I recently received an email from a woman who read my article on facial exercises and passed it on to Carole Maggio. Ms. Maggio runs the Web site www.facercise.com which is devoted to, you guessed it, facial exercises. According to the Web site, Maggio is considered “the world’s foremost authority on facial exercises.” I’m not going to argue with that attribute, but from my point of view that’s sort of like being the foremost authority on how to use a rotary dial phone.
Obviously, Ms. Maggio didn’t like what I wrote about facial exercises, which is that they do not work to reduce wrinkles or improve sagging skin in any way, shape, or form. For any signs of aging, including sagging skin, facial exercises can do more harm than good.
Maggio’s criticism was not only of my information but on my expertise. She states in her newsletter that my “only real tie to the skin-care industry is as a former makeup artist” and that I am not a doctor. It is true I am not a doctor, but I have given presentations at international dermatology conferences; I belong to the Society of Cosmetic Chemists; I have been actively involved in the cosmetic industry for 30 years; and, I have written over 18 best-selling books on skin care and makeup. Oops, I almost forgot, I also formulate all of my Paula’s Choice products. Yes, I am also a former makeup artist but clearly my credentials go far beyond that.
Maggio also wrote that Doctors Nicholas Perricone and Mehmet C. Oz have recommended facial exercises as a means to look younger. I am not surprised Perricone gave a nod to this silly practice, as history has shown he’ll say just about anything to get the attention of those concerned with aging (regardless of whether there’s solid research to support his advice). After all, Perricone sells over a dozen products priced over $100 claiming to get rid of wrinkles, yet like most dermatologists, he has done Botox injections for his patients.
But Maggio is wrong about Dr. Oz. In the book he co-wrote with Dr. Michael F. Roizen, You Being Beautiful, they state the following: “Exercising the facial muscles is a sure way to increase wrinkles. The facial muscles pull on the skin to give you facial expressions. And the repetitive movements of the skin, over the years, combined with the normal thinning of the collagen and elastin of the dermis, will eventually crack the skin, causing wrinkles. Botox is the reverse of exercise; it paralyzes muscles and lessens wrinkles.”
However, despite what Oz wrote in the book, he mentioned on his show a Japanese study that may give credence to the idea that facial exercises work. However, this study was not about facial exercises but about measuring skin elasticity at different ages (Source: Journal of Dermatological Science, September 2007, pages 233–239). Of course Maggio left out the discrepancy between Oz’s comment on his show, the actual study, and what was written in his book.
Speaking of Botox, Maggio was very upset that I’d recommend this procedure over facial exercises. According to her, facial exercises are natural, which they are, but they don’t work, so it doesn’t matter if they are natural. Actually, Botox is natural as well: it comes from a naturally occurring neurotoxin that’s purified and made safe for use in people. You may not know that there are over 4,000 studies showing Botox’s benefit for everything from wrinkles to cerebral palsy, while no such studies exist for facial exercises.
Maggio seemingly couldn’t find any of those 4,000+ studies as she asks in her newsletter, “Where are the studies proving Botox is effective and safe for long-term use?” She should have checked the United States National Library of Medicine National Institutes’ of Health’s web site at www.pubmed.com; they are all there.
Suffice to say, I strongly stand by my article and research about facial exercises. According to abundant research, facial exercises provide no benefit because lack of muscle tone is not the cause of wrinkles or sagging. In fact, muscle tone is barely involved in these at all. The skin’s sagging and drooping are caused by 10 major factors:
1. Deteriorated collagen and elastin (due primarily to sun damage and inflammation)
2. Depletion and movement of the skin’s fat layer
3. Repetitive facial movement (particularly true for the forehead frown lines and for smile lines from the nose to the mouth)—muscle movement causes wrinkles
4. Muscle sagging due to the loosening of facial ligaments that hold the muscles in place, not because muscles aren’t toned
5. Hormone loss
6. Bone loss
7. Gravity
8. Genetics
9. Skin cells stop reproducing as we age
10. SUN DAMAGE!
You can exercise your face if you want, but I would strongly suggest taking the time to exercise your body and applying sunscreen during the day—it will serve you far better than making funny faces in the mirror, manipulating your facial skin toward more wrinkles.




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