Dr. Prasad speaks at The Aesthetic Show in Las Vegas about PRP and The Vampire Facelift

Dr. Prasad at The Aesthetic ShowSaturday, April 14, 2011 –

Dr. Prasad was a featured speaker at The Aesthetic Show at The Aria Hotel in Las Vegas on  to teach physicians about his techniques for performing PRP (platelet rich plasma) treatment and The Vampire Facelift. “I was impressed by the large number of people who attended the lectures and workshops,” comments Dr. Prasad. “I know from doing these procedures for a long time that people are very happy with using their own material to restore volume in the face and have glowing skin.”

Dr. Prasad discussed the benefits of an authentic Vampire Face-Lift Procedure as well as other Vampire PRP applications including combination PRP therapies as the future of autologous skin rejuvenation and repair.

Plastic Fantastic: Platelet Rich Plasma fillers

Written by: Valentina Zannoni – Source: Swide.com

Between an eye-lift and a hair transplant, Dr Prasad took some time out of his busy schedule to talk to Swide about Platelet Rich Plasma (PRP) fillers, the latest must have age defying practice.

But first here’s a brief biology lesson to get to grips with the terminology. Plasma is the yellow liquid which makes up over 50% of the blood. The actual blood cells are suspended in the plasma, making it the petrol of our organism. Platelets are those tiny cells that serve to create blood clots and therefore start the healing process of the skin.

PRP has been used for a while in other medical specialities, such as in orthopaedics for the cure of joints and chronic injuries to help stimulate the healing process. While three years ago, medical professionals from the cosmetic sphere started to think about the uses of PRP in their field. Dr Prasad, a facial rejuvination specialist at the Prasad Cosmetic Surgery Clinic in New York City, has been using this substance as a filler for two years now. “By placing it [PRP] in the skin” Dr Prasad explains, “you are injuring the skin in a controlled way and you are essentially healing a wrinkle by filling it with a material that will recruit the body’s collagen and start the healing process.” In layman’s terms, unlike Botox, PRP is used to restore volume under the skin.

PRP fillers are particularly effective on fine lines around the mouth, eyes, even bags under the eyes and also to reduce the depth of acne scars. The optimum age to undergo a treatment is when you are over forty, unless you want to treat acne scars, then the median age of the patient is halved.

And how about those stubborn expression lines? Well PRP fillers can also work on those. Dr Prasad says that this treatment can be used“ anywhere where the lines are relatively small, forehead lines are shallow, Botox can relax them but there is no good filler to plump them out and we’ve been using PRP.”

How do PRP fillers compare to more traditional chemical fillers like Restylane? Dr Prasad explains that it’s a matter of patience, the two provide more or less, equivalent results, its just a question of time. “With Restylane you get immediate results, because 1cc of liquid equals 1cc of correction. With PRP you may get immediate appearance of improvement but you have to wait to see the result because body has to respond by generating collagen. It’s a healing process.” Even though the results may come more slowly, the effects of PRPs however, can last a year or more, while other chemical fillers start fading after about six months. A PRP session, which can consist of 3 or 4 injections, is also better value for money, as typically it costs $1.500, while for one syringe of Restylane the retail price is $800.

PRP fillers are attracting an increasing amount of would be clients. “People do a lot of research, they learn a lot online, and they come and ask about it.” Dr Prasad has found that his role as surgeon has developed into teacher as well, “ often I have to educate them on what [fillers] can and can’t do. It takes the judgement of a professional to understand what they can do and how to apply them so you get the maximum benefit.”

In recent years, cinema, TV and literature have resurfaced the public’s fascination and interest in Vampires- today, in cosmetic surgery, the benefits of blood go further than fantasy and are becoming reality.

The Pelleve Wrinkle Reduction System – noninvasive, virtually pain-free, nonablative facial skin tightening.

