60 year old spa woman- head and shouldersMany carnival “Guess My Age” booths use the condition of a person’s neck to properly guess their age.  Because most people neglect their neck during their daily skin care routine, their neck ages faster than the rest of their face, revealing their true age.   Sun spots and wrinkles (both vertical and horizontal) begin to line the neck as you age.  If you properly take care of your neck, you can combat wrinkling skin and look and feel more youthful.  it is important to understand the causes and treatment for neck wrinkles in order to properly prevent and treat them.

What Causes Neck Wrinkles?

The most common cause for wrinkles is gravity.  As we age, the fat and tissue underneath the skin begins to deteriorate, causing the top layer of skin to sag.  Excessive exposure to the sun without the proper sunblock is the second most common cause for neck wrinkles.  Other causes are: not moisturizing the skin, smoking, tanning booths, improper diet and even smart phones.  Bending your neck to look at the screen of a smartphone creates a condition called “tech neck,” a deep crease just above the collarbone.  Bending the neck just 15 degrees puts 27 pounds of pressure on the neck, and at the typical 45 degrees that most people use to look at their phones, 49 pounds of pressure is put on the neck.  


The best treatment is always prevention.  To prevent neck wrinkles, use the same skin care techniques that you use on your face, including cleansing, moisturizing and toning.  Use anti-aging cream or wrinkle cream on your neck as well as your face.  Avoid over exposure to the sun by wearing protective clothing and hats when outside.  Refrain from visiting tanning beds, as the UV light is very harmful to the skin not only increasing wrinkles but sunspots as well.  Drink plenty of water to keep your skin hydrated.  


Neck wrinkles can be treated by anti-aging creams with alpha-hydroxy acid to help protect the skin.  Eating a healthy diet will help the skin have the antioxidants that it needs to delay the aging process.  Make sure to get adequate sleep at night so that your body can rejuvenate, helping the skin stay healthy and youthful despite aging.  Plastic surgery and laser therapy is available to help restore the tight, youthful look.  Neck lifts are a common procedure, as are neck liposuction, and implants.

CleopatraWe live in an age obsessed with beauty; from spray tans and eyelash extensions to Botox and laser hair removal.  We are not the first era to try unique ways to to fit the standards of beauty. Throughout history, many methods have been used, some quite dangerous.  Below are some of the most fascinating and strange beauty techniques through the ages.


In ancient Rome, urine was used in face masks to create a natural-looking glow as well as make skin soft and smooth.  It was also used as a tooth whitener.  It was so effective in whitening teeth and preventing cavities that it was used in many mouthwashes until the 18th century.

Crocodile Excrement

Apparently, urine was not the only waste product used in beauty.  In Greece and Egypt, women would purchase tubs of crocodile excrement and use it as a face mask.  Cleopatra even included it in the book she wrote about beauty.


Guanine, a compound found in nightingale feces, has been used since ancient times by Japanese Geishas and in Kabuki theatre to cleanse and rejuvenate the skin.  The excrement was turned into a powder and then rubbed all over the face, creating a porcelain look when removed.  Many high-end day spas in Japan will still use this  technique today to soften and brighten skin.


Porcelain white skin was a beauty trend for thousands of years.  During the Golden Age of Spain, women would eat clay in attempts to whiten their complexion.  It did the trick, but also caused other problems such as anemia and chlorosis.


During the renaissance, women would create a mixture of quicklime and arsenic to remove hair.  They would boil the concoction and pour it onto their legs, wiping it off just before the skin started to peel off.  Naturally this caused all sorts of problems such as irritations, burns and arsenic poisoning.  


At the turn of the 20th century, a new diet pill was introduced.  Women would swallow tapeworms in the form of a pill – allowing the parasites to grow to maturity inside the intestines and consume the food that the women would eat.  It did effectively work as a weight loss program, however, it also caused diarrhoea, vomiting, eye problems, epilepsy and dementia.  

Vacuum Helmets

In the 1940’s, vacuum helmets were introduced as a way to improve your complexion.  Often called “Glamour Bonnets” the helmets would reduce air pressure around a woman’s head, apparently stimulating blood circulation.  

Slapping Treatments

In Thailand, you can pay about $350 to receive a face slapping massage from a licensed professional.  The slapping supposedly tightens facial fat and rids the face of wrinkles. The procedure also works on breasts and bottoms to shape those areas.


Woman receiving BotoxEver wonder what the difference between Botox and Dysport is?  Both are botulinum toxin A, a protein that works by blocking signals from the nerves to the muscles, inhibiting contraction, allowing wrinkles to relax and soften.  While the two are very similar, there are a few differences to be aware of.

