Alexander Straulino/Trunk Archive
We lift the veil on the world of nonsurgical anti-aging procedures—what they can do, whether they'll hurt and how much of a dent they'll put in your wallet.
We all get older; it's a fact of life. But do we need to look older? The answer is no. Nonsurgical cosmetic procedures such as laser treatments and Botox injections can minimize wrinkles, remove excess fat and plump up and tighten skin. But they're also a bit taboo, because isn't it frivolous to want to "fix" your hard-won lines and sun-darkened brown spots? Our advice: Do what makes you feel good—you're the only one who gets to have a say about your appearance. We offer a breakdown of your treatment options, just in case your curiosity (or your frown lines) gets the better of you.
SLEEPLESS BEAUTY ("I LOOK TIRED")
If you see an exhausted face looking back in the mirror every single day, the culprit is probably your peepers. "The eyes are the very earliest place affected as we age," says Toronto-based plastic surgeon Dr. Jerome Edelstein. In order to brighten your appearance, you'll need to minimize dark circles, frown lines and crow's-feet.
To deal with wrinkling in the upper part of the face, try injections of botulinum toxin (a.k.a. Botox or Dysport), which relaxes the muscles that allow wrinkles to form and reduces the appearance of lines. It's possible to customize the number of units and injections so that your upper face will be completely frozen, be able to move slightly or be fully capable of movement, though more movement means less overall improvement.
Next, try a dermal filler to restore volume in your tear troughs, the areas under your eyes, which can appear dark and hollow. Dr. Andrea Herschorn, who works with Dr. Edelstein, recommends starting with half a syringe of soft, fluid Emervel, or Teoxane's Teosyal or PureSense Redensity II.
Pain and downtime: Injections of botulinum toxin feel like minor pinpricks. You might have a slight headache for a few house or days.
$$$: $12 per unit of Botox or Dysport. Forehead treatment costs between $300 and $600.
Lasting effects: Three to four months.
WEIGHTY MATTERS (SAGGING SKIN AND JOWLS)
There are two main reasons for jowls and sagging in the lower part of the face: skin laxity (due to loss of collagen and elastin) and decreased volume in the cheeks (caused by fat atrophy and thinning of the cheekbones). All of these changes are a natural part of getting older.
Usually, a two-pronged approach is best for treatment. The first step is dermal filler being injected into the cheeks. "I call it building a foundation," says VIctoria-based dermatologist Dr. Mark Lupin. "You start deep and work toward the surface." Adding volume back to the cheeks with one to six syringes of filler will lift the skin in the lower part of the face.
Then, your doctor or medical esthetician will likely recommend a skin-tightening treatment that uses radio-frequency technology. Thermage and ReFirme, for example, heat the collagen deep in the skin, prompting it to contract and tighten and kick-starting the skin's natural renewal process.
Pain and downtime: Pain is minimal, though some patients will take an oral analgesic.
$$$: $1,500 to $2,100 for one Thermage treatment. Most people require one treatment, but some may opt for a second treatment three months later. Meanwhile, each ReFirme treatment costs $250 to $500. Six treatments, each one or two weeks apart, are required.
Lasting effects: Up to two years for Thermage, and about a year for ReFirme.
YOU MISSED A SPOT (THE NECK)
Most of us spend so much time focusing on our mugs that we forget another important area: the neck. Your neck requires just as much love as your face, and many of the aforementioned treatments can be used to make it look slender and elegant. Botulinum toxin injections can correct vertical lines (also known as vertical banding or turkey neck) and create a more defined jaw line, and radio-frequency technology can tighten sagging skin. Meanwhile Fraxel laser treatments can smooth fine lines and correct papery texture.
One procedure that's exclusive to the region between your chin and your collarbone is Belkyra, a brand-new injection that uses deoxycholic acid (a bile acid that emulsifies fats for absorption in the intestine) to destroy fat cells responsible for the look of a double chin.
Pain and downtime: Belkyra is relatively painful. It will feel like burning in the neck for five to 10 minutes. There will be swelling and slight bruising that typically last for about a week but can last as long as a month, so winter is a great time to try this treatment (hello, scarves and turtlenecks).
$$$: Approximately $1,200 to $1,500 per treatment. Two to four treatments, each eight weeks apart, are required.