The aging process and the cumulative effects of sun exposure, gravity, genetics, and other factors cause a loss of skin elasticity, which unfortunately leads to sagging of the skin and a loss of facial structural support. The key to tightening up loose skin without undergoing a facelift lies in a process known as “neocollagenesis” or stimulating new collagen. Whereas lasers use light to target the tissue, radiofrequency devices use energy to heat the skin below the surface to produce a tightening effect. The Pellevé™ Wrinkle Reduction System is one of the newest innovations in noninvasive, virtually pain-free, nonablative facial skin tightening. The technology utilizes advanced radiofrequency to induce collagen contraction without damaging the skin’s surface.

Dr. Prasad reports the most significant areas of improvement in terms of visible reduction of wrinkles are in areas of thinner skin, such as around the eyes, “Pellevé can eliminate “crow’s feet” in eye area, caused by aging. Pellevé can also get rid of wrinkling that causes frown lines above the brow, renewing the appearance. Pellevé has been proven to provide safe and effective skin tightening in medical studies. Because Pellevé is a non-invasive procedure, there are minimal side effects and discomfort. Unlike other skin tightening systems, no anesthesia or skin cooling is needed during the procedure.”Pellevé device is that it’s a skin tightening procedure that doesn’t have any downtime. The tightening occurs at the under surface of the skin as the radiofrequency gets applied to the deep tissues. The technology allows me to tailor the procedure to each individual, which means I work on the eye area or on the fine lines around the mouth as needed. This ability to customize the treatment is a significant benefit.” (Read full article below.)

Click on article above to view full screen.

"The Fine Art of Looking Younger" available for Kindle!

Kindle by Amazon.com: Dr. Amiya Prasad The Fine Art of Looking YoungerDr. Amiya Prasad’s guide to cosmetic surgery “The Fine Art of Looking Younger” is now available for Kindle by Amazon.com. The book focuses on cosmetic procedures such as facelift surgery, eyelift surgery, necklift surgery, and injectables and fillers. While Dr. Prasad discusses his innovative approaches to plastic surgery, he also helps his readers learn more about the field so they can make informed decisions when considering cosmetic surgery.  “The Fine Art of Looking Younger” is now available digitally as an ebook.

Visit Amazon.com to purchase and download the e-book that will reveal the secrets to looking younger!

iPad user? If you can’t wait until our iBooks release, not to worry! If you have an iPad, download the Kindle app for iPad first.

Mac users can download Kindle for Mac and view on their computer screen.

The Real Housewives of Beverly Hills‘ star Kyle Richards was recently spotted reading Dr. Amiya Prasad’s “The Fine Art of Looking Younger” on celebrity sites such as OK! Magazine and Radar Online.

Dr. Prasad has offices in New York City and Garden City. To visit his official website: www.prasadcosmeticsurgery.com

Increasing Safety in Anesthesia – Using a Brain Monitor

A special message from Amiya Prasad, M.D.:

I just returned from a conference in Charlotte, North Carolina run by Dr. Barry L. Friedberg. If you’ve been keeping up with the trial of Dr. Conrad Murray, who was the physician who administed Propofol to Michael Jackson, you would recognize Dr. Friedberg as being a vocal advocate for patient safety through proper monitoring. Having met Dr. Friedberg at a Cosmetic Surgery Conference (The Annual meeting of the American Academy of Cosmetic Surgery), I was very impressed by his knowledge in providing anesthesia in a safer way using a brain monitor. During surgery, we routinely monitor the heart rate, blood pressure, oxygen levels in the blood and the EKG (electrocardiogram). Ironically, it’s not been routine to monitor the brain which is the organ that the sedation is working on.  I incorporated the use of a brain monitor (also called a BIS Monitor), to monitor the level of sedation being given to our patients during surgery and have been absolutely delighted. Although this technology has been available for more than 10 years, very few operating facilities use BIS monitors. I’m very fortunate to have met Dr. Friedberg and my patients now benefit from his experience. To encourage people to advocate for themselves when it comes to proper and safe anesthesia during any surgery (not just Cosmetic), Dr. Friedberg created “The Goldilocks Foundation” [http://www.goldilocksanesthesiafoundation.org/] . Essentially it’s important in the modern era of health care for people to advocate for themselves. Dr. Friedberg advises to ask the questions “Do you use a brain monitor when I will be under anesthesia?”.

