When we look at celebrity photos in magazines, we often find ourselves making an instant evaluation. Has this person had cosmetic surgery or are they ‘growing old gracefully’? The two possibilities are seen as being mutually exclusive ‒ you are either in the cosmetic treatments camp or you are not ‒ but there is a whole cast of actresses in the 35 to 50 age range who have looked exactly the same for the last 20 years. How is this possible?

Dr Gerald Imber, a celebrity New York surgeon, says this is entirely possible; what is more, if you can’t tell someone is ageing, they are doing it right. By following his method of starting early with ‘tiny fixes’, he claims his patients can essentially freeze their age. By starting to undertake regular procedures at the age of 30, a woman can look exactly the same until she is in her 60s. What does he mean by ‘tiny fixes’?

The key to his method is not surgery per se, but regular non-invasive treatments from your cosmetic surgeon designed to help the skin to retain its youthful qualities. Facials, skin peels, laser treatments, Botox, fat transfers and injectables are all on his list of to-do treatments; however, is he really saying we should start doing all this in our 30s? He is, and even earlier if required.

This stance goes against the accepted advice that we should wait until as late as possible to have cosmetic treatments; however, it has gained support in the sense that it is a method that will allow you to grow old gracefully. Younger skin reacts better to interventions than older skin. If we want to reduce the deep wrinkles, sagging skin and sun damage marks often tackled in later life, it is best to avoid them in the first place.

There is a difference between an actress who earns millions for being beautiful and ageless and the majority of us who would just like to look our best, of course. Luckily this is where we can take some of Dr Imber’s advice. By making sure we always use SPF 15 or higher moisturiser, not smoking and actively managing our weight, we are giving our skin the best of chance in later life.

That said, sooner or later ‒ and probably before our 40s ‒ we will start to notice signs of sun damage, which is when skin peels or microdermabrasion treatments will be needed. These treatments work in the same way as a deep exfoliating facial. By either dissolving the older surface skin or buffing it away, a fresh, more youthful layer of skin is revealed. Likewise, when our skin begins to lose its elasticity, collagen-boosting treatments are recommended. The Dermal Roller is one way to encourage the skin’s natural healing processes.

Choosing cosmetic procedures to delay the effects of ageing does not have to be an all-or-nothing choice. With the right advice and approach, we can all look better for longer and still be proud that we are growing old gracefully.