Bethenny
Frankel fans have noticed something different about the Real Housewives of New
York star: Her face has changed over time. Now, Frankel is opening up about it
in a new interview in which she says she hasn’t had plastic surgery—she’s just
used Botox to change her jawline.
“I do
look different. I’ve had Botox in my jaw,” Frankel tells the Daily Mail, adding
that she did it as part of a treatment for teeth grinding and clenching. “You
can see that my jaw has completely changed.”
“About
three years ago, my dermatologist said to me, ‘Why don’t we try injecting your
jaw because it’s so tense?’” she says. Now, she says, she’s happy and “excited”
by her new look, adding, “I think it’s why I can take a shorter haircut.”
Frankel
isn’t the only one using injectables like Botox and fillers to change her
look—doctors say they’re increasingly doing these procedures to help patients
who want to tweak their appearance, but don’t want to go under the knife.
“Most of
my patients still request a natural look that improves and enhances their
appearance, as opposed to changing the way they look completely,” Gary
Goldenberg, M.D., medical director of the Dermatology Faculty Practice at the
Icahn School of Medicine at Mount Sinai, tells SELF. “It’s best to look like yourself,
just better.”
Botox and
fillers like Restylane and Juvederm allow doctors to do this. “It is possible
to change facial features with Botox and fillers,” Goldenberg says. “This
includes smoothing away wrinkles and lines, volume replacement or improvement
of facial features, including lip shape or volume, appearance of cheeks and
cheekbones, and filling and reshaping the wrinkles around the mouth.”
Cosmetic
surgeon Mitchell Chasin, M.D., founder and medical director of Reflections
Center for Skin and Body, tells SELF that it’s best to use this method to
highlight someone’s best features while downplaying those that they’re not
crazy about. “We don’t believe in dramatically altering someone’s appearance
with Botox and dermal fillers—we’re simply creating better balance and
proportion for the face,” he says. Chasin has seen a big uptick in requests for
these procedures, noting that people use them mostly for the jaw, nose, cheeks,
temples, and lips.
“This is
becoming more and more common as the benefits of this quick, no downtime
procedure have become better known by consumers,” Jacob D. Steiger, M.D., a
facial plastic and reconstructive surgeon in Boca Raton, Fla., tells SELF.
According to Steiger, Botox is most often used in the upper face, like a person’s
eyebrows, forehead, and around the eyes, but it can also be used to “weaken”
other muscles of the face (like the masseter muscle along the jawline) to tweak
someone’s appearance.
The type
of injectable doctors use really depends on what a person is hoping to achieve,
Steiger says. “Botox freezes the muscle, whereas fillers help fill in the
hollowness of the face and create lift and fullness,” he says. “Fillers can
help shape the face and make it look thinner or more shapely by selectively
placing it in certain areas.”
Botox’s
results show up three to five days after injection, and they last up to five
months for most people, Steiger says. Fillers, on the other hand, can last up
to 18 months, Goldenberg says.
Cost
varies depending on what you have done, what kind of injectable you use, and
how much of it you need, but experts say altering your appearance with
injectables can cost anywhere from $600 to $1,500, with a jaw reduction like
Frankel’s costing about $1,000.
“In my
practice, most patients that get one of these procedures end up getting both,”
Goldenberg says. “We now know that Botox and fillers work very well together to
improve one’s appearance.”
Korin
Miller
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