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With millions of Americans working from home and avoiding socializing outside of their immediate family and close friends， much has been written about plummeting sales for industries that thrive on people going out， like makeup， and clothing retailers.
That is not the case for plastic surgery. On the contrary， extra time holing up at home has provided a boom in cosmetic services practices that offer popular—and pricey—skin care treatments like Botox and dermal fillers.
Even before some lockdowns were lifted around the country this summer， interest in plastic surgery was already bubbling over as people were isolating. In June， a survey conducted by the American Society of Plastic Surgeons （ASPS） of more than 1，000 consumers found that 49% of those who haven’t had plastic surgery indicated they are open to cosmetic or reconstructive treatment in the near future. Another ASPS study published the same month found that 64% of U.S. plastic surgeons had seen an increase in their telemedicine consultations since before COVID-19 began.
Based on conversations with dermatologists on both coasts， there isn’t just one motivation for this surge， but rather a convergence of some of the pandemic’s most mundane but ubiquitous traits： plenty of time spent at home， empty calendars， less socializing， face mask mandates， and Zoom.
Dr. Marie Hayag， a dermatologist and founder of Fifth Avenue Aesthetics in New York City’s Upper East Side neighborhood， underscores what she calls “the Zoom effect，” explaining she has heard a lot of complaints from new and returning patients about double chins， wrinkles， and eye bags they noticed while videoconferencing.
Hayag suggests having the extra time itself might not be the only big scheduling factor; after being stuck at home， people are looking for various ways to fill and pass the time， too.
“More patients are working from home and can receive procedures that require them to ‘hide at home’ for a few days，” says Hayag. “There are no social events to worry about in terms of downtime. And it gives them something to do， and they look forward to it. It gives them a break from Zoom meetings and their kids at home.”
In the Before Times1， one of the primary barriers to scheduling cosmetic surgery was that inability to have downtime， a necessity for both invasive and noninvasive procedures that often result in very visible bruising and discoloration while healing.
“Now that most people are working from home， that barrier has been lifted， and so more aggressive lasering isn’t as daunting as it once was，” says Dr. Dhaval G. Bhanusali， a dermatologist and laser surgeon at Hudson Dermatology and Laser Surgery， his private practice in Manhattan. “I think the countless Zoom meetings have forced us all to critically analyze ourselves， way more than we probably should.” Bhanusali notes his practice has also turned down certain patient requests more frequently. “As physicians， it is our duty to also serve our patients responsibly， and if they are being overly critical of themselves or unrealistic， we need to do the right thing and gently let them know，” he explains. “Given the current environment， that does happen quite a bit， so we have to sometimes step in and intervene.”
Business at GoodSkin Clinics， founded by Lisa Goodman， was thriving before the pandemic started and still is. And they too have had to turn down patient requests. The company’s new Los Angeles clinic opened in March， but then closed as soon as California stay-at-home orders took hold， as did its New York office. After reopening in late spring， Goodman says the clinics received an influx of requests from clients inquiring about treatments they wanted performed at home， but she says they were adamant in not entertaining these to protect the health and safety of her team.
Dr. Lisa Cassileth， a plastic and reconstructive surgeon as well as founder and CEO of Cassileth Plastic Surgery in Beverly Hills， admits she expected business to drop as the pandemic and subsequent economic crisis continued. Pre-pandemic， Cassileth says business was good as patients had more disposable income， and were excited to do popular procedures like liposuction， breast implants， and tummy tucks.
After shutdown measures went into place in March， her facility was able to stay open only for breast cancer patients， with a skeleton crew on-site for patient care while everyone else worked from home. Doctors specializing in facial aesthetic surgery did not work at all. Although most patients wanted to cancel their procedures， Cassileth says a small percentage instead moved their procedures up or frantically tried to put them on the schedule right before the shutdown. “The few that were able to undergo their procedures are very proud of themselves today， as it turned out it was a great time to recover as the world was so separated and distracted，” she says.