The Two Are Made by Different Companies

Botox is made by Allergan, a company that has been around since 1983, headquartered in Dublin, Ireland .  Dysport is made by Medicis, a company founded in 1988 in Scottsdale, Arizona, with headquarters currently in Bridgewater Township, NJ.   While Botox has been around in the United States for many years, Dysport has only been approved by the FDA since April 30th, 2009.  It was used in Europe for many years before that point.  

Dysport is a Smaller Sized Molecule

Dysport is about ⅓ the cost of Botox, but also about ⅓ the strength. Due to that, about three times as much Dysport is necessary to produce the same effect as Botox. Dysport is a smaller sized molecule than Botox and is more diluted than its competitor.  Also, because Dysport has less protein as a whole, less antibodies can develop in the body, potentially allowing clients that typically develop resistance to Botox to continue using the service longer.  

Dysport Has a Faster Onset than Botox

Dysport takes effect on the face as early as two to three days after treatments.  Botox, on the other hand takes about 5-7 days.  However, Dysport’s effects are sudden while Botox has a more subtle effect due to the time it takes to “kick in”.  Depending on what you are looking for, Dysport or Botox may be the better option. If you are concerned about which lasts longer, they both have an average lasting time of 4-6 months.

Botox Diffuses Less

Botox tends to be more precise on smaller areas, because it diffuses less.  Dysport’s effects, on the other hand,  spread out more, giving it a slight advantage in larger areas.  Due to this, Dysport may require less needle pricks than Botox to cover the same area.   However, under the skilled hands of an esthetician either drug can be used effectively in any area.  

In conclusion Dysport and Botox are very similar, and the differences mostly affect the esthetician rather than the consumer.  As you consider which drug to use, make sure to discuss the pros and cons with your cosmetic surgery specialist. The most important thing when considering using Botox or Dysport is to ensure that you are safely in the hands of a skilled professional.


face wrinklesWrinkles generally have a variety of causes, from natural breakdown and weakening of collagen during aging, to repeated movements and expressions, to distortion of the skin during sleep, to sun damage. Yet each wrinkle on the body will have its own unique causes as well, depending on where it is located. Here is a brief overview of the different types of wrinkles you’ll find on the face—and what causes them in addition to general wrinkle causes.

Forehead lines

These are the pesky horizontal lines that span across the width of your forehead. For many they are the first wrinkles to appear on the face. In addition to factors such as genetics and sun damage, forehead lines are caused by repeated raising of the eyebrows, be it due to stress, surprise, or skepticism.

Frown lines

Frown lines are the smaller vertical lines that appear between the eyebrows and almost seem to line up with the bridge of the nose. These, of course, are caused by repeated frowning, as well as repeated squinting, concentrating, crying, and being angry.

Crow’s feet

These are the ever-famous wrinkles that crop up at the corners of the eyes. In addition to more general wrinkle-causing factors, crow’s feet are caused by repeated squinting and smiling (of the type that includes the eyes). Some believe that sleeping on your side can be a cause as well.

Tear troughs

Tear troughs are the deep wrinkles below the eyes that give the eyes a pronounced “baggy” appearance. Tear troughs can actually be hereditary, or they can be caused by a lack of volume in the skin in that area. The structure of the face—and the relationship between eyelid fat and cheek fat—can be a major factor as well.

Bunny lines

These are the small, crinkly looking wrinkles on the sides of the nose that are caused by hyperactivity of nasalis muscles when laughing or smiling.

Nasolabial folds

These are the vertical wrinkles that run from the corners of the nose to the corners of the mouth. These are caused largely by the natural movement of cheek tissue downward as we get older.

Lip lines

Lip lines are the small vertical lines often crop up above the upper lip, and less severely below the lower lip as well. Repeated movements of the lips such as pursing the lips, whistling, or smoking are primary causes.

Marionette lines (jowls)

These are the vertical wrinkles that span downward from the corners of the mouth toward the chin, sometimes giving the face a marionette-like appearance. Genetics and facial structure play a large role in determining whether or not a person develops these wrinkles.

tan skinSummer is a time when people tend to show more skin, and sometimes a sun-kissed tan is just when a person needs to feel confident in summer clothing and swimsuits. But is it possible to achieve this look without causing skin damage? Here is what you need to know about tanning and getting a tan look the safe way.

