new approach.
Designer Fillers

“Watch for 2017 to bring new fillers designed for specific areas of the face,” Dr. Spiegel says. Some are here already: Juvederm Voluma adds volume to the midface, while Juvederm Volbella and Restylane Lyft take aim at the lips.
“2017 will see the introduction of even more targeted products such as Restylane’s Refyne and Defyne [for smile and laugh lines],” Spiegel says. The Belotero line also comprises a host of site-specific family members. Many are already approved overseas and will likely find their way to our shores, giving cosmetic doctors an ever-expansive palette to rejuvenate and re-contour the face without surgery.


Speaking of injectables, there are already three approved neuromodulators on the market – Botox Cosmetic, Dysport and Xeomin – but there are more in the pike. A new such treatment from Revance is rumored to last 7 to 8 months. “If this is reproduced in the just-starting multicenter studies, this could be a game changer for Revance and for the cosmetic field in general,” says Jeffrey S. Dover, MD, FRCPC, a Boston-based dermatologist and co-director of SkinCare Physicians in Chestnut Hill, Mass. “My belief is that patients will pay a premium for a neuromodulator that lasts 6 to 8 months over the traditional 4 months.”

PRP Injections
The list of possible uses for platelet-rich plasma continues to grow as cosmetic doctors use it for hair restoration, facial recontouring, lip enhancement and vaginal rejuvenation, to name a few. Expect this procedure to surge in popularity in coming years, but “we are waiting for some compelling data to support the marketing claims,” cautions Dr. Dover.
Blood (also known as plasma) contains platelets that are rich in growth factors. To create PRP, platelets are separated from other blood cells and their concentration is increased during a process called centrifugation. Then the increased concentration of platelets is combined with the remaining blood.

When Allergan rolled out Kybella for double chins, many industry insiders knew this was just the tip of the iceberg. These fat-melting injections may also have a role in treating other stubborn pockets of fat – including above-the-knee-fat, bra-line back rolls and more.
Lipomas (noncancerous lumps that form due to an overgrowth of fat cells) will be on the list for sure, Dr. Stevens says. Also promising is a topical treatment for localized fat treatment (read: no needles or lights or lasers). “The Topokine latanoprost topical agent acquired by Allergan is the real deal,” says Dr. Dover. “Phase three studies and pivotal trials will be necessary to achieve approval, but if they confirm the results of early studies, this will be a first-in-class topical agent that can reduce localized fat.”
In an age where seemingly everyone wants to look refreshed, healthy and at their best, plastic surgery offers a bit of something for everyone. From injectable options to full blown surgery, there are options on the physical enhancement menu that seem to fit a variety of niches.

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