“As people became more in touch with themselves at home， business increased and the patient type shifted，” Cassileth explains. Instead of quick fixes and impulse procedures， patients are asking for procedures they have thought about and wanted for years. Breast reductions for 40-plus-year-olds， abdominoplasty on mothers with teenagers， and breast implant removals are common consultation topics. But not everyone has extra time these days. Since the school year started， Cassileth says there has been another round of cancellations and rebookings as many moms have increased responsibilities with kids doing remote learning. So they’re putting off their appointments until early next year when they expect （or hope） to be less busy. “The interest is up， but the free time is down.”
In the eye of the beholder
Perhaps not surprisingly， many patients have homed in on the area around their eyes as we’re all out and about wearing face masks. Goodman says under-eye fillers， quoted at $1，700 per treatment， are a top draw right now.
“I think that speaks to the fact that people are doing these treatments to feel more confident in their own skin versus impressing others， which is really great to see in my opinion，” Goodman says.
But if the most visible part of the face is now around the eyes and forehead because of face masks， it’s also thanks to face masks that cosmetic surgery patients are increasingly eager to get work done around their nose or lips—precisely because they’ll remain hidden while bruised and discolored during recovery.
“Masks can cover any temporary bruises and marks on the lower part of the face，” Hayag says. “Patients that delayed their maintenance treatments for months were desperate to begin anew their beauty regimen after seeing what a difference it made to their appearance.”
As the pandemic continues， Hayag posits that the upward trend for cosmetic procedures will continue for a multitude of reasons， including that the practices of social distancing and wearing face masks will likely continue even after a vaccine for COVID-19 has been approved. Patients have also become more comfortable with telemedicine and consults via videoconferencing software， and many people will probably continue to work from home， at least more frequently if not daily.
Bhanusali thinks we are going to see more and more cosmetic procedures， but the trend will be toward a more natural look and aesthetic.
隨着数以百万计的美国人在家办公，避免与直系亲属和亲密好友以外的人交往，已经有大量报道讨论化妆品和服装零售等行业的销售额暴跌，这些行业都要依靠人们出门才能生意兴隆。