Dangers of tanning

Sun damage, next to smoking, is one of the leading causes of premature skin aging. Many wrongfully define “sun damage” as sunburn, but the truth is that even tanning that doesn’t evolve into sunburn is damaging to the skin. In fact, skin tanning is the body’s response to damaged DNA in the skin cells—the skin darkens in order to prevent further damage to the skin cells. So, a tan is really just evidence that skin damage has already occurred in the skin. While getting a “base tan” or tanning indoors might sound like a good idea in theory, these methods for getting a sun-kissed glow will not prove healthy for your skin.

Popular options: the good and the bad

So what are your options, then, for getting a safe, tanned look? First, it would be effective to know what isn’t good for your skin or body.

Indoor tanning

Indoor tanning beds are thought to be safer than outdoor sunlight by some, but in reality, the artificial UV rays produced by tanning beds can be even stronger than the natural UV rays coming from the sun. Indoor tanning beds are not a safe tanning option.

Tanning pills

What about tanning pills? They may not involve exposure to sunlight, but they can give the skin an orange hue over time, and the dyes involved can actually damage your liver. Moreover, these pills are not FDA-approved, and some have even experienced side effects such as nausea, cramping, diarrhea, severe itching, and welts when using these pills.

Spray tans

The chemicals in salon-style spray tans are not monitored by the FDA, either, and they could cause damage when ingested by the nose or mouth.

Self tanner

Self-tanning lotions that you apply to the skin from a bottle are your best bet if you want a just-walked-off-the-beach look. This method for sunless tanning involves a chemical called dihydroxyacetone (DHA) that dyes the outermost skin cells on the body, which means that the tan will only last as long as those outer skin cells remain. Studies have shown that when used correctly, DHA is considered safe. Just keep in mind that sunless tan lotions are not a substitute for sunscreen. Even if you are enjoying a lotion-produced sun-kissed glow, be sure to apply plenty of sunscreen before heading outdoors.

summer skinWith summer weather comes and entirely new set of challenges and hazards for your skin, which means that you’ll have to prepare your skin accordingly. Here are some tried-and-true methods for preparing skin for summer weather.

Switch out your skin care products

Because of the climate changes that occur as seasons change, it’s very likely that what worked for your skin during the winter months could leave you feeling oily or greasy as summer humidity sets in. This means that it’s time to switch out what you used during colder months for new products that will work well with the warmer weather. Consider swapping out your facial cleanser and moisturizer for new products that contain lighter ingredients like squalane and glycerin. These ingredients will offer a more breathable barrier for your skin. This applies to any beauty products that you are applying to the face as well.

Control the oil

You’ll also need to prepare your skin for the warmer weather by establishing a skin care regimen that will fight excess oil production. The oil glands on your skin’s surface tend to be more active when it’s warmer, and this can leave your face feeling more oily during the summertime. Some methods for controlling oily facial skin include using water-based skin care products, using an oil-absorbing clay mask on a regular basis, and opting for skin creams and sunscreens that promote a matte finish.


Regular exfoliation is important for removing dead skin cells and revealing smooth, glowing skin, especially during the summer when you’ll be spending more time in a swimsuit and warm weather clothing. Most experts recommend exfoliating about twice a week. There are multiple methods for exfoliation, including sugar or salt scrubs, dry brushes or exfoliating gloves, cleansers with exfoliating ingredients, and electric facial brushes like the Clarisonic Skin Brush. Keep in mind that different skin types respond differently to various exfoliation methods, so it’s important to figure out what works best for you and your skin. Whatever method you decide on, be sure to protect your newly exfoliated skin with sunscreen, and never exfoliate sunburned skin.

Wear adequate sun protection

No summer skin care list would be complete without emphasizing the protective and anti-aging benefits of sunscreen. You should be wearing sun protection year-round, but this is especially important to remember during the summer as you spend more time under the sun. In addition to sunscreens, you can also wear shady hats and UV protective clothing and swimwear. Keep in mind that your skin is prone to sun damage even when it isn’t being directly exposed to sunlight—while driving or on an overcast day, for example.

Young woman receiving botox injection in lipsFull, plump lips are a beauty feature envied across the board. Not everyone is born with them, but those who want fuller lips can have lip fillers injected into their lips, or a lip augmentation.

Types of Fillers

The most common type of lip filler is an injectable dermal filler, which essentially means it enlarges the skin in your lips. Collagen is the most common kind of dermal filler, though today, it is used less often. It is not as safe and effective as the newer kinds of dermal fillers.

Fat injections and implants may also be used to enhance lips, but they aren’t often used either, simply because the results are not consistent and there is a greater risk of side effects.

