In Hollywood, the trend is shifting away from unnatural butt lifts and overplumped lips. A new wave of aesthetic treatments promises more natural-looking results, from resetting brows to lifting breasts without implants and opting for face-lifts earlier than ever.
The top plastic surgeons and medical professionals in town share with The Hollywood Reporter what’s new and what their SoCal patients are requesting right now. From vertical vectoring for a non-surgical mini face-lift to regenerative medicine including harvesting stem cells from your hair follicles to create advanced skincare topicals, these are the latest doctor-approved treatments designed to deliver agelessness.
Brow Resets: Surgical and Nonsurgical
Forget the term “brow lift.” “Vertical lifting of the brow makes patients look surprised,” says oculoplastic surgeon Dr. Guy Massry. “The goal is to create shape, arch, and contour; it’s about resetting and recontouring the brow, not lifting.” Massry uses a vector technique to lift up and out toward the temples while elevating the tail of the brow, improving shape, arch, and contour for a more natural appearance. If you’re having upper eyelid surgery for hooding (an $18,000 procedure), Massry does the brow reset first for a better outcome.
For those avoiding surgery, Dr. Ava Shamban, founder of Althaea Skincare, sees solid results with Daxxify (from $650). “It’s a botulinum toxin with a peptide envelope around it which may contribute to its longevity,” she says. “Using it on label gives a nice lift to the brows.” Artistry and placement are essential, so choosing a highly experienced practitioner like Shamban is crucial.
Natural Cheeks
“There is a greater trend toward a more natural aesthetic,” says facial plastic surgeon Sarmela Sunder. “There has been a shift away from filler toward surgery. Patients now opt for one to two syringes of filler and let surgery do the heavy lifting, rather than six to eight syringes of filler to create an illusion of lift.”
Earlobe Filler
Years of wearing earrings can weigh down earlobes, creating stretched-out earring holes and aging lobes. “Earlobe filler involves injecting dermal fillers into the earlobe to add volume, plumpness, or correct deformities, restoring a youthful appearance,” says Shea Denmark. The injection ($475 to $850 or more) is pain-free and takes about 15 minutes.
Stem Cells for Hair and Skin Regeneration
Your hair follicles might contain the fountain of youth. “We’re preserving a client’s younger self by extracting stem cells from the hair follicle — via 50 hairs precisely plucked from the back of the head — locking in their age and health at that time. These cells are then grown in the lab to accumulate high volumes of the patient’s own growth factors for topical application on the scalp and skin,” says Drew Taylor, CEO of Acorn Biolabs. Cost: starting from $945 for follicle collection and a $190 annual fee for banking the patient’s material.
Under-Eye Bags: Dissolving Filler Before Lower Eyelid Surgery
Lower-eyelid surgery is common for correcting under-eye bags, but if you’ve had filler injected under the eyes or in the cheeks, it should be removed before surgery. “If it’s not dissolved, the surgery will be more complicated and less predictable, with a longer recovery,” says Dr. Massry. Cost for filler removal: $1,000.
Thicker, Fuller-Looking Hair
BosleyMD’s Revive+ Densifying Foam promises to boost fullness in 45 days when massaged into the scalp twice a day. Developed with AI technology, it reactivates dormant follicles by supporting the health of the mitochondria. This over-the-counter foam is affordable ($40) and reportedly won’t cause any irritation. Dr. Ben Talei’s hair-restoration clinic in Beverly Hills offers non-surgical treatments like light therapies, regenerative medicine from Acorn Biolabs, and PRP injections into the scalp.
The “Refined” Nose
“Current trends in nose shapes include a refined and slimmed appearance,” says Dr. Kay Durairaj. Her technique for nonsurgical, filler-based rhinoplasty, the Tinkerbell Tip Lift ($2,500), creates a refined aquiline profile with a lifted, perky nasal tip. This technique can also camouflage a large nasal hump by increasing the tip’s projection.
Nonsurgical Face-Lift
As we age, our faces fall, jowls and nasolabial folds appear, and cheeks get heavy. A nonsurgical treatment that Dr. Durairaj prefers is vertical vectoring ($3,500-$4,500) using collagen biostimulators or dermal fillers such as Sculptra or hyper-dilute Radiesse. “I can laterally lift the face with these treatments, which gives a lot of lift, builds a new foundation, looks natural, and the results are long-lasting.” Expect two to three sessions spaced six weeks apart on average.
Naturalistic “Quiet Luxury” Veneers
Veneers are ubiquitous in Hollywood, but it’s crucial to see a cosmetic dentist who values appropriateness in size, color, and fit. “It’s about quiet luxury with veneers and not having a signature look, as each patient is unique and individual,” says Dr. Jon Marashi. The cost for the most advanced veneers? About $4,400 per tooth.