The practice of medicine requires a lifetime commitment to learning and flexibilty to provide the best care for our patients. Unfortunately, the practice of plastic surgery tends to be inflexible and focused on the use of general anesthesia which in my opinion is more for the surgeon’s convenience rather than the patient’s in many cases. As it has been my focus to perform natural aesthetic procedures which are safe, under local anesthesia with light sedation and with a quicker recovery, Dr. Friedberg’s contribution to my practice through his experience is truly appreciated.

Happy New Year, Happy New You!

Greetings!

For me, 2010 was a year of progression. I made my debut as an author with my first book, expanded my practice with the latest in non-surgical rejuvenation (such as Pelleve Skin Tightening), advanced surgical techniques for quicker recovery, and renewed our commitment to ongoing skin health with our medispa and medical grade skincare products.

2011 marks a new year and a new decade! It is time to start thinking ahead by setting new goals for the upcoming years. Every possibility begins with taking the initiative to care and invest in your own well-being. Assess yourself by taking a moment to stop and ask ….

Am I eating nutritious foods and avoiding unhealthy snacking? Are my workouts effective for my personal fitness? Does the mirror positively reflect my self-image? More importantly, am I living up to my full potential?

Diet, exercise, appearance and lifestyle are all factors that define our health and happiness as a whole, so why not connect this type of thinking with our resolutions? Schedule a consultation with me soon; it is finally time to start counting down to the new you!

Happy New Year!

Sincerely,
Amiya Prasad, M.D.,

THE FINE ART OF LOOKING YOUNGER
A Very Special Thanks!
fine art party
I’d like to personally thank everyone who has supported my new book, “The Fine Art of Looking Younger” which has been very well-received in the field of cosmetic surgery. Based on my experiences with my patients, I made it a goal to help others look their best by providing them with enough information about specific rejuvenation procedures as well as choosing a cosmetic surgeon who is appropriate for their aesthetic goals. “The Fine Art of Looking Younger” is available online in paperback and hardcover on Amazon.com, as well as in our Manhattan and Garden City offices.

I welcome you to ask me any questions about the book. Feel free to bring in your copy during your consultation, and I will be more than happy to personalize it for you!

SELPHYL PLATELET RICH PLASMA
A natural filler, an all-natural solution!

Rejuvenate naturally with cells from your own body! In our practice, we have some people who request a natural filler with no risk of allergic reaction. Commonly referred to as a “vampire facelift” or the “Dracula facelift”, this process uses the patient’s own blood to rejuvenate their appearance. This procedure is not a surgical facelift nor does it create the same effect as a facelift, however it does rejuvenate in a way much like popular fillers such as Restylane or Perlane.

prp

Using the Selphyl process of platelet rich plasma, I am able to enhance and restore the skin of the face and neck or areas which require volume. Platelet rich plasma (PRP) contains growth factors which stimulate your body to repair and restore tissues using your body’s own natural processes. By isolating elements from your blood which can then be injected below wrinkles, folds and even acne scars, your skin will rejuvenate over the following weeks after treatment. To find out more about Selphyl Platelet Rich Plasma, click here. To set up your Selphyl appointment, call 212-265-8877.

BEFORE & AFTER
A Facelift Experience

Watch one patient’s transformation before and after a quick-recovery facelift and necklift surgery with Dr. Amiya Prasad. See her amazing results 55 days later when combined with Micro Fractional CO2 Laser Skin Resurfacing treatment.


See “Before & After” on YouTube


“Facing” the Holidays … A Pre-holiday Pick-Me-Up Can Help You Through The Busy Season!

