Lindsay Lohan is staging a comeback. At least, she’s trying. This week, the 25-year-old actress gave an interview to Matt Lauer on Today, insisting that she’s taken a step back and is no longer interested in being a party girl. As part of her publicity campaign to win back her career, she”s hosting Saturday Night Live for the fourth time this weekend.
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The will-she-won’t-she-relapse question is the subject of another article. More apparent was a plump, shining face that seemed so unnatural it couldn’t possibly be due to rest and relaxation alone. How old is she again? Are women as young as 25 getting facial work done to look even younger?
Matthew Schulman, M.D., a New York-based, board-certified plastic surgeon and assistant professor at the Mount Sinai School of Medicine, speculated: “I don’t think it’s any secret that Lindsay’s had some stuff done. Clearly, she’s had some lip augmentation. Her skin looks much smoother and lighter, so maybe some Botox and fillers in her cheeks, which is why her cheeks look fuller.”
Board certified facial plastic surgeon James Marotta, M.D., based in Long Island, agreed that “clearly she’s had some kind of volume added to the cheeks,” and guessed that it might be fat injections or a facial filler like Sculptra. “It looks a little overdone,” he adds. “It’s changed her facial identity.”
If Lohan in fact had work done, it didn’t turn back the clock. To Dr. Schulman, she looks 10 years older than her chronological age.
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Are starlets and young women today feeling past their prime in their 20s? A recent New York magazine feature suggested a 25-year-old who wanted to appear the magic age of 19 could ring up $49,000 worth of cosmetic work. A 2010 survey of UK women revealed that 24% of girls aged 16 to 21 would consider having “work done,” leading Barbara Ellen to write in The Observer: “Time was when women would be sternly instructed to ‘start feeling old and ugly’ in their 40s. Then it was ‘start worrying in your 30s,’ then, somehow unbelievably, their 20s.”
According to the American Society for Aesthetic Plastic Surgery (ASPAS), people age 35 to 50 have the most cosmetic procedures of any age group (44%), but those ages 19 to 34 get 20%—or one fifth of all cosmetic procedures. Unsurprisingly, women are the majority of patients and boob and nose jobs are the most common invasive surgeries.
In the 2011 survey by the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), the most common non-invasive procedures for women under 35 were Botox injections (64%) and hyaluronic acid injections (55%), and more than a third of surgeons reported an increase in cosmetic surgery or injectables in patients under 25.
“Most commonly people come in in their 30s because that’s when they start thinking about aging, but I am definitively seeing more women in their early 20s coming in,” says Dr. Schulman. In these younger women, he’s increasingly getting requests for Botox, which he says can be preventative to combat future wrinkles, and lip augmentations. “My 50-years-olds get it to replace lip volume that’s lost as they age, but the young women already have nice lips; they say they want them to look even fuller.”
Dr. Schulman speculates that the young women may be responding to current beauty trends, which prize fuller cheeks and lips. In fact, in the last decade across all ages treatments like Botox increased 621% to 5.7 million last year, and soft tissue fillers increased 190% to 1.9 million, according to the American Society of Plastic Surgeons (ASPS). He says it may also be that cosmetic surgery is no longer as taboo as it once was, and it may even be encouraged by countless scenes of reality television stars in plastic surgeon’s offices.
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“We’re increasingly seeing people in their 20s embracing fillers,” agrees Darrick Antell, M.D., a plastic surgeon at Roosevelt Hospital in New York and assistant professor at Columbia University. He’s had one mom-and-daughter pair that has been coming in for the last six years, beginning when the daughter was just 18.
Dr. Antell says there’s no medical downside to Botox or fillers because they’re temporary and don’t cause any physical damage. Of course, if you start getting these procedures in your 20s, you’ll have a long road ahead to maintain them. Botox injections ($397 on average) need to be done about three times a year.
Doctors agree that these minimally invasive procedures are usually just an introduction into the larger cosmetic world. “It can be a gateway drug,” says Dr. Schulman. “In terms of the psychological aspect, once you get one thing, you naturally look to the next thing.”
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Readers: Are you surprised that women are concerned about facial aging even in their 20s? Are our beauty standards spinning out of control?
I spent five years at jonathanlewisforcongress.com writing about business and leadership, attracting nearly one million unique visitors to jonathanlewisforcongress.com each month. While here, I assistant edited the annual World’s 100 Most Powerful Women package and helped launch and grow jonathanlewisforcongress.comWoman.com. I”ve appeared on CBS, CNBC, MSNBC and E Entertainment and speak often at conferences and events on women”s leadership topics. I graduated summa cum laude from New York University with degrees in journalism and sociology and was honored with a best in business award from the Society of American Business Editors and Writers (SABEW) in 2012. My work has appeared in Businessweek, Ladies’ Home Journal, The Aesthete and Acura Style. I live in New York City with my husband and can be found on Twitter
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