It’s the time of year where we all take out our crystal balls and try to predict what’s to come. Here are a few things the world's largest specialty association for facial plastic surgery expects in 2017.

1. That “aha!” moment

With the growing array of hyaluronic acid (HA)-based fillers already on the market, and even more to come, facial plastic surgeons are becoming increasingly adept at knowing how and when to use these injectables to achieve natural-looking results.

In fact, according to survey results, 64 percent of our members saw an increase in cosmetic surgery or injectable treatments in patients under age 30 last year. The newest crop of HA fillers — including designer ones such as Volbella for lips and Voluma and Restylane Lyft for cheeks and chins — are just the tip of the iceberg.

“There are many HA fillers available in Canada and Europe that we expect to be approved in the U.S. in coming years,” says Dr. Fred Fedok, a facial plastic surgeon. “Each of the available HA fillers has different consistency, and we are now able to mix and match for an individualized and comprehensive anti-aging solutions. It’s a real ‘aha!’ moment for doctors and patients who now realize what is possible without surgery.”

2. Combination therapy is still king

Facial plastic surgeons are becoming experts at stacking procedures, whether fillers plus neurotoxins to smooth wrinkles or treatments to raise and lift sagging tissues plus laser skin resurfacing to get rid of excessive hyperpigmentation.

“By combining noninvasive therapies, we can address most or many of the signs of facial aging — without surgery,” adds Dr. Fedok. “This has never before been possible, and it is helping to postpone the need for surgical facelifts.”

In 2015 annual survey results, 64 percent of those same members saw an increase in cosmetic surgery or injectable treatments in patients under age 30 last year.

3. Been there, done that

Reality shows such as “Extreme Makeover” first got people talking about plastic surgery, and that conversation continues to this day. “The stigma around ‘getting a little work done’ is diminishing, and many people — not just celebrities — are open about what they have had done or what they want to have done,” says Dr. Edwin Williams.

“It’s a very positive trend that people are now more open to sharing their experiences, especially on social media. The results we can achieve with facial plastic surgery and minimally invasive treatments are so natural and more subtle, most people cannot tell what has been done unless they told you.”

4. New niche procedures

Have an aesthetic pet peeve? Maybe your earlobes hang a bit too low or perhaps that extra fat under your chin drives you to distraction? Whatever bothers you, whether it is hereditary or caused by aging or trauma, there is likely a procedure to target it that is safe and effective.

“We have a growing number of procedures aimed at very specific trouble spots with little downtime that provide a natural and subtle improvement,” says Dr. Williams. For example, facial plastic surgeons can harness the power of cryolipolysis to freeze away under-chin fat, and eyebrow transplants can help fill in all the blanks that resulted from years of over-tweezing and waxing, and modern rhinoplasty techniques often include injectable fillers.

5. The glam-ma’s are coming

Glam-ma’s are the new grandmas. They are glamourous, youthful, photo-shoot ready and plan to stay that way for a long time. “It is increasingly common for women and men in their 60s and 70s to seek out the expertise of facial plastic surgeons to maintain a youthful appearance,” says Dr. Fedok.

Over the last two decades, facelifts and cosmetic eyelid surgeries have doubled among people 65 and up.

6. Needle-less Injections

The novel uses for botulinum toxins (Botox Cosmetic, Dysport, Xeomin) continue to expand and the news is filled with the next wave of areas that may benefit from neuromodulators. Revance’s topical Botox and Topokine Therapeutic’s investigational cream for under-the-eyelid fat, as well as gel for reduction of smile lines, are on the horizon. And there will be more anti-aging options than ever for needlephobes in the coming years. Watch this space.

7. Stem cells and growth factors

Fat grafting will continue to be the biggest game in 2017, thanks to refinements in harvesting techniques — as well as more reliable, reproducible results with or without facial surgery. “Research on the power of stem cells and growth factors found in fat and platelet rich plasma will continue to take center stage in the coming years,” says Dr. Williams.

Microneedling, followed by topical growth factors, is also picking up steam for everything from scar reduction to lines and wrinkles. “It’s a very exciting time to be a facial plastic surgeon,” adds Dr. Williams.

As plastic surgery becomes more mainstream, and more alluring to patients of all ages, consumers are urged to select a board-certified surgeon who specializes in plastic surgery of the face, head and next. Research providers and the treatment information via trusted online sources before scheduling your cosmetic procedure. Review before-and-after options, and don’t be afraid to ask tough questions about background and credentials.

Trust your face to a facial plastic surgeon. You’ll come out looking gorgeous — and stay safe and healthy in the process. That’s a win-win.