Perky Breasts Without Implants
Conventional wisdom says maintaining perky breasts without implants can be challenging, but Dr. Lisa Cassileth’s pocket lift proves otherwise. “The breast tissue is lifted with the support of an absorbable mesh, leaving behind strong fibrous tissue which acts as a bra, holding the breast tissue up over time.” Another approach is fat transfers, as explained by Dr. Payman Danielpour. Costs for fat transfer augmentation start at $18,500.
Boosters for Plump, Dewy Skin
If your skin looks dull or crepey, a skin booster like Skinvive can help. “It improves the overall luminosity and plumpness of the skin, reduces the appearance of fine lines and wrinkles, and offers lasting hydration for up to six months,” says nurse Laura Fischer.
Exosomes for Healing and Restoration
Exosomes are extracellular vesicles thought to carry signaling molecules from cells to accelerate healing. They are used topically after microneedling and laser treatments to aid healing and decrease downtime, as well as being injected into incisions to improve scarring and into the scalp to support hair growth.
Toned Stomach, Thighs, and Derriere
For those avoiding weight-loss drugs like Ozempic, there are in-office alternatives such as InMode’s Forma Plus and Profound by Candela. “I can get rid of those banana rolls — that extra tissue under the butt — and decrease the circumference of the abdomen and thighs,” says Dr. Macrene Alexiades. Costs: from $5,000-$6,000 per Profound treatment and from $600 per treatment with Forma Plus.
Minimally Enhanced Butts
“The Brazilian Butt Lift is out in Beverly Hills,” says Dr. Danielpour. “We are actually removing fat from the butt. Clients don’t want overly large buttocks, but reshaping is still popular.”
Neck Tightening
For lax necks or burgeoning double chins, EmFace’s new Submentum applicator could be the answer. In 20-minute weekly sessions over four to six weeks, it lifts and tightens the region under the chin using electromagnetic stimulation and radio-frequency heat. Cost: from $1,000 per session.
Toned-Down Lips
Clients are asking for more subtle and toned-down lips. Dr. Kay Durairaj’s techniques, such as the Angelina Jolie-inspired lip cleavage and Lipstick Liner, enhance natural contours without over-exaggeration, giving lips a more natural form of enhancement.
Snatched Jaws with Earlier Face-Lifts
“Patients are opting for surgeries at a younger age to achieve a more youthful, refreshed look without drastic changes,” says Dr. Sunder. Fees for face-lifts vary and can range from $15,000-$75,000 depending on the procedure’s complexity.
Platelet Rich Fibrin Plus Topical Estrogen for Targeting Deep Wrinkles
PRF (Platelet Rich Fibrin) has high concentrations of autologous growth factors. For his Estrolux treatment, Dr. Parsa uses PRF combined with a compounded estrogen cream to improve aging skin. The treatment addresses collagen production, skin moisture, elasticity, and reduces wrinkles.
Refining Cellulite
Sofwave, an FDA-approved treatment, is popular for non-surgical lifting of the face, neck,
arms, and improvement of cellulite appearance. “It treats knees and elbows off label as well, which are gaining in popularity,” says Dr. Tess Mauricio. “Using their proprietary Superb ultrasound technology, Sofwave is a regenerative treatment that increases collagen and elastin formation in the skin and the best part is most patients do not have any downtime and see immediate improvement, which just gets better over time.” Cost: from $1,200.
Combatting Vaginal Dryness
Microneedling with RF (radiofrequency) including InMode’s Morpheus8 and Vivace Ultra are some of the most popular treatments for refining the skin on the face and body. Did you know it can also help relieve menopausal vaginal dryness? “Morpheus8-V is being used with success for GSM [genitourinary syndrome of menopause, aka vaginal dryness] along with some mild to moderate overactive bladder symptoms,” says Dr. Suzanne Gilberg-Lenz, gynecologist and author of Menopause Bootcamp. “The caveat is only allow a gynecologist or urogynecologist to perform this treatment.” Gilberg-Lenz is also a proponent of vaginal estrogen. “It’s the greatest tool and the data on safety and efficacy is abundant, robust and clear.” Cost: from $800.
Bye Bye Bunions and Hammer Toes
There’s nothing like a bulbous bunion or hammer toe to ruin a red carpet or summer sandal look. Austin-based podiatrist Dr. Anne Sharkey has a remedy. “MIS or minimal invasion surgery, can correct bunions and hammer toes with nearly invisible scarring thanks to micro incisions that you don’t see after healing,” she says. The 60-to-90 minute X-ray guided procedure, which involves some discomfort and swelling, is done on an outpatient basis. Patients return to wearing soft-soled shoes such as sneakers in three weeks and high heels within three months. And if an unsightly toenail fungus is rearing its head, Sharkey suggests Jublia, a prescription topical medication and Formula 7 is her preferred over-the-counter treatment.