Sandra Lena Silverman is aware of a factor or two about plastic surgery.The Miami-based 54-year-old has splashed out $300,000 on greater than 25 procedures (she’s misplaced rely of the precise quantity) over just about 3 many years.However whilst Ms Silverman is now incessantly complimented for her age-defying seems to be, it was once a protracted strategy of trial and blunder to get the glance she sought after.After doing a little minor tweaks in her 20s and 30s – together with facials, peels, lasers, Botox, filler, breast augmentation, rhinoplasty and a vaginal reconstruction – she concept she have been via all of it. However then she began feeling particularly dangerous her look in her 40s, and when she appeared within the replicate, she mentioned it was once like ‘gazing an outdated crone, a complete Disney witch’. Ms Silverman is now sharing her insights with Day by day Mail readers within the hope that she will be able to save you other folks from making the similar errors.One in 4 American citizens will go through some more or less beauty paintings of their lifetime, however some surveys counsel as much as six in 10 feel sorry about it. 
Sandra Lena Silverman, who’s founded in Miami, advised DailyMail.com that it was once a strategy of trial and blunder to seem the way in which she does now on the age of 54 
The surgical operation she was once maximum proud of was once her mini facelift, which was once accomplished concurrently a brow raise, on the age of 47. Above left, prior to the process and proper, afterwards Vaginal reconstruction left me incontinentPRICE: As much as $20,000 Of the entire beauty procedures she has attempted, Ms Silverman says the vaginal reconstruction she had in her early 40s was once probably the most painful.Explaining why she opted for the process, she says: ‘I might argue that my complete vaginal reconstruction wasn’t beauty as a result of my uterus was once falling low after the start of my son, so I if truth be told wanted it, nevertheless it was once probably the most painful factor I have ever long gone via. ‘The foremost problems I confronted have been incontinence and the truth that I used to be so free down there that I could not really feel the rest all over intercourse. It was once dangerous. And now not nice for my marriage.’
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Throughout the process she additionally had labiaplasty to cut back the scale of her labia minora – the outside folds surrounding the urethra and vagina. All of the operation took round six hours.Even if the surgical operation went neatly and the consequences have been ‘impressive’, Ms Silverman finds that the restoration was once very tricky. She says: ‘I had a catheter for 2 weeks after the surgical operation and was once prescribed Percocet with Tylenol for the ache, which had the facet impact of constructing me extraordinarily constipated.’Phrases can not totally describe the ache. Since I had a catheter, I could not pass to the toilet, so I needed to take [the laxative] MiraLAX. Then I might have explosions. ‘I stopped up desiring to put on a freakin’ diaper! To not point out all over that two week duration, I needed to pass to the emergency room thrice. 
Pertaining to her personal enjoy with breast implants, Ms Silverman says: ‘For my first breast augmentation on my past due 20s, the profile was once too prime and the medium was once too huge, so I if truth be told ended up having a look top-heavy. I in the end were given saline implants changed with silicone and did a breast raise and went smaller and decrease”My husband was once in Las Vegas for far of this, so I used to be dealing with all of it solo for probably the most section. In the end, the physician modified my ache medicine, and that helped so much. ‘As soon as the catheter was once out, I used to be on the mend, however the whole lot down there harm for a just right month.’Whilst issues are ‘nonetheless having a look and feeling nice down there’ 15 years on, Ms Silverman says for others considering the surgical operation ‘when you do not want it, do not do it’.Do not get filler on your 20s and 30sPRICE: From $500 to $1,500 in keeping with syringeFillers – gel-like elements injected underneath the outside to revive misplaced quantity, easy traces and make stronger facial contours – have change into giant trade since the effects are speedy with little-to-no down time. The collection of ladies the use of fillers has higher with regards to threefold in america during the last decade.In 2010, 1.8 million filler procedures have been carried out, expanding to five.3 million in 2023.
