There is also a new prescription cream called Rhofade that constricts blood vessels near the surface of the skin to reduce rosacea-related redness for about 12 hours.
Enlarged pores are notoriously tough to shrink. But building collagen, the protein that supports the structure of the skin, tightens them. “A pore is a hole in the skin at the top of the tiny tube that sweat comes out of,” Dr. Rowe said. To increase the collagen surrounding the tube, which narrows its opening, he uses microneedling. A pen with several very fine needles is passed along the skin. This creates tiny wounds that encourage skin cells to go into repair mode and make collagen.
“You get the effects of a laser without the sun restrictions,” Dr. Rowe said. Hundreds of tiny needle punctures may sound like derm-office torture, but the procedure isn’t painful. The doctor numbs skin before the procedure, so it ends up feeling like an aggressive exfoliation. Plus, it’s safe for all skin tones, even the darkest brown.
Dr. Rowe also injects Botox into the skin superficially to shrink pores. “At the base of every pore is a sebaceous gland,” he said. There are muscles around the oil gland. I think the Botox prevents that muscle from squeezing and stops oil production. And when oil production decreases, pores shrink down.”
Brighten the Eyes
Volume loss under the eye and concavity is the usual cause of dark circles. Lara Devgan, a plastic surgeon in New York, performs up to 100 tear trough corrections every month. She injects hyaluronic acid filer under the eyes to smooth the eye lid-cheek junction. The results are instant. “It’s surprising how effective this can be,” Dr. Devgan said. “You can really create the appearance of a brighter, more alert under-eye area.”
In some people under-eye darkness is caused by excess melanin and won’t be corrected by tear trough filler. In those cases, a chemical peel designed for the eye area, like the Glytone Enerpeel Eye and Lip peel, will fade excess melanin, generally in four treatments spaced a week apart.
Define and Shape
We use makeup to accentuate beloved features and downplay perceived flaws. Doctors can help with that, too, using semipermanent fillers to sub for your highlighter and contour. “If they’re used with a delicate hand and artistic eye, fillers can really be used in place of makeup,” Dr. Devgan said.
Cheekbones are an obvious choice for a lift. Adding volume here can also smooth wrinkles in the lower face. And though it sounds counterintuitive, Dr. Devgan can use filler’s volume to smooth a bump on the nose or strengthen the bridge — a virtually painless “nonsurgical nose job” that reduces the need for dark contour on the nose. The procedure takes minutes and though there may be swelling, it subsides in about a week.
Enhance Lashes and Brows
The prescription lash serum Latisse, when used every night, thickens, darkens and lengthens. (Stop using it, and all gains will be lost.) You can also try eyelash extensions. In a field that has become formulaic, Clementina Richardson, founder of Envious Lashes in New York, suggests looking for a stylist who will customize your look. “Eyes most commonly slope downward, sometimes with a heavy lid,” she said. “When they’re done well, lash extensions can lift and widen the eye. It’s like contouring.”
Kristie Streicher of Stiiike, a Beverly Hills, Calif., beauty studio she shares with her makeup artist and hairstylist sisters, is one of the best in the brow-shaping game. After an initial grow-in period, Ms. Streicher creates a natural looking, softly angled arch that looks youthful and effortless.
“I urge clients to look at photos of themselves as a teen to get an idea of their natural eyebrow shape,” she said. Her “microfeathering” technique merges her brow-shaping philosophy with microblading, a procedure in which pigment is deposited into superficial handmade incisions on the skin, creating semipermanent “brow hair.” “It may diminish, or even eliminate, the need for makeup,” she said.