Hyaluronic acid fillers are now the filler of choice when it comes to lip augmentation. Hyaluronic acid is a natural substance found in your body, which is why it is known to work best with lip enhancements. When injected into your lips, it acts as a cushion to support the structure and tissues of your lips to keep up its volume.

Deciding if Lip Fillers Are For You

Only navigate this road if you truly want to change your appearance with fuller, plumper lips. If you aren’t sure, discuss your options with your doctor or facial plastic surgeon. Only healthy candidates will be considered for the procedure. If you have a chronic oral infection, diabetes, lupus, or blood-clotting problems, you will not be recommended for the procedure.

The Procedure

If you are using dermal fillers for your lip augmentation, the entire procedure can be performed in your facial plastic surgeon’s office in very little time. A local anesthetic will be applied to the injection site, meant to completely numb the lips. Then, your surgeon will use very fine needles to inject the fillers into your lips.

Before and After

Before going into the office, you’ll need to remove any foundation, powder, blush, lipstick, or lip products. The same goes for the day following the procedure. Ice may be administered directly after the injections to ensure no swelling. The results of the injection should be immediately noticeable.

Side Effects and Risks

Though they are rare and generally mild, side effects may occur after the procedure. They may include redness, swelling, bruising, tenderness, or bleeding at the injection sites as well as swollen and bruised lips. These side effects should only last a few days.

If the side effects continue, or if you have more serious side effects, such as lumps in the lips, lip asymmetry, infection, or scarring, you should call your surgeon immediately.

woman with fewer wrinklesBirthdays stop being something to look forward to after you hit 30. From then on, birthdays signify aging, both mentally and physically. Unfortunately, it’s very difficult to hide the effects of aging, since it’s often most apparent in the face. Wrinkling, gravity, and skin volume loss are all huge factors of the aging process, and they drastically affect your appearance (and sometimes more) over time. Facial fat grafting is an innovative procedure that successfully sets back the clock—at least on your face.

Fat Grafting Defined

After time, the skin in the face begins to sag and wrinkle as a result of lost volume with facial flesh due to age. The result is similar to when air begins to leak out of a balloon over time. The balloon still has it’s form, but it is wrinkled and loose. Fat grafting is the process of removing tiny amounts of fat from one place (generally the abdomen, thighs, or buttocks) and relocating it to the face to solve the facial volume problem.

The Best Candidates

You should consider facial fat grafting if you want a permanent solution to creased and sunken areas of the face. This may include laugh lines, smile lines, crow’s feet, acne scars, or thin lips and cheeks.

The best candidates will be in generally good health with a good immune system. You should be free of any circulation problems and not smoke. You must also have enough fat on your body that can be used for filling the volume of your face.

The Procedure

Generally, the procedure will go as follows:

You and your surgeon will discuss and select the best site for fat  removal. The area will be sterilized, then numbed with a local anesthetic. Your surgeon will make a small incision in the area and use a cannula connected to a syringe to extract the fat. This is the same way liposuction is performed.

After enough fat is collected, it is purified and transferred to the face. Using a small needle, the surgeon will insert the fat into the natural tissue of the face. The process will be repeated multiple times until the volume is restored to your face.

The Results

You should see a noticeable difference in your face following the procedure, with much fewer wrinkles and less sagging than before. Take note that a fat transfer like this is not Botox. It will not completely erase the lines from your face, though it will make a drastic improvement. If performed successfully, the results of your facial fat graft should be permanent.

If you believe you’re a good candidate for facial fat grafting, give our office a call today.

Mans Bell's PalsyFacial paralysis is constituted by partial or full lack of movement on one side of the face. Such paralysis is often caused by damage or inflammation of the facial nerve, or in severe cases, a stroke, tumor, or condition known as Bell’s Palsy. It can come on suddenly or gradually over a period of months. Some cases are simply acute and temporary, while others are chronic.

What causes facial paralysis?

As mentioned previously, facial paralysis may be caused by an infection in the facial nerve, stroke, tumor, or Bell’s Palsy. Other causes include:

  • Skull fracture or facial injury
  • Chronic middle ear infection or other ear damage
  • High blood pressure
  • Diabetes
  • Lyme disease
  • Ramsay-Hunt Syndrome
  • Other autoimmune diseases

What other symptoms are associated with facial paralysis?