整形手术就没有这方面的问题。人们有更多的时间待在家里，反而带动了整容服务业务的繁荣，这些服务提供肉毒杆菌注射和皮肤填充等颇受欢迎而价格不菲的皮肤护理。
甚至早在2020年夏天美国一些地区解除封锁措施前，人们尚在隔离期间便对整形手术兴趣盎然。2020年6月，美国整形外科医生协会对1000多名消费者进行的一项调查发现，49%没有做过整形手术的受访者表示，他们愿意在不久的将来接受整容或整形治疗。该协会在同月公布的另一项研究报告发现，新冠疫情开始前以来，64%的美国整形外科医生的远程医疗咨询量已经有所增加。
根据与美国两岸皮肤科医生的交流，这种需求急剧增长的诱因不止一个，而是这次疫情最普通却也最普遍的几个特点在共同起作用：人们有大量时间待在家里，日程安排出现空白，社交活动减少，强制要求戴口罩，还有Zoom视频会议。 纽约市上东区第五大道美学中心的创始人、皮肤科医生玛丽·哈亚格博士强调了她所说的“Zoom会议效应”，她解释说，她听到很多新老病人抱怨，他们在视频会议期间注意到自己有双下巴、皱纹和眼袋。
哈亚格说，有更多的时间本身可能不是计划做手术的唯一重要因素;由于困在家里不能外出，人们也在寻找各种方法来利用和打发时间。
“越来越多的患者在家办公，可以接受需要他们‘宅’几天的手术。”哈亚格说，“停工休养期间，没有什么社交活动让人顾忌。手术让他们有事情可做，他们也期待手术，这让他们可以暂时摆脱Zoom会议和家里的孩子。”
新冠疫情开始前，安排整容手术的一个主要限制是没有停工休养时间，有创手术和无创手术都必须有休养时间，因为这些手术往往导致病人在愈合过程中有非常明显的淤青和皮肤变色。
“现在大多数人都在家办公，这个限制已经不復存在，所以更高强度的激光手术不像以前那么令人生畏。”达瓦尔·G.巴努萨利博士说道，他是皮肤科和激光外科医生，在曼哈顿开了自己的哈德孙皮肤病和激光外科私人诊所，“我认为是众多的Zoom会议迫使我们所有人以批判的眼光审视自己，远超过我们或许应该审视的程度。”
巴努萨利说，他的诊所也更频繁地拒绝了某些病人的要求。“作为医生，负责任地为患者提供服务也是我们的职责，如果他们对自己过于苛刻或有不切实际的要求，我们需要加以正确的引导，温和地告诉他们。”他解释说，“考虑到目前的环境，这种情况确实经常发生，所以我们有时候不得不予以干预。”
莉萨·古德曼创办的美丽肌肤诊所在疫情开始前生意兴隆，现在依然如此。而他们也不得不拒绝病人的要求。该公司在洛杉矶的新诊所于2020年3月开业，但在加利福尼亚州居家令生效后很快关闭，纽约的诊所也关门歇业。古德曼说，在春末重新开业后，几家诊所都收到了大量客户请求，咨询他们希望在家里接受的治疗，但她说，为了保护自己团队的健康和安全，各诊所坚决没有受理这些请求。
莉萨·卡西莱思博士是整形外科医生，也是位于贝弗利山的卡西莱思整形外科诊所的创始人兼首席执行官。她承认，曾以为业务量会随着新冠疫情和随后的经济危机的继续而减少。卡西莱思说，疫情前生意很好，因为患者有更多的可支配收入，很乐意做抽脂、隆胸和腹壁整形等受欢迎的手术。
2020年3月封锁措施实施以后，她的诊所只能对乳腺癌患者开放，留下基干人员在现场对患者进行护理，其他人都在家里工作。专门做面部美容手术的医生根本不用工作。虽然大多数患者都想取消手术，但卡西莱思说，有少部分人反而提前了手术时间，或者不顾一切地设法在诊所停业前把手术排上日程。她说：“少数能够进行手术的人现在感到非常自豪，因为事实证明，在全世界都分隔开来、心神不定的时候，正是术后恢复的好时机。”
卡西莱思解释说：“由于人们待在家里更注重自我感受，业务增多了，患者类型也发生了变化。”现在患者要做的不是快速修复和出于冲动安排的手术，而是他们多年来一直考虑想做的手术。40多岁的人缩小胸部，十几岁孩子的母亲做腹壁整形术，去除乳房植入物，都是常见的咨询话题。
但现在不是每个人都有空闲时间。卡西莱思说，从新学年开始以来，由于许多母亲平添了照顾孩子远程学习的责任，又出现了新一轮的取消预约和预约改期。因此他们把预约时间推迟到2021年年初，预计（或者说希望）到时候不会那么忙。“人们的兴趣是增加了，空余时间却减少了。”
美在观者的眼睛
在我们都戴着口罩出门的时候，许多患者会重视他们的眼周区域，这也许不足为奇。古德曼说，治疗报价为每次1700美元的眼下填充术目前最受欢迎。
古德曼说：“我认为这表明了一个事实，即人们做这些治疗是为了对自己的皮肤更有信心，而不是给别人留下深刻印象，我觉得这种态度真的很不错。”
如果说戴口罩让眼周和额头现在成了脸上最显眼的部位，那么也多亏了戴口罩，整容患者越来越热衷于在鼻子或嘴周围动手术，正是因为口罩可以在手术恢复期间遮掩淤青和皮肤变色。
“口罩可以遮盖下半张脸暂时出现的淤青和痕迹。”哈亚格说，“那些推迟了几个月做维持治疗的患者，看到治疗给他们的外形带来的变化后，迫切地想要开始新的美容治疗。”
哈亚格认为，随着疫情的持续，整形手术将继续呈上升趋势，其中有很多原因，包括，即便在新冠疫苗获得批准后，保持社交距离和戴口罩的习惯可能也会持续下去。病人也已经更习惯于远程医疗和通过视频会议软件咨询，许多人可能将继续在家工作，即使不是每天如此，居家办公至少也会更常见。
巴努萨利认为，我们会看到越来越多的整容手术，但整容趋势将朝着更自然的外观和审美方向发展。
（译者为“《英语世界》杯”翻译大赛获奖者）
That is not the case for plastic surgery. On the contrary， extra time holing up at home has provided a boom in cosmetic services practices that offer popular—and pricey—skin care treatments like Botox and dermal fillers.
