“I need it now!” For Celebrities, the command goes for pressed juice, Celine bags and skin care. Here, we talk about the fastest, craziest ways Hollywood skin pros eradicate zits, cellulite and lines.
1. FASTER LASER TREATMENTS
Before big events, actresses and pop stars call on dermatologist Fredric Brandt, who practices in New York City and Miami, for his combination laser treatment. He wields two lasers, each with a different wavelength: One removes redness and brown spots, and the other stimulates collagen production to reduce fine lines and large pores and give skin an immediate glow. “Some stars stop in the morning of an event as part of their red-carpet prep,” he says. (Makeup can easily veil the resulting redness when they leave his office.
2. HEAD-TO-TOE FACIALS
Adriana Lima, Candice Swanepoel, Erin Heatherton, Miranda Kerr—before these Angels strap on their wings for the Victoria’s Secret fashion show, they visit New York City dermatologist David Colbert for Triad body facials. The experience starts with microdermabrasion followed by a “gentle laser treatment, which encourages fibroblasts to make new collagen,” says Colbert. A peel comes next—20 percent glycolic acid spiked with calming lavender essence. Skin is then doused with a serum that helps build collagen, illuminated with low-energy light that slows its breakdown, and topped with a rich cream laced with tremella mushroom extract, a humectant that can hold 500 times its weight in water, explains cosmetic chemist Ni’Kita Wilson. “Skin looks dewy and radiant right away, and the buildup of collagen is long-lasting,” says Colbert. Stars can head straight to hair and makeup.
3. INSTANT TIGHTENING
Even in Tinseltown, scalpels are becoming yesterday’s news. Surgery isn’t all it’s cracked up to be, says Ava Shamban, an assistant clinical professor of dermatology at UCLA. When her star clients need a lift, she performs Power Facials: an exfoliating retinoid peel, Intense Pulsed Light (which targets brown spots and broken capillaries), microdermabrasion with an infusion of the antioxidants vitamin C and niacinamide, and, finally, radio frequency to firm the face and neck.
“Skin tightening is huge in Hollywood,” she says. “I’ve done several actresses’ eyelids and brows right before red-carpet events because instantly, the skin looks incredibly taut, and there’s no downtime.” Shamban uses the Pellevé radio frequency device, which doesn’t require anesthesia (she likens the sensation to a hot-stone massage). Results are most visible in the 48 hours after treatment. For an effect that lasts about a year, four to five monthly treatments are needed.
4. HOT-SPOT FILLERS
If this next item had a snarky hashtag, it would be #celebrityproblems. When hefty earrings drag down stars’ earlobes, their doctors reinflate them with an injection of a hyaluronic acid–based filler, like Restylane or Juvéderm. Aging hands are another big concern. “Lately I’ve been working double-time on celebrities’ hands, making them look as youthful as their faces,” says Debra Jaliman, an assistant professor of dermatology at Mount Sinai Medical Center in New York City. The synthetic calcium-based filler Radiesse offers a dramatic fix for up to a year. Jaliman slowly injects the mixture into the top layer of the skin near visible veins, stopping frequently so her assistant can gently massage the area to create “a completely smooth surface,” she says. If the hands have brown spots, Jaliman zaps them with an Intense Pulsed Light device called the LimeLight. Splotches darken and flake off a week later, leaving no evidence of sun damage.
5. ULTRASONIC PLUMPING
A thirty-something blonde who was scheduled to present at the Golden Globe Awards came to Karyn Grossman, chief of dermatology at Saint Johns Health Center in Santa Monica, the morning of the show with some crepiness around her eyes. Grossman applied a mix of hyaluronic acid and collagen protein and drove it in with ultrasound waves to deeply hydrate the skin, smooth away fine lines, and give a dewy glow. Results are instant but fleeting—lasting only a day or two—and most remarkable around the eyes, where skin is thinnest.