Lasting effects: Belkyra's effects will last forever; fat will never deposit in your double-chin region again—even if you gain weight. Can we get some of that for our thighs? Health Canada says no...for now.
PEAKS AND VALLEYS (DEEP-SET LINES)
"As we age, volume loss makes us look older, and most of that volume loss happens as a result of fat atrophy," says Dr. Cory Torgerson, a facial plastic surgeon based in Toronto. The loss of fat, in addition to increased skin laxity and repetitive muscle movements, can cause defined lines in certain areas of the face—especially above the lips (known as smoker's lines), along the sides of the nose to the corners of the mouth (nasolabial folds), and from the corners of the mouth down the sides of the chin (marionette lines).
For plumping up, all deep lines will need dermal filler injections, though each type of wrinkle requires a slightly different treatment process. There are several brands (for example, Juvéderm, Restylane, Emervel and Teosyal) that use the go-to ingredient hyaluronic acid. Doctors will have their preferred brands, depending on their personal experience, but each line has a full range of density options, such as a thicker, more structured filler for cheekbones and a thinner, fluid one for under the eyes. And if you don't like the results of your injections, don't worry; the hyaluronic acid fillers can be broken down with an injection of the enzyme hyaluronidase.
Pain and downtime: Dermal fillers are one of the more painful nonsurgical treatments available. However, most offices order syringes that also contain lidocaine, which numbs the tissue and minimizes pain.
$$$: $600 to $800 per syringe. As a ballpark, one to four syringes can usually treat the nasolabial folds in a single appointment, with each syringe containing only one cubic centrimetre, or one-fifth of a teaspoon, of product.
Lasting effects: Six to 18 months.
Before considering a visit to the doctor's office, try these recommendations for a better at-home regimen.
Eye spy: Look for an eye-care profuct that contains a vitamin-A derivative, such as tretinoin or retinol, which will stimulate collagen production and target skin laxity. Olay Pro-Retinol Eye Treatment, $40, well.ca.
Here comes the sun: Protect your skin by applying a sunscreen with SPF30 or higher to ensure the results from your procedures last. SkinCeuticals Physical Matte UV Defense SPF50, $44, skinceuticals.ca.
Bright idea: Look for a serum or oil packed with vitamin C. The antioxidant helps brighten, repair and protect from free radicals. Ole Henriksen Pure Truth Vitamin C Youth Activating Oil, $56, sephora.ca.
In the neck of time: What did we say about taking care of your neck? That means moisturizing! StriVectin TL Advanced Light Tightening Neck Cream, $99, shoppersdrugmart.ca.
This super soft wrap is the classic accessory you need in your closet for any time of year.
A luxurious wrap for all seasons – the Bayberries Wrap is the quintessential accessory. We chose to design this wrap in our luxurious Eco Alpaca DK yarn made of 100% superfine alpaca for its fluffy and luxurious feel. The large checker pattern is a unique alternative to plain stocking stitch and is reversible for a consistent look on both sides.
This wrap pattern is suitable for beginners, and knitters of all skill levels will enjoy the simple pattern and beautiful yarn. We recommend using stitch markers to indicate each square and make it easier for you to follow the pattern. Knit on 3.75 mm needles with five skeins of yarn, this pattern requires patience, but it is a joy to knit and you will wear the wrap for years to come.
Note about the yarn: Eco Alpaca DK is available through Americo Original online and at select yarn stores. You can substitute for other DK or sport weight yarns such as Americo's Dehaired Baby Llama, Briza, or any suitable yarn from your stash.
Approximately 75" (190 cm) long by 15" (38 cm) wide
20 stitches and 26 rows = 4 inches (10 cm) in stocking stitch using 3.75 mm (US 5) size needles or size needed to achieve gauge.
K, k: knit
P, p: purl
RS right side of work – knit side
WS wrong side of work
Using 3.75 mm (US 5) size needles, cast on 129 stitches.
Purl 2 rows.
*Next Row (RS): K2, (k25, p25) 2 times, k25, k2
Next Row (WS): k2, (p25, k25) 2 times, p25, k2
Repeat these two rows 12 more times (26 rows).