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The preferred dermal filler manufacturers are Juvederm, Restylane and Sculptra. It is because they’re made the use of hyaluronic acid, which is a herbal part of the outside, and professionals say those manufacturers be offering a extra herbal glance.The preferred spaces for dermal fillers come with the lips, cheeks, and under-eye spaces, and volumes vary from 0.25ml for a ‘bee sting’ glance within the lips to as much as 3ml in keeping with cheek for chiseled cheekbones. In spite of their reputation, Ms Silverman warns in opposition to getting fillers too early, as she believes they may be able to age the outside in advance. It is because they may be able to stretch the highest layer of pores and skin and customers will want to stay changing this misplaced quantity with but extra filler, resulting in a ‘puffy’ or ‘hamster cheek’ glance. She explains: ‘Anything else that gets rid of fats or stretches out pores and skin isn’t just right for whilst you age.’Attempt to steer clear of filler on your face if you find yourself on your 20s and 30s.’She additionally had one horror tale with filler in her lips, the place the injector made her glance ‘like a duck,’ so she flags the significance of discovering a credible medical institution. As soon as harm is completed, she says it might take a very long time and loads of cash to opposite the results of filler. Taking a look again, Ms Silverman says she would have have shyed away from getting filler so early as this resulted in her desiring a facelift.Now she is older, she is a huge fan of the injectables and she has ‘gotten them virtually all over at this level’ together with within the lips, smile traces, chin, jaw, temples, nostril, cheeks, knees, vagina, butt, palms, earlobes, and corners of the mouth.By no means do buccal fats elimination PRICE: Anyplace from $5,000 to $20,000 
Chrissy Teigen (pictured in Would possibly, 2021 at the proper) admitted to receiving buccal fats elimination in September 2021. Teigen’s (pictured in past due 2021 at the proper) face has a extra angular look after receiving the procedureBuccal fats elimination has change into a scorching process over contemporary years to reach a extra chiseled glance. The process comes to casting off fats pads from throughout the cheeks, giving them a extra angular face because of this. Some of the maximum notable A-listers who’ve had or are rumored to have had their buccal fats pads got rid of is fashion Chrissy Teigen, who kickstarted a big pattern amongst celebrities and non-celebrities.She admitted that she had had her buccal fats got rid of and in addition mentioned her eyebrow hair transplant.However different well known stars together with Lea Michele, Bella Hadid, and Anya Taylor-Pleasure also are believed to have had the process.Explaining why she advises in opposition to the trendy tweakment, Ms Silverman says: ‘You if truth be told want your buccal fats as a result of as you age, you lose quantity on your face.’And not using a padding within the cheeks, the wonder skilled says other folks can glance too sucked in and gaunt as they grow older. She warns that then filler is then wanted so as to add quantity, and this will alternate the form of your face additional. ‘So make positive that is what you might be keen to do,’ she concludes. Do not do the ‘Y’ LiftPRICE: Between $2,000 and $7,000 The Y Elevate, higher referred to as a ‘liquid facelift’, is a ‘facial contouring’ methodology that makes use of strategically positioned fillers to rejuvenate the face.It goal is to revive a younger ‘Y’ form from the cheekbones to the chin, and enhance the illusion of wrinkles and sagging pores and skin.It may be finished in as low as half-hour and the consequences are quick, while facelifts can take a couple of weeks to look any effects.However Ms Silverman says getting a Y Elevate is one thing she’s going to ‘all the time feel sorry about’. She finds: ‘The primary time I did it was once nice – I were given filler within the perimeter of my jowls, which was once lifting and made me glance extra sculpted. ‘However the second one time I did it, I were given pie-faced, and through that I imply there was once such a lot filler in my cheeks that I appeared totally spherical, like a pie. ‘It brought about my pores and skin to stretch after which sag, and it took about two years to completely repair it since the filler is going deep throughout the muscle. ‘By the point I were given my facelift two years later, I nonetheless had filler in there.’ 