Even before some lockdowns were lifted around the country this summer， interest in plastic surgery was already bubbling over as people were isolating. In June， a survey conducted by the American Society of Plastic Surgeons （ASPS） of more than 1，000 consumers found that 49% of those who haven’t had plastic surgery indicated they are open to cosmetic or reconstructive treatment in the near future. Another ASPS study published the same month found that 64% of U.S. plastic surgeons had seen an increase in their telemedicine consultations since before COVID-19 began.
Based on conversations with dermatologists on both coasts， there isn’t just one motivation for this surge， but rather a convergence of some of the pandemic’s most mundane but ubiquitous traits： plenty of time spent at home， empty calendars， less socializing， face mask mandates， and Zoom.
Dr. Marie Hayag， a dermatologist and founder of Fifth Avenue Aesthetics in New York City’s Upper East Side neighborhood， underscores what she calls “the Zoom effect，” explaining she has heard a lot of complaints from new and returning patients about double chins， wrinkles， and eye bags they noticed while videoconferencing.
Hayag suggests having the extra time itself might not be the only big scheduling factor; after being stuck at home， people are looking for various ways to fill and pass the time， too.
“More patients are working from home and can receive procedures that require them to ‘hide at home’ for a few days，” says Hayag. “There are no social events to worry about in terms of downtime. And it gives them something to do， and they look forward to it. It gives them a break from Zoom meetings and their kids at home.”
In the Before Times1， one of the primary barriers to scheduling cosmetic surgery was that inability to have downtime， a necessity for both invasive and noninvasive procedures that often result in very visible bruising and discoloration while healing.
“Now that most people are working from home， that barrier has been lifted， and so more aggressive lasering isn’t as daunting as it once was，” says Dr. Dhaval G. Bhanusali， a dermatologist and laser surgeon at Hudson Dermatology and Laser Surgery， his private practice in Manhattan. “I think the countless Zoom meetings have forced us all to critically analyze ourselves， way more than we probably should.” Bhanusali notes his practice has also turned down certain patient requests more frequently. “As physicians， it is our duty to also serve our patients responsibly， and if they are being overly critical of themselves or unrealistic， we need to do the right thing and gently let them know，” he explains. “Given the current environment， that does happen quite a bit， so we have to sometimes step in and intervene.”
Business at GoodSkin Clinics， founded by Lisa Goodman， was thriving before the pandemic started and still is. And they too have had to turn down patient requests. The company’s new Los Angeles clinic opened in March， but then closed as soon as California stay-at-home orders took hold， as did its New York office. After reopening in late spring， Goodman says the clinics received an influx of requests from clients inquiring about treatments they wanted performed at home， but she says they were adamant in not entertaining these to protect the health and safety of her team.
Dr. Lisa Cassileth， a plastic and reconstructive surgeon as well as founder and CEO of Cassileth Plastic Surgery in Beverly Hills， admits she expected business to drop as the pandemic and subsequent economic crisis continued. Pre-pandemic， Cassileth says business was good as patients had more disposable income， and were excited to do popular procedures like liposuction， breast implants， and tummy tucks.
After shutdown measures went into place in March， her facility was able to stay open only for breast cancer patients， with a skeleton crew on-site for patient care while everyone else worked from home. Doctors specializing in facial aesthetic surgery did not work at all. Although most patients wanted to cancel their procedures， Cassileth says a small percentage instead moved their procedures up or frantically tried to put them on the schedule right before the shutdown. “The few that were able to undergo their procedures are very proud of themselves today， as it turned out it was a great time to recover as the world was so separated and distracted，” she says.