Plan Now to “Face” the Holidays … Here’s my Seasonal Timetable for Personal Facial Rejuvenation.  With the holiday season fast approaching, I’d like to remind you that October through mid-November as the ideal time to rejuvenate your face for the holidays – not just to look better, but because with all the emotional stress the holidays can bring, looking your best can be an incredible confidence boost.

For many people, what should be a joyous season of fun, family and fellowship becomes a season of foreboding instead.  School plays, office parties, winter weddings, family portraits, social activities, holiday dinners, shopping, and religious events all put demands on individuals – including demands to look their best.  From mid-November through New Year’s Day, the stress-filled list of “must-attend” soirees and celebrations can feel endless.

I see it every year.  When you become overwhelmed by these social obligations, the holiday blues can start to set in.  The result?  You start to feel tired and stressed, your confidence can slip and self-doubts can surface. Gazing in the mirror and noticing a few extra laugh lines, frown lines, puffiness in the eyes – or even slight sagging at the jaw line or neck – all of these only make the thought of socializing during the holiday season even more agonizing.

Every year, I’ve witnessed an increase in surgical and non-surgical treatments during this time of year – and, for a lot of reasons, this is a good thing.  Men and women want to present their ‘best’ at this time of year, and each year thousands of them realize that – when facing activities they are obligated to attend, they want the added confidence that a facial rejuvenation procedure delivers.

However, if you are considering a facial rejuvenation, scheduling the procedure well in advance of the holiday is important, both to allow full healing and to let the added self-confidence that naturally comes with a facial rejuvenation procedure to “sink in.”

You can’t wait until the night before the family photo or party to have a botox, restylane or other injectible procedure, much less a facelift.

To assist you in planning ahead, I have developed a timeline for scheduling your cosmetic appointments, leaving a sufficient time to recuperate, and to prepare for a successful and enjoyable holiday season.   You can learn more about these procedures at: www.prasadcosmeticsurgery.com

Facelifts – Forget the Six-week Healing Process

The healing process for a traditional facelift takes up to 6 weeks – sometimes longer. However, with the minimally-invasive surgical techniques I have pioneered, the recuperation time for my natural-appearance facelift is diminished considerably – generally to 2-to-3 weeks.

Four Weeks Before The Event

If you are looking for a Sculptra session to fill in the minor fatty tissues that, when lost result in wrinkles, or if you want to minimize wrinkles with the Pelleve process, book these treatments at least four weeks before your first event.

Two Weeks Out

Even just a few weeks before the festivities begin, eyelid rejuvenation, cheek implants, brow lifts, and fractional CO2 laser treatment– which lessens the visibility of wrinkles, scars and discoloration – can be performed, and recovery completed.  Book these no later than two weeks before your first event.

One Week and Counting!

With just a week to go, either a light chemical peel – or the use of injectibles – is the best way to combat those laugh and frown lines. There are many types of injectibles, each targeting a different part of the face. Botox focuses on the brow bone area and around the eye, fighting frown lines found between the eyebrows. Restylane is used for diminishing wrinkles and replenishing areas lacking firmness.  Juvederm is used for reducing wrinkles and used as a filler for facial areas and lips.  Finally, Radiesse is also used for lessening wrinkles. Injectibles should be given a week before you expect to see effective results.

If you want to have a successful, relaxed and beautiful holiday, plan now to rejuvenate your face, roll back the clock and experience the beauty that is waiting to be revealed.
Dr. Amiya Prasad (www.prasadcosmeticsurgery.com) is a pre-eminent Manhattan and New York area facial cosmetic surgeon with offices in Park Avenue Manhattan and Garden City Long Island.  He is the author of the forthcoming beauty guide, “The Fine Art of Looking Younger – A Leading Cosmetic Surgeon’s Guide to Long Lasting Beauty.”

Dr. Amiya Prasad’s Autumn Rejuvenation 2010 Newsletter

Greetings!

Every season is about change, but no other season reflects change more so than Autumn. The summer is fading and the leaves are just starting to show their true colors. Change is a beautiful thing!