6. ELECTRIC FACIALS
There’s a reason stars on the red carpet glow like someone has plugged them in. Indeed, someone has: Simon. The self-dubbed “electrical aesthetician” uses different types of current to boost radiance, enhance lymphatic drainage, kill acne bacteria, wipe out dark circles, and even spark cellular repair. While microcurrent has been popular with aestheticians for years, the even-lower-frequency nanocurrent, Simon’s specialty, is now gaining momentum. “My goal is to replicate the signal that the brain produces in deep delta sleep—a frequency that initiates repair,” she explains.
Following a nanocurrent facial, Simon says, energy slowly builds in the skin, peaking three days later. “So I’ll treat stars two days before the Academy Awards, and then, if time allows, give them a little pop the day of,” she says. At this point, there’s little clinical data on nanocurrent’s effect on healthy human skin. Dermatologist Jeannette Graf says, “Delta waves are restorative inside the brain, but there’s no evidence that using nanocurrent on the skin would replicate them. That said, anytime you use electrical stimulation during a facial, you prompt an exchange of ions and rev up the metabolism, increasing the energy of the cells. And the more you do it, the longer-lasting the results.” In her own experience, Simon has seen a cumulative effect with nanocurrent and says it doesn’t inflame skin the way microcurrent can.
7. BOTOX LITE
Stars do crazy things to grab attention, but one thing they don’t want anyone to see is their frozen forehead. “I’ve had patients tell me that it’s in their contract: If they get Botox, they could be fired,” says Wexler. So dermatologists inject tiny amounts of the toxin into multiple areas of the forehead for a softer, more relaxed look. “People still have full motion, so they can emote and act effectively, but skin doesn’t accordion,” explains Grossman. Evidence of her sleight of hand: A star patient sent Grossman an article on overdone faces in Hollywood, in which she served as the example of a non-Botoxed face. On a sticky note: “If they only knew.” The results of this subtler approach last roughly three months as opposed to five, says Wexler.
To strengthen and prolong the toxin’s effect, especially when patients are on tour or filming abroad, Wu offers a new prescription supplement called Zytaze. The pill combines zinc with phytase, an enzyme that breaks down phytates, or compounds that prevent zinc’s absorption. Why is zinc so crucial? To be effective, “botulinum toxin has to bind with zinc in the body,” says Wu. “This pill, which you take for five days prior to your appointment, helps your body retain zinc better, so there’s more available to bind to the toxin molecules.” In a double-blind, placebo-controlled study, Zytaze made the effects of the toxin last 30 percent longer when taken for four days before an injection.
8. BACTERIA-BUSTING FACIALS
Facials with extractions can trigger more blemishes than they treat: All that poking releases a flood of germs onto the skin’s surface. So aestheticians have invented smart solutions to the problem. “We apply gauze dipped in freezing-cold liquid nitrogen to kill bacteria and soothe the skin,” says Rand Rusher, a Beverly Hills registered nurse and skin specialist and star of the reality show Pretty Hurts. (Only aestheticians in doctors’ offices are legally allowed to use liquid nitrogen this way.) Hollywood facialist, Shani Darden staves off breakouts by following extractions with acid—which typically means doing two peels in one treatment. Such is the case with her client Jessica Alba: “After cleansing, I do a glycolic and lactic acid peel, extractions, and then apply lactic acid, just as a flash peel, neutralizing it after 30 seconds,” explains Darden. “It leaves Jess’s skin clear and smooth with a really nice glow.”
9. BODY-FAT TIGHTENING
Before stars take it all off for the camera, they disrobe for their dermatologist. “We’ll essentially redo the entire surface of their body,” says Jaliman, who starts with radio frequency, namely Thermage, to tighten loose skin right away. Also in demand is CoolSculpting, a fat-freezing device that obliterates belly bulges, love handles, and back fat. “Six weeks after treatment, patients begin to pee out the metabolized fat,” says Jaliman. “They’re so svelte, they can retire their Spanx.”
The Fabulous Team