“As people became more in touch with themselves at home， business increased and the patient type shifted，” Cassileth explains. Instead of quick fixes and impulse procedures， patients are asking for procedures they have thought about and wanted for years. Breast reductions for 40-plus-year-olds， abdominoplasty on mothers with teenagers， and breast implant removals are common consultation topics. But not everyone has extra time these days. Since the school year started， Cassileth says there has been another round of cancellations and rebookings as many moms have increased responsibilities with kids doing remote learning. So they’re putting off their appointments until early next year when they expect （or hope） to be less busy. “The interest is up， but the free time is down.”
In the eye of the beholder
Perhaps not surprisingly， many patients have homed in on the area around their eyes as we’re all out and about wearing face masks. Goodman says under-eye fillers， quoted at $1，700 per treatment， are a top draw right now.
“I think that speaks to the fact that people are doing these treatments to feel more confident in their own skin versus impressing others， which is really great to see in my opinion，” Goodman says.
But if the most visible part of the face is now around the eyes and forehead because of face masks， it’s also thanks to face masks that cosmetic surgery patients are increasingly eager to get work done around their nose or lips—precisely because they’ll remain hidden while bruised and discolored during recovery.
“Masks can cover any temporary bruises and marks on the lower part of the face，” Hayag says. “Patients that delayed their maintenance treatments for months were desperate to begin anew their beauty regimen after seeing what a difference it made to their appearance.”
As the pandemic continues， Hayag posits that the upward trend for cosmetic procedures will continue for a multitude of reasons， including that the practices of social distancing and wearing face masks will likely continue even after a vaccine for COVID-19 has been approved. Patients have also become more comfortable with telemedicine and consults via videoconferencing software， and many people will probably continue to work from home， at least more frequently if not daily.
Bhanusali thinks we are going to see more and more cosmetic procedures， but the trend will be toward a more natural look and aesthetic.
