All in all I’ve been happy (actually, really happy) with the results I’ve experienced from the medical corrective procedures I’ve chosen. I do look younger, my tummy is flat (even though I’ve gained some weight since the operation), my face is doing great (no surgery, just Botox, dermal injections, and laser resurfacing), and my breasts have held up pretty well (no pun intended).

The problems I’ve experienced along the way was due to my tummy tuck (pretty major complications) and with the form of dermal injection I chose, Artecoll (also called ArteFill).

Why did I choose Artecoll? Well, I’m pretty high maintenance as it is, given how often I have to get my hair and nails done for media appearances and photo shoots. I already get Botox once every 6 to 7 months. So, anything I can do to spread out appointments, especially those requiring downtime, I’ll do.

I chose Artecoll because it lasts for years. Some would say it lasts “permanently” (but permanent needs qualifying because while Artecoll doesn’t break down the face will still “age” and the younger appearance will diminish).

The first time I had Artecoll injected was in 2000, and though I probably could’ve waited another two or three years at least. At the time, I wanted to get my lower lip done anyway and adding a little more along my upper lip and the fold that runs between the nose and lip made sense. I wanted a fresher, but still natural, appearance.

I know all the risks with dermal fillers. Artecoll shares the same risks with every other filler but Artecoll has an additional twist. Because Artecoll is a “permanent” filler the problem is that when something goes wrong the complication often remains. That was what happened for me. I got small, relatively imperceptible granulomas (little hard bumps) that I could slightly feel around my lips. Those little lumps did eventually go away (at least as far as I could feel). However, even now, if I press too hard on my lips to remove lipstick or once in a while in the middle of an intense kiss, it does ache. Not the best, but damn it does look good!

A few months back headlines in the British news mentioned that an ad for mascara in a popular fashion magazine wasn’t a picture of the model wearing the advertised mascara but, horrors of horrors, she was really wearing false eyelashes. When a U.S. reporter called to ask for my opinion about this revelation my immediate reaction was, you’ve got to be kidding. I thought this can’t be the first time anyone noticed this! In the 30 years I’ve been part of the cosmetics industry I’m fairly certain I have never seen an ad for mascara where the model wasn’t wearing false eyelashes (at least individual false lashes, meticulously placed).

What I found jaw-dropping is that these reporters and editors thought this was newsworthy. How can this possibly be considered news of any kind? Have these reporters (all women) never really looked at an ad for a cosmetic that closely before? Are we so easily fooled by something this obvious? Talk about missing the elephant in the room! Next thing you know the news will be reporting on the revelation that pictures in magazines are extensively retouched via sophisticated computer programs or that the makeup on the model is rarely, if ever, the product or products being advertised. And any model over age 35 without a trace of visible wrinkles? Give me a break!

Respectfully, I know that on some level we know these ads are phony, but the desire to believe otherwise, to want the fantasy that a mere purchase of a mascara, foundation, or anti-wrinkle cream can truly alter our everyday appearance to the sublime is overwhelming for most women. That’s where our hope turns us into gullible, susceptible innocents at the mercy of the cosmetics industry. We’re ready to believe whatever they tell or show us. And don’t think you aren’t influenced, because you are. Those ads generate humongous sales or companies wouldn’t endlessly spend millions of dollars every month on myriad ads in major fashion magazines and on television to get your attention.

If you want to avoid getting sucked in the next time you pick up a fashion magazine or see an ad on television, here are the basics to remember:

1. Models and celebrities in fashion advertising are already gorgeous, with perfect skin and features. They can be enhanced but they started out with the bar already set above us mere mortals. Every model has been further transformed by talented makeup artists, hairstylists, stylists, and lighting experts.
2. Even after all the coifing, styling, makeup, posing, and the thousands of pictures taken so the best one can be selected, the picture is still extensively touched up to remove or drastically soften any flaws. I’ll never forget the time a model told me that she doesn’t look as good in real life as she does in pictures.
3. The women in hair dye ads do not get that color from the dye being advertised. Those highlights and flowing tresses took experts a great deal of time to achieve. The look was accomplished in a salon after hours of processing and styling, not in the model’s bathroom!
4. The women in the ads for shampoos and conditioners did not get their hair to look that way because of any shampoo or conditioner. It took lots of highlights, blow drying, flat ironing, curlers, styling products, and on and on to achieve the look that finally gets photographed for the ad.
5. Regardless of the claims asserted and the claims about what studies show, if it sounds too good to be true, it isn’t true. All cosmetic companies hire labs to create studies that prove their claims. My favorite example is ProActiv. Their results are stilted and embellished. The research on acne treatment does not support what they claim is true for their products (even Jessica Simpson on her own reality show said Accutane is what cured her acne!).
6. Wrinkle creams don’t replace plastic surgery, Botox, dermal injections, lasers, or light treatments, regardless of the name brand or who is selling the product (and it’s often a doctor who performs the real deal procedures, which is incredibly disingenuous).

There are many products out there that can make a noticeable difference in your appearance. But trying to live up to the images used to sell these products—expecting your results will be the same—is the stuff dreams are made of!