The procedures she does regularly: "I've been getting Botox in my frown lines since I was 28. Even at that age, after years of reading and studying and concentrating, I had pretty deep furrows. At first I did it every four months; now I only need it every six. I really believe Botox helps prevent lines from getting deeper, or even forming in the first place. I also give myself an IPL [intense pulsed light] treatment every six months. I have very pale, sensitive skin and tend to get broken blood vessels. The IPL gets rid of them, and I'm not red or bruised afterward."
What she might consider down the line: "I would use an injectable filler in my nasolabial folds if I needed it. Restylane and Juvéderm, which was just approved by the FDA in June, would be good ones for that area: They're both hyaluronic acid fillers and help the skin retain water to plump up wrinkles. Sculptra is a great new innovation for women with heavier wrinkles. It's a dermal stimulator, which means it actually stimulates your body to make more collagen. My patients love it. I would also do the Fraxel laser if I ever need more serious help with skin texture and discoloration—but I hope that if I keep up with the Tazorac and sunscreen, I won't get to that point."
What she'll never do (again): "Lip injections. I let a resident inject Hylaform, the softest of the hyaluronic acid fillers, into my lips once, and I hated it. I see 30 patients a day, and for four months until it wore off, almost every one would say, 'What happened to your lips?' That's also the last time I'll ever let a resident learn anything on me."
What she thinks is overrated: "Professional microdermabrasion treatments. I see the same results from home kits. My favorites are L'Oréal ReFinish and Dr. Brandt Microdermabrasion in a Jar."
What she's looking forward to: "Reloxin, which is similar to Botox and should be approved in the next year. Botox has been the only game in town since it was FDA approved to treat frown lines in 2002, and it's gotten more expensive over the years: about $300 to $350 to treat one area. I'm hoping the competition will bring prices down."