隨着数以百万计的美国人在家办公，避免与直系亲属和亲密好友以外的人交往，已经有大量报道讨论化妆品和服装零售等行业的销售额暴跌，这些行业都要依靠人们出门才能生意兴隆。
整形手术就没有这方面的问题。人们有更多的时间待在家里，反而带动了整容服务业务的繁荣，这些服务提供肉毒杆菌注射和皮肤填充等颇受欢迎而价格不菲的皮肤护理。
甚至早在2020年夏天美国一些地区解除封锁措施前，人们尚在隔离期间便对整形手术兴趣盎然。2020年6月，美国整形外科医生协会对1000多名消费者进行的一项调查发现，49%没有做过整形手术的受访者表示，他们愿意在不久的将来接受整容或整形治疗。该协会在同月公布的另一项研究报告发现，新冠疫情开始前以来，64%的美国整形外科医生的远程医疗咨询量已经有所增加。
根据与美国两岸皮肤科医生的交流，这种需求急剧增长的诱因不止一个，而是这次疫情最普通却也最普遍的几个特点在共同起作用：人们有大量时间待在家里，日程安排出现空白，社交活动减少，强制要求戴口罩，还有Zoom视频会议。 纽约市上东区第五大道美学中心的创始人、皮肤科医生玛丽·哈亚格博士强调了她所说的“Zoom会议效应”，她解释说，她听到很多新老病人抱怨，他们在视频会议期间注意到自己有双下巴、皱纹和眼袋。
哈亚格说，有更多的时间本身可能不是计划做手术的唯一重要因素;由于困在家里不能外出，人们也在寻找各种方法来利用和打发时间。
“越来越多的患者在家办公，可以接受需要他们‘宅’几天的手术。”哈亚格说，“停工休养期间，没有什么社交活动让人顾忌。手术让他们有事情可做，他们也期待手术，这让他们可以暂时摆脱Zoom会议和家里的孩子。”
新冠疫情开始前，安排整容手术的一个主要限制是没有停工休养时间，有创手术和无创手术都必须有休养时间，因为这些手术往往导致病人在愈合过程中有非常明显的淤青和皮肤变色。
“现在大多数人都在家办公，这个限制已经不復存在，所以更高强度的激光手术不像以前那么令人生畏。”达瓦尔·G.巴努萨利博士说道，他是皮肤科和激光外科医生，在曼哈顿开了自己的哈德孙皮肤病和激光外科私人诊所，“我认为是众多的Zoom会议迫使我们所有人以批判的眼光审视自己，远超过我们或许应该审视的程度。”
巴努萨利说，他的诊所也更频繁地拒绝了某些病人的要求。“作为医生，负责任地为患者提供服务也是我们的职责，如果他们对自己过于苛刻或有不切实际的要求，我们需要加以正确的引导，温和地告诉他们。”他解释说，“考虑到目前的环境，这种情况确实经常发生，所以我们有时候不得不予以干预。”
莉萨·古德曼创办的美丽肌肤诊所在疫情开始前生意兴隆，现在依然如此。而他们也不得不拒绝病人的要求。该公司在洛杉矶的新诊所于2020年3月开业，但在加利福尼亚州居家令生效后很快关闭，纽约的诊所也关门歇业。古德曼说，在春末重新开业后，几家诊所都收到了大量客户请求，咨询他们希望在家里接受的治疗，但她说，为了保护自己团队的健康和安全，各诊所坚决没有受理这些请求。
莉萨·卡西莱思博士是整形外科医生，也是位于贝弗利山的卡西莱思整形外科诊所的创始人兼首席执行官。她承认，曾以为业务量会随着新冠疫情和随后的经济危机的继续而减少。卡西莱思说，疫情前生意很好，因为患者有更多的可支配收入，很乐意做抽脂、隆胸和腹壁整形等受欢迎的手术。
2020年3月封锁措施实施以后，她的诊所只能对乳腺癌患者开放，留下基干人员在现场对患者进行护理，其他人都在家里工作。专门做面部美容手术的医生根本不用工作。虽然大多数患者都想取消手术，但卡西莱思说，有少部分人反而提前了手术时间，或者不顾一切地设法在诊所停业前把手术排上日程。她说：“少数能够进行手术的人现在感到非常自豪，因为事实证明，在全世界都分隔开来、心神不定的时候，正是术后恢复的好时机。”
卡西莱思解释说：“由于人们待在家里更注重自我感受，业务增多了，患者类型也发生了变化。”现在患者要做的不是快速修复和出于冲动安排的手术，而是他们多年来一直考虑想做的手术。40多岁的人缩小胸部，十几岁孩子的母亲做腹壁整形术，去除乳房植入物，都是常见的咨询话题。
但现在不是每个人都有空闲时间。卡西莱思说，从新学年开始以来，由于许多母亲平添了照顾孩子远程学习的责任，又出现了新一轮的取消预约和预约改期。因此他们把预约时间推迟到2021年年初，预计（或者说希望）到时候不会那么忙。“人们的兴趣是增加了，空余时间却减少了。”
美在观者的眼睛
在我们都戴着口罩出门的时候，许多患者会重视他们的眼周区域，这也许不足为奇。古德曼说，治疗报价为每次1700美元的眼下填充术目前最受欢迎。
古德曼说：“我认为这表明了一个事实，即人们做这些治疗是为了对自己的皮肤更有信心，而不是给别人留下深刻印象，我觉得这种态度真的很不错。”
如果说戴口罩让眼周和额头现在成了脸上最显眼的部位，那么也多亏了戴口罩，整容患者越来越热衷于在鼻子或嘴周围动手术，正是因为口罩可以在手术恢复期间遮掩淤青和皮肤变色。
“口罩可以遮盖下半张脸暂时出现的淤青和痕迹。”哈亚格说，“那些推迟了几个月做维持治疗的患者，看到治疗给他们的外形带来的变化后，迫切地想要开始新的美容治疗。”
哈亚格认为，随着疫情的持续，整形手术将继续呈上升趋势，其中有很多原因，包括，即便在新冠疫苗获得批准后，保持社交距离和戴口罩的习惯可能也会持续下去。病人也已经更习惯于远程医疗和通过视频会议软件咨询，许多人可能将继续在家工作，即使不是每天如此，居家办公至少也会更常见。
巴努萨利认为，我们会看到越来越多的整容手术，但整容趋势将朝着更自然的外观和审美方向发展。
（译者为“《英语世界》杯”翻译大赛获奖者）