In the Fall issue of our newsletter, we have some important issues to cover. Most importantly, we will review available options to recover your skin from the ravages of the scorching summer sun. Also, if you have particularly special plans for the holidays, now is the time to consider scheduling a Facial Cosmetic Procedure for a change in your image and to experience a fabulous season ahead!

I am also pleased to introduce you to Dr. Krista Archer, DPM, our celebrity Podiatrist who has joined the Manhattan office. And finally, you may now order my new book “The Fine Art of Looking Younger: A Leading Cosmetic Surgeon’s Guide to Long Lasting Beauty” for an in-depth review of the newest technology and the surefire standbys in the world of cosmetic surgery.

Sincerely,

Dr. Amiya Prasad
Amiya Prasad, M.D., F.A.C.S.

Sun Damage Recovery
Introducing Reveal® Skin Analysis


From the 4th of July to Labor Day, we’ve had many weekends of sunshine and warm weather. However, this also means we were being exposed to harmful UV rays. Hopefully everyone took my advice to wear sunscreen of minimum SPF 15! Here are several great ways to revitalize your skin and adjust to the changing weather.

The first step is to take advantage of our new REVEAL® technology, which uses polarized light to look at damage that may have started below the surface of the skin. Then, in order to halt the progression, consider Intense Pulsed Light Photo Rejuvenation to get rid of brown spots or skin discolorations and redness. Next, to complete the skin management, Facials, chemical peels, and microdermabrasion by our skilled medical estheticians can refresh your look and give you a healthy complexion with smoother skin. For more extensive sun damage, the MiXto SX Microfractional Laser Skin Resurfacing is a single treatment with little downtime or discomfort that will leave you looking younger with long lasting results for about a decade.

One of our most exciting, latest state of the art techniques for skin tightening, Pelleve, produces amazing results that leave you looking at least ten years younger by reducing wrinkles and boosting collagen growth. The treatment takes a few months, but the effects continue for years. Pelleve has become one of our most popular non-surgical treatments and can be combined with injectables for a fresh, rejuvenated look. Stay ahead of the pack and schedule your Pelleve treatment so that you can be on your way to shedding a decade in a snap.

Considering a Cosmetic Facial Procedure?
Look great this Holiday Season!

facelift, eyelift, injectables, necklift, botox, dysport, pelleve, micro fractional co2 laser
Now through November is the ideal time to plan your facial cosmetic procedure. Summer is over and the holidays are approaching. In anticipation of the busy season, make sure you schedule a rejuvenating gift to yourself, especially if there is any downtime associated with it. Whether you are considering a Facelift or Necklift, Eyelift, or an injectable (such as Botox/Dysport, Sculptra or Juvederm), a facial cosmetic procedure is one of the most effective means to improve your appearance, and will boost your self-confidence. Family and friends are sure to wonder about your secret to looking good! Our office philosophy centers on precision and quick recovery, so we select the appropriate techniques and make sure that we deliver natural results. Call us to set up a consultation with our patient coordinator at 212-265-8877.

The Fine Art of Looking Younger
A Leading Cosmetic Surgeon’s Guide
to Long Lasting Beauty

Leading Cosmetic Surgeon Amiya Prasad MD Guide to Long Lasting Beauty
My forthcoming book “The Fine Art of Looking Younger: A Leading Cosmetic Surgeon’s Guide” is now available for pre-order through Amazon.com.

Available in both paperback and hardcover! For information on book signing events, please visit www.prasadcosmeticsurgery.com

Meet Dr. Krista Archer
Leading Manhattan Podiastrist

Leading Manhattan Podiatrist, Foot and Ankle Expert
Dr. Krista A. Archer is a podiatric surgeon who prides herself on attention to detail and excellent cosmetic results. As a former athlete and marathon runner, she is very comfortable with treating sports-related and exercise-induced injuries. As a fashion lover, she understands the torture behind gorgeous high heel shoes, and is determined to make them wearable. Dr. Archer is developing products to facilitate the pedicure process and promote the use of healthy and safe products. Dr. Archer is committed to providing pain relief and solutions to foot problems associated with plantar fasciitis, sports injuries, heel pain, bunions, corns, calluses, and foot and ankle arthritis. Check out Dr. Archer’s most recent Good Morning America Health appearance.

