Home' Spa and Clinic : Volume 63 October 2015 Contents arm you to help them explore the potential
solutions they are looking for.
"This obsession with selfies is definitely
showing its influence in a significant
proportion of facial plastic surgery
consultations," says Dr George Marcells,
president of the Australasian Academy of
Facial Plastic Surgery.
"In their first consultation, prospective
patients will often show me photos on
their smart phone or iPad that may also
have been featured on their Instagram or
"They are often hypercritical of their
perceived f laws and, in particular, how they
appear in these photographs. Selfie shots
are usually taken close up and that tends to
fish- eye, or distort facial features.
"For this reason, after listening to my
patients' concerns and viewing any of their
selfies or social media snaps, we move on
to look closely with a mirror. Then we take
formal patient photos from different angles
in the clinic setting, in order to provide
more accurate feedback.
"In some cases, people have been
surprised to discover that in fact their noses
haven't grown overnight!" says Dr Marcells,
who runs a well- established practice,
About Face, in Sydney's Bondi Junction.
He performs advanced surgical techniques
including open structure rhinoplasty and
the deep plane facelift.
"For anyone obsessed with taking selfies
and who is concerned simply with looking
better on social media, purchasing a selfie
stick may be the answer.
"The right distance, angle and lighting
can make a world of difference -- not to
mention may save the time, recovery and
cost of a surgical procedure."
Dr Marcells says that while the increasingly
image-based nature of our world can promote
a higher level of critiquing, those who are
genuine candidates for undergoing facial
plastic surgery are likely to have experienced
discomfort or self-consciousness about their
appearance for some time.
"For these people, the lens of social
media may give them extra impetus to make
the first call to a surgeon," he says.
"No matter what the initial motivation is,
it is important to see only a surgeon who is
well qualified, ethical and experienced in
the procedure under consideration."
Facial cosmetic surgeon Dr William
Mooney says he has seen a significant
increase in patients under 25, both
male and female, presenting for surgery
consultations with very minor problems or
irregularities at his Face Plus Medispas in
Sydney's Bondi Junction and Bankstow n.
"Often these are perceived irregularities
that I would not operate on," Dr Mooney
says. "This has been the result of the
explosion of Instagram and uber-bloggers
over the last five years.
"Attractive photographs attract more
likes, which can convert to more business or
income if you are using yourself or image
as a brand - which so many of the younger
Dr Mooney believes that body
dysmorphia (a psychological condition
where the sufferer has a distorted
perception of their appearance) is on the
increase as a result of the selfie generation.
"This increase in self-portraiture causes
us to focus more on our appearance and
competitively compare with others in an
unhealthy way," he says.
"If I believe a patient could be
dysmorphic I will always turn them away or
offer non-surgical solutions if appropriate.
If it is warranted, I will also possibly refer
to a psychologist who can help the patient
understand what is happening for them.
"There is no denying that people across
the board, the younger generation and also
even the older Baby Boomers, are becoming
more self conscious because of the rise of
social media and the selfie phenomenon.
"Even if you're not a huge fan or user of
social media, there is a definite increase in
the pressure to look your best, whether on
or off line.
"People are starting to notice more their
minor facial imperfections such as that
bump in their nose or facial asymmetry or
the lines on their forehead."
Dr Mooney suggests that learning
how to photograph well and pose is a
"Ask any model and they will tell you
there are secrets to photographing well," he
says. "Keep in mind that the nose will always
look bigger in close-ups and all selfies are
"Selfies are also often shot from below
- so the neck and jaw can look saggier than
it actually is. It's actually very easy to take a
bad selfie. So learn your angles and lighting
that work best and work with that instead.
"But the most important feature for an
attractive person I always say is happiness.
Beauty really does emanate from within.
Working on a positive relationship with your
self, fostering your self-esteem from within
rather than without, along with a good diet
and exercise is far more valuable than the
result you will ever get from surgery.
"As a side to this we really encourage our
patients at Face Plus to focus on skin and
wellbeing as two of the easiest things they
can do to improve their appearance.
"A glowing visage is really one of the
most effective ways to look luminous and
great in pictures. Skin is in! I urge people
to think about non-surgical options first,
such as lasers for collagen induction therapy
and skin rejuvenation treatments. These
are by far more affordable and less intrusive
solutions for everyone.
"I would also encourage the rampant
selfie taker to have the confidence perhaps
to put their camera phone down and get
out there and share their beauty inside
and out in person! That's the real secret
to happiness and feeling good - real
connections with others."
In the sur vey by the American Academy
of Facial Plastic and Reconstructive Surgery,
members noted a 10 percent increase in
rhinoplasty (nose jobs) in 2013 over 2012,
as well as a seven percent increase in hair
transplants and a six percent increase in
A follow-up study of 2014 data stated that
the "surge in self-awareness and an increase
in requests for aesthetic procedures
Ubiquitous uploader of selfies on Instagram, Kim
Kardashian (top left) knows how to work all the
angles to get her best angles.
Her younger sister Kylie Jenner (above) is one
of the most asked-for celebs in terms of features
patients want to emulate.
Russian beauty queen Alena Shishkova (top
right) is another "role model"
spaandclinic.com.au | 15
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