"The New New Face of New York"

March 22, 2009 - PRLog -- Many New Yorkers feel that Demi Moore epitomises the New New Face and they are right if you compare her to Cher who carries the face of the older generation. Oh my, what a burden to carry, tight skin, trout pout and skinny nose. Demi Moore and many other women including Liz Hurley and even Madonna certainly fulfil the criteria of the infantile schema having inherited or acquired what it now widely accepted as the ‘perfect face’ smooth winkle free foreheads, wide open eyes (often achieved by injecting Botox and Fillers into the lower lids) and plump cheeks (mostly achieved by injecting fillers below the cheekbones to create a fuller ‘baby-like’ shape.

If we first look at Demi Moore, she is 45 years of age and subject to the normal parameters of aging of this age group. In this age group fat is usually lost from the sides of the face and as the fat pads diminish, they gravitate down the face the surrounding facial muscles react to the volume loss by contracting. Over time the contracted muscle loses is strength and becomes lax, resulting in increased lines between the nose and the mouth and lips and the jaw. There is little evidence of this with Demi Moore. Let us look a little more closely at her early life. We know she had a very unhappy childhood and her stepfather committed suicide when she was 18 years old. Moore's parents were also alcoholics and often fought and beat each other. Moore was cross-eyed as a child, and wore an eye patch in an attempt to correct the problem until it was eventually corrected by two surgeries. During this time, she also suffered from kidney dysfunction. Despite these early setbacks Moore went to work as a pin-up girl, modelled for European photographers.  
There is little evidence that time or stress has taken its toll. So what has she done?

This is the list that cosmetic surgeons believe Demi has had done:

• Liposuction to her hips, inner and outer thighs and stomach - €20,000
• Beast implants for 1996 film Striptease - €15,000
• Subsequent operation to reduce her breast implants and have a breast lift - €12,000
• Brow lift - €5,000
• Chemical facial skin peel - €10,000
• Collagen injections (per course) - €450
• Teeth veneered and laser whitening - €10,000
• A long-term diet and fitness routine, including nutritionist, personal trainer, yoga instructor and kick-boxing champion - €200,000
• Knees surgery - €7,000

Now lets look at Madonna who many New Yorkers also feel epitomises the New New Face. Madonna recently turned 50 years of age. In this age group fat is lost from the cheeks and also diminishes from the forehead. As the fat migrates down the face it tends to collect in natural connective tissue fixation points. Common areas are between the nose to mouth, around the mouth corners, on and beneath the jaw. Madonna has an interesting history of letting us see her face change.

Numerous relationship and adoption difficulties would be expected to have taken their toll. I have personal experiences from some years ago of knowing some aspects of Madonna’s treatments to which I will not elucidate here but instead look at what is happening to her appearance. The most obvious fact is Madonna appears as a result of a rigorous exercise program to be getting thinner and thinner but her cheeks display the New New look by remaining full and soft. There are constant rumours that she recently has had plastic surgery.

There is little evidence of fat atrophy as she appears to have added volume to her face. There are circulating rumours that Madonna may have had Sculptra injections to her face over the last several years to retain volume and softness. Sculptra is FDA approved for HIV-related facial wasting, but is also widely used for general cosmetic reasons. Looking at the photograph there is a distinct possibility that she may have had solid implants of either Radiesse or Sub Q. These more resilient dermal fillers can be used to bulk up the face and restore the baby like features mentioned above.

There is a possibility she may have had facial fat grafting but this is less probable as other techniques are quickly replacing it. I feel also that Radiesse, Sub Q or Sculptra-enhanced cheeks would not deflate quite as much as fat-enhanced cheeks. It is of passing interest to note that Sub Q and Macrolane for breasts are probably one in the same compound. She has wide open eyes with no lines. This has probably been achieved with a combination of Botox, Hyaluronic Acid fillers and a plethora of Radiofrequency devices such as the Polaris and Aurora.

The other face to fit the New New look is that of Liz Hurley. At 43 years of age, she is the youngest of the trio. She had a very middle class upbringing as her Irish father was a major in the British Army, while her Anglican mother was a teacher.

Despite conflicting rumours, I really believe that Liz has inherited natural good looks. I am sure that she has picked up the normal plethora of botox injections, skin peels and microdermabrasion and possibly a breast augmentation but there is little evidence that she has needed to succumb to the New New look. There was some speculation some years ago that she had some Restylane or collagen injected into her lips as they looked much larger and unnatural. Liz Hurley seems to possess most of the infant schema of large round cheeks and curved forehead naturally. Her face seems to naturally divide into thirds with a natural symmetry. However my old friend and colleague Dr. Lucy Glancey believes otherwise and has been quoted as saying, “she has quite obviously had some sort of enhancement and it looks like this has been achieved with a semi-permanent injection or Restylane, which is similar to collagen but lasts much longer. Her lips look particularly swollen at the moment but this could be because the procedure has just been done”.
Liz has been quoted as saying, “I’d be too scared to modify my face. Can you imagine if it was worse afterwards? Added to which, in Hollywood any surgical interventions always look so artificial that I can spot them a mile off. I just find it utterly pathetic to have an operation simply to try to make oneself look younger,”

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