For more info, visit www.drkristaarcher.com

Visit http://conta.cc/c8HYgp, for an exclusive off on the FALL SKIN FITNESS FACIAL with our very own Le Visage MediSpa. Save $100!

Social Life Magazine Features Me in September Issue

Social Life - Beth Ostrosky Stern Cover
Social Life Magazine – September 2010 Issue

Social Life Magazine Features Me in September Issue

Along With Real Housewives of NYC’s Ramona Singer; Author, Cover Model and Animal Rights Activist Beth Ostrowski Stern and “Ultimate Trendsetter” Kim Bates

Prestigious trend-setter Social Life Magazine featured me in its September issue, and recently hosted me and other featured Hamptons Social Life leaders at an event at the Social Life Estate. There, I had the opportunity to “chat it up” with the stunningly-beautiful cover girl and animal rights activist Beth Ostrowski Stern – like me, an author of a compelling new non-fiction book aimed at helping people improve their lives.  Beth and I discussed our books – mine is the forthcoming The Fine Art of Looking Younger – as well as her passion for animal rights and the work she does for animals in the Hamptons.

Society pages reported that I was also seen tête-à-tête with celebrity powerhouse and Real Housewives of NYC break-out star Ramona Singer, as well as with celebrity model fashionista and “ultimate trendsetter” Kim Bates, recently described in the New York’s Daily Style as a combination of fashionable, chic, sassy, popular, stunning, classy, elegant, fabulous, posh, sparkling, polished and witty.   In fact, I found both of these young women as fascinating as they are beautiful.

I’m proud to say that this issue of Social Life focused on my distinctive philosophy on facial cosmetic surgery.  “If people compliment you on your surgery, then you probably had too much surgery,” they quoted me as explaining.  “Your goal should be to seek natural-appearing features rather than a whole new face.”  Social Life noted that “Dr. Prasad’s clientele stand by this philosophy, accumulating a large fan base for the past fifteen years that includes high profile socialites and celebrities.  It’s not a simple nip-and-tuck with Dr. Prasad – his boutique practice is especially designed for discerning clients who desire rejuvenation treatments with natural and subtle results, based on understanding his patients main concerns and real goals.”  Social Life noted that Dr. Prasad’s practice focuses on his premiere specialty, eye rejuvenation and facelifting, and “for eye rejuvenation, men account for fifty percent of Dr. Prasad’s clients.”

I think they caught my commitment to my patients, and to helping them look and feel wonderful, very well.

Social Life also featured Beth Ostrowski Stern on the cover, and described her as: “Besides flowing wheat blonde hair and cornflower blue eyes, this model and activist’s dedication to the Hamptons and its wildlife sets her apart from the rest.  Genuine, sweet and funny, Beth is a tireless advocate for animal rights, a year-round Hamptonite, and now a proud author of Oh My Dog (Simon & Schuster).”

Having met and talked with her, I can assure you that she is all of that, and more.

I was quite honored to be included in such remarkable company.  You can see this article at my website, https://karldrogba.com.

Looking as Young as You Feel

Looking as Young as You Feel

By Dr. Amiya Prasad, M.D., F.A.C.S. – https://karldrogba.com/

Aging has many components – and for many millions of Americans who are reaching what was once considered “old age,” life goes on with an exuberance and energy that belies their 60, 70, 80 or even 90 years. On Sunday, the New York Times covered this remarkable phenomenon, and I’m including a link to this article, and the article itself, here in case you didn’t read it on Sunday.

While Ringo Starr is still rocking as he turns 70, and Betty White stars in a new