Ms Silverman mentioned her face appeared too rounded after an excessive amount of filler and he or she warns it might alternate the form of your face for the more severe Do LOTS of analysis prior to rhinoplasty and breast augmentationPrice for rhinoplasty and breast augmentation: Each and every remedy from $5,000 to $10,000Ms Silverman says that she needs she had accomplished extra analysis prior to getting her first nostril task nevertheless it was once prior to the age of the web and it was once tougher to seek out comments on practitioners.On account of this, she ended up with a mediocre physician who took out an excessive amount of cartilage.She recollects: ‘I were given my first rhinoplasty in my twenties and it was once in truth underwhelming. I went to a health care provider in Baltimore and won his signature taste: those itty-bitty noses. ‘Throughout our session, I described what I sought after, that may be a standard measurement nostril, now not a teeny tiny one. I depended on he would concentrate and now not take his conventional manner with me. I used to be flawed – UGH! I left his place of business with a nostril that was once simply… too small.’I did not find it irresistible. Whilst it was once higher than what I had began out with, it wasn’t what I sought after, and I kicked myself for now not going to any individual else. The form of my nostril stricken me for years.’Since her first nostril task, Ms Silverman has had two extra and he or she is in spite of everything pleased with how it seems to be, describing it as ‘wonderful’. The sweetness skilled says the same quantity of analysis must be accomplished forward of having breast implants. To lend a hand select a health care provider, she recommends having a look at as many prior to/after pictures as conceivable to get an concept of the consequences they may be able to be offering. Pertaining to her personal enjoy with breast implants she provides: ‘For my first breast augmentation on my past due 20s, the profile was once too prime and the medium was once too huge, so I if truth be told ended up having a look top-heavy. ‘I in the end were given saline implants changed with silicone and did a breast raise and went smaller and decrease. Be wary about going too giant or too prime.’With each nostril jobs and breast augmentation procedures, Ms Silverman says this is a ‘should’ to make a choice a board-certified plastic surgeon who makes a speciality of that individual process.She provides: ‘DO NOT TAKE ANY SHORTCUTS TO SAVE MONEY! Do your analysis, as all the time, and be sure you inform your surgeon precisely what you’re in search of all over your session.’Be careful for facial peels PRICE: Anyplace from $125 to $2,500 With regards to facial peels, Ms Silverman says she has ‘attempted all of them’.Those therapies are designed to exfoliate the outside and advertise new mobile expansion to enhance pores and skin texture and deal with more than a few pores and skin problems corresponding to zits and pigmentation. Ms Silverman’s favorites are the retinol and chemical peels that her facialist Mindy Kim provides at her place of business within the Miami space. Whilst she now has her favorites, she says she has ‘been down some main rabbit holes with consultants who appeared just right at the floor however would do issues to my face and frame that made me glance worse, in order that I would come again and spend extra with them’. Once more, she says crucial factor is to do thorough analysis and to be aware of on-line opinions. She additionally warns that one of the most harsher peels require anesthesia and can also be ‘lovely robust so you seem like a burn sufferer in a while’.For the extra intense peels, she warns that restoration can take a minimum of every week so it is important to plan accordingly and ‘you’ll’t get too lots of them as a result of your pores and skin can get very, very skinny’.Do not get liposuction… at the kneesPRICE: From $3,000 to $6,000 
LEFT: The dangerous lipo Ms Silverman did in her knees with sagging afterwards RIGHT: After she had a threading remedy to rectify the problem. The specialised, dissolvable threads paintings through lifting and tightening the skinThe first time Ms Silverman attempted liposuction on her frame was once in her 30s, proper after she had her son, and he or she mentioned the enjoy was once ‘nice’. But if she went for her 2d spherical of lipo in her 40s it proved to be a crisis. Whilst getting her abdomen accomplished, the physician mentioned she may get her knees sculpted and Ms Silverman agreed. However she mentioned it was once a call she went directly to feel sorry about. She explains: ‘The lipo physician additionally advised me that she may liposuction my knees. Within the second, it gave the look of a good suggestion (this was once prior to I would discovered the horrible effects on my abdomen). ‘Oh, if most effective I may return in time! She ended up taking away an excessive amount of fats from my knees, which made them very asymmetric. ‘Now, with so a lot fats long gone, the outside on my knees began to sag majorly; I needed to get threads (specialised, dissolvable threads to raise and tighten the outside) in them. That is once I additionally began to get filler in my knees too. ‘I needed to pass again for tweaks about each and every 5 months. All in all, my liposuction enjoy was once horrible.’On account of her aggravating lipo enjoy, Ms Silverman says she would by no means counsel the remedy at the knees since the fats there may be vital. She concludes: ‘I if truth be told brought about extra harm through casting off the fats once I will have simply eaten extra protein and accomplished extra lunges on the gymnasium. Do not contact your knees.’ And… the surgical operation she was once maximum proud of?Ms Silverman says of the entire procedures she’s had, she was once maximum happy together with her mini facelift, which was once accomplished concurrently a brow raise, on the age of 47. She were given the facelift to lend a hand raise sagging pores and skin, one thing she had unsuccessfully attempted to do with fillers prior to now.’The facelift that I would had accomplished became out to be nice as the entire irritation in my cheeks and beneath my eyes began to depart’The facelift that I would had accomplished became out to be nice as the entire irritation in my cheeks and beneath my eyes began to depart,’ shes’The facelift that I would had accomplished became out to be nice as the entire irritation in my cheeks and beneath my eyes began to depart,’ she’I used to be beginning to glance sculpted, and much more lifted than I would been in my thirties.’Going ahead, Ms Silverman says she plans to care for herself via ‘vitamin, diet, understanding, and small therapies’.Ms Silverman’s e book, From Bullshit to Botox: A Riot’s Information To Self Love And Everlasting Early life, is out now