Besides the obvious numb feeling in the face, there are usually other symptoms associated with facial paralysis. They might include:

  • Facial pain
  • Headaches
  • Dizziness
  • Impaired speech
  • Drooling
  • Muscle twitching
  • Earaches
  • Ringing in ears
  • Sensitivity to sound
  • Difficulty eating or drinking
  • Watery eyes
  • Dry eyes and mouth
  • Inability to close the eye

If you notice any of these symptoms in conjunction with a numb face, see your doctor immediately for diagnosis and treatment.

How is facial paralysis diagnosed?

Full diagnosis depends largely on you. It’s important to explain each of your symptoms in depth, as well as mention any diseases you’ve been diagnosed with or that run in your family. After you’ve discussed this, your doctor will run a few tests, including asking you to lift your eyebrows, close your eyes, smile, and frown. A few other tests, such as electromyography, imaging scans, and blood tests may be performed to test the nerves and muscles in your cheeks and determine the exact diagnosis.

What kinds of procedures help facial paralysis?  

You’ll receive treatment depending on your diagnosis. If you have Bell’s Palsy, you will probably recover without treatment, though, for severe cases, you may be prescribed steroids, antiviral medications, and physical therapy to increase your chances of full recovery.

Other facial paralysis, or severe cases of Bell’s Palsy may require surgery to repair nerve damage or to remove tumors if present. Surgery may also be required to help the eyelid close to prevent eye damage. Some procedures include surgically implanting microscopic weights into the upper eyelid to help it close.

Botox has also proven to be an effective form of treatment, especially if the paralysis includes involuntary muscle movement.

It’s very important to receive treatment for your paralysis if your eyelid fails to close properly, You are at great risk for severe eye damage.  Your doctor may prescribe special eye drops or a clear, plastic moisture chamber to keep the eye damp and protected.

If you experience any of the symptoms associated with facial paralysis, see your facial specialist immediately.

Winter face close up of young woman covered with snowflakesIf you live in the cold desert of Utah, you’re probably feeling the horrendous, drying effects of winter right about now. Your skin is a miraculous organ, but the cold weather and dry, hot air being pumped into your home daily are a little more than it can take.

If not handled properly, your skin will show the effects as you age. Without proper moisture, your skin will be wrinkled and weathered much too early. Don’t let that happen to you. Instead, try these eight tried and true tricks for combating dry skin this winter.

1. Moisturize, Moisturize, Moisturize

If you want to keep your skin from being irritated and cracking from the cold, you need to use lotion, and plenty of it! What’s more, make sure that you’re using a good lotion with healthy ingredients, like avocado. Avoid butters that will sit on top of your skin instead of sinking in and providing some much needed nutrients.

2. Wear Sunscreen

This cannot be stressed enough! The sun is one of the most harmful elements when it comes to your skin and it’s only made worse in the winter when the air is dry and the sun glare doubles when it reflects off the snow. Any exposed part of you should be slathered in sunscreen several times a day.

3. Take Lukewarm Showers

Hot showers strip moisture from your skin, which is unfortunate because it feels so good on cold days. Instead, take lukewarm showers and baths to lock moisture into your skin.

4. Wear Chapstick

The skin on your lips is perhaps the most sensitive to the harsh elements. Make sure you apply a good chapstick multiple times a day, don’t lick your lips, and whatever you do, don’t pick at them!

5. Cover Up

The more you can cover up when you’re outside, the better. This includes your hands, which take a lot of abuse in the winter. Wearing gloves will protect them from the freezing, dry air.

6. Use a Humidifier

Though it may sound strange, a humidifier works wonders for dry skin. The dry, hot air blowing into your home all day dries out the air in your home and the humidifier will put the moisture back.

7. Use Gentle Cleansers

Watch out for harsh chemicals that will dry out your skin. If you must use these for acne problems, make sure you have a great moisturizer to follow the cleansing.

8. See a Specialist

Sometimes our best efforts aren’t enough in the dry winter. If you’ve followed everything on this list faithfully and your skin is still like sandpaper, seek a specialist. If you’re in need of such treatment, give our office a call today to set up an appointment.


Salt Lake City, Utah Based Face and Neck Specialist

As a specialist in Utah cosmetic surgery, plastic surgery, facelift surgery, neck lift surgery, Botox, Utah rhinoplasty (nose jobs), Utah hair restoration, and a variety of other facial plastic surgery procedures, Dr. Lucy Barr's main goal is To build relationships with our patients so that they trust us to educate and treat them. Together we will create treatment plans customized to make our patients feel vibrant and attractive. When it comes to cosmetic surgery, Dr. Barr's philosophy is that health, wellness and appearance are all a part of the same equation.