PITTSBURGH >>

If age is said to be a state of mind, then why not match your look on the outside to the way you feel on the inside?

For Lela Covey, 61, who lives near Wheeling, W.Va., that meant treating herself to the occasional skin peel and fillers. A Las Vegas native, she’s a former fashion model who graced the runways of Chanel and Dior and the pages of Vogue in her day.

“I’ve always been interested in health and beauty and fitness. All of those things are intertwined,” she said. “It’s important that you work on all those aspects of your health. That’s the revolution that’s taking place.”

That philosophy — along with personal tales from friends — motivated her to pursue something more permanent, a minimally invasive QuickLift face lift at The Skin Center Medical Spa in Pittsburgh.

“It’s nice to be able to be in my 60s and feel like you’re 40 and have the energy and physical and mental health of someone in their 40s,” she said.

A rising number of boomers and beyond are trying to achieve just that, with help from cosmetic procedures — especially nonsurgical ones with little or no downtime. In the last five years, nonsurgical cosmetic procedures (think injectables such as Botox and Juvederm Ultra) have increased by 93 percent for those 65 and older, reports the American Society for Aesthetic Plastic Surgery. For surgical procedures, there’s been a 58 percent spike. In just two decades, the total number of procedures for this age group is up 1,263 percent.

“People are living longer and working longer. That is what I think really is driving this,” said plastic surgeon Leo McCafferty.

Ample information on TV and the internet has helped fuel curiosity, too. Plus, because of selfies, people have a heightened awareness of what they look like as the years tick by — particularly around the eyes and neck. In 2016, eyelid surgery (to correct drooping) and facelifts were among the top three surgical procedures for both the 51- to 64-year-olds and the 65-plus age groups, according to the American Society for Aesthetic Plastic Surgery. (The other one was liposuction.)

For nonsurgical options, botulinum toxin injectables (including Botox, Dysport and Xeomin) and hyaluronic acid injectables (Juvederm Ultra, Ultra Plus, Voluma, Perlane, Restylane and Belotero) were popular for both age groups, as well as nonsurgical skin-tightening procedures for 51- to 64-year-olds and skin-rejuvenating chemical peels for the 65-plus demographic.

More research and a better understanding by doctors of how the face ages has allowed for more natural-looking results.

“We used to think gravity was pulling everything down, so we pulled everyone tight. We saw all of the consequences of that — people looked pulled or really tight,” said Suzan Obagi, associate professor of dermatology and plastic surgery at the University of Pittsburgh.

What actually happens with age, she said, is the face loses bone. At the same time, fat tends to diminish around the cheeks, temples and jawline. This combination gives skin a sagging, deflated look and can make the eyes appear more hollow. The key to addressing these features is through a treatment plan that targets multiple areas of the face.

“If you look too full in one area, you’ll look out of balance with the rest of the face,” Obagi said. “If things are done correctly, nobody should know what’s been done on a patient.”

At The Skin Center Medical Spa, which has locations in Pittsburgh and Columbus, Ohio, hair transplants (particularly for men) and neck tightening with laser treatments are in demand, said founding director and cosmetic surgeon Dominic Brandy. Also popular are collagen induction treatments like microneedling. A handheld pen-shaped device with tiny needles at the tip is stamped across the face to increase the penetration and effectiveness of the topical treatments that are applied. For faster results, platelet rich plasma from the patient’s blood is added to the treatment. (The plasma mix also can be added to fat transfer procedures, scalp treatments for thinning hair and even joint therapy to boost effectiveness.)

“That’s something that’s going to continue to grow and grow as we get more knowledge and research on it,” Brandy said about the plasma injections.

He also sees a lot of clients for what he’s dubbed the “grandma makeover” — a combination of tummy tucks, ab etching, liposuction and Brazilian butt lifts.

No matter what procedure a person selects, though, it’s important to do your homework.

“It’s important that people check credentials and make sure a doctor is board-certified and has privileges in the hospital,” even if the procedure isn’t being done in one, McCafferty said. Also, be cautious about receiving nonsurgical procedures at home parties or salons, where it can be more challenging to control the sterility of the environment and how products are stored.

“The key is don’t cut corners,” Obagi said. “You have the luxury of electing whether you want to do this or not, so you must do a good job of selecting who does this for you.”