Next Row: K2, (p25, k25) 2 times, p25, k2
Next Row: K2, (k25, p25) 2 times, k25, k2
Repeat these two rows 12 more times (26 rows)*.
Repeat from * to * 6 more times.
Next Row (RS): K2, (k25, p25) 2 times, k25, k2
Next Row (WS): k2, (p25, k25) 2 times, k25, k2
Repeat these two rows 12 more times (26 rows).
Next Row (RS): K2, (k25, p25) 2 times, k25, k2
Knit 2 rows. Cast off in pattern.
Sew in all loose ends. For best results, block your finished piece. Enjoy!
Americo Original is a Canadian yarn company and online knitting shop with its own line of quality yarns, knitwear patterns and accessories. Americo’s yarns are made exclusively in the Andean highlands of South America, using only natural fibres, including luxurious wool, llama, alpaca, cotton, linen, silk and cashmere. Americo and its in-house design lab are based in Toronto, offering international shipping from its online store: americo.ca/shop.
From lunges to overhead presses, our do-it-all workout routin gets your heart rate up, builds muscles and burns calories.If you're exhausted just thinking about what you need to accomplish at the gym—get your heart rate up, build muscle, protect your bones—you're not alone. This dynamic routine from certified personal trainer Justine Keyserlingk, owner of Toronto's Just Get Fit, lets you target all of your health goals in a single session.
Infused water Source: Ryan Brook
Weight loss goals can seem insurmountable. To lose each pound of fat, you need to cut 3,500 calories, and that number can sound scary. But taking little steps to cut just 100 or 200 calories at a time goes a long way. Use two of these tips each day and you'll lose a pound in a little over a week—no starvation necessary.
We all know about the dangers of soda, but even drinking unsweetened juice will give you a sugar rush at a rate of 120 calories per cup. And chances are you don't just drink a cup. Individual serving-size bottles of juice are typically about 450 mL, and can clock in at over 200 calories. But if you're a juice drinker, it can be hard to switch to water right away. Try muddling some watermelon and mint into your water to get all kinds of flavour, and a touch of sweetness, for almost no calories. Or make iced tea using a fruity flavoured tea, and skip the sugar.
Who doesn't love pasta? But when your fettuccine comes with around 400 calories in two cups (even before the sauce!), you can feel guilty about eating it. Try replacing half the pasta with a cup of zucchini that's been cut into thin strips to match the shape of the pasta. Just throw it in the water a couple of minutes before the noodles are done. You'll still get the flavour and texture of the pasta that you crave, but with almost half the calories, because that cup of zucchini has just 30 calories.
Did you know that half a cup of barbeque sauce can contain about 250 calories? If you're someone who uses sauces liberally, this could be a big source of extra calories for you. Instead, give your meats a spice rub, which contains virtually no calories. And keep an eye on stir-fry sauces, such as teriyaki. You can often get a lot of flavour using spices (think fresh ginger, garlic and herbs) and little soy sauce, instead of using a rich sugar-filled sauce.
According to a study from the New England Journal of Medicine, potato chips are in fact the biggest contributor to obesity. In a study that found Americans gain about a pound a year, chips were the biggest cause of that weight gain. Though a serving might have about 160 calories, chances are you eat at least two to three times that. Instead, bake a cup of kale mixed with a teaspoon of oil and a bit of salt to make your own kale chips. For about 70 calories, you'll get a much more nutrient-dense snack that won't make you pack on the pounds.
If you haven't yet heard of cauliflower rice, you're missing out. This simple recipe is the perfect low-calorie replacement for white rice, which will set you back about 250 calories. Just process cauliflower florets in a food processor or grate them with a box grater, then cook with a bit of water or oil until soft. Use it for the bed of rice below meat or fish, or on the side of a curry dish. The cauliflower mimics the texture of rice but has only about 30 calories per cup.
Hamburger buns can easily contain 200 calories or more. Instead of a bun, sandwich your burger or chicken breast with veggies that contain almost no calories. You've heard of using lettuce instead of a bun, but how about grilled portobello mushrooms? Or a tomato cut in half? If you can't give up bread entirely, try a small wrap, which should cut the calories in half. Thinking outside the bun will help you lighten up your meal.