Askanesthetician's Blog

An esthetician explores skincare issues and concerns

To Inject or Not to Inject, To Avoid the Knife or Not – That is the Question June 9, 2011

Dominique Browning wrote an article in The New York Times called The Case for Laugh Lines which makes well quite the case that women should accept their bodies, mostly their faces, as they age instead of getting injections and plastic surgery.  Though she admits that a little work isn’t bad Browning writes that she is upset and sick of seeing friends completely change their appearance with injections and plastic surgery until they also get rid of all of their ability to express any emotion.

Browning writes in her essay:

We’ve gone too far. I’m becoming very, very scared.

We’ve reached a stage where cosmetic surgery is so readily available that in certain circles it is expected of women and men to avail themselves of these age-deniers. (You cannot call them youth-enhancers when you are no longer young.) If you choose not to partake of the benefits of needle and knife, you are judged to be making a statement. You are taking a position against the current standards of beauty.

We have triggered a weird, collective, late-onset body dysmorphia. What’s worse is that our anxieties about aging have trickled into our children’s generation, so that the mantra about cosmetic procedures even among some 30-year-olds is “intervention early and often.”   …

Too many people have had procedures that have gone awry. They look strange, and tragic. Is this inevitable? You do one thing, the effects begin to fade, you do another, and so on. You get puffy. You get rigid. Or you slide. And I wonder. Has no one said “stop”? Has no one, particularly the one wielding the needle, gently advised against further work? It used to be an unusual sight to spot cosmetic surgery addicts, but it has become astonishingly common.  …

Many people assume that in saying no to knife and needle, you are making a feminist statement; such is the lackluster aura that hangs over that label. Feminism has nothing to do with it. Feminists worry why women still make only 77 cents to every dollar a man makes, not whether women are going broke on Botox.

Though least you assume that Browning wants everyone to embrace a natural look completely she explains:

This is not an essay about why I am categorically against cosmetic surgeries. I am as supportive as the next gal if a certain someone feels so bad about her neck that she won’t leave home, or if another is so heavy-lidded that every time he blinks he misses half the picture. Plastic surgeons have done wondrous things.

As for the proliferation of smaller cosmetic procedures? The ones your dentist offers to do while he’s in the vicinity of your mouth anyway? The injections of fillers to plump up lips, smooth wrinkles, pad out laugh lines? At this point, it’s a wonder that the salesclerk at Barneys isn’t offering to shoot up your face while you’re trying on hats.

Again, I’m not against it. Well, maybe Botox. I’m the one to call for a rant when my friends are teetering at the brink of succumbing to the needle. I mean, who wants to inject a poison so lethal that it paralyzes nerves, sending tiny muscles to atrophy?


I work for a plastic surgeon so I would be a huge hypocrite to say that I don’t think women should get plastic surgery or have injections, but I completely agree with Browning about how and how much of that work should be done.  I liked when Browning wrote the following:

My current rule of thumb, when confronted with an enhanced face, is that if I find myself vaguely wondering whether there was work, the alteration was well done.

I completely agree with Browning’s statement above.  I truly believe in plastic surgery and facial injections if they make you feel better about yourself and help you look like a more refreshed version of yourself.  There is no need to freeze your face, just like there is no need to turn yourself into someone else.  As plastic surgery and injections become more and more easily available and affordable are we all going to end up looking like The Real Housewives of Orange County?  I certainly hope not.  (Also check out the latest issue of New Beauty to see the scary photos of over-injected celebrities)

 In my opinion it never hurts to get a little cosmetic help from a doctor in order to look and thus feel your best.  But avoid going overboard – there is nothing wrong with still being able to show your emotions!

Further Reading:


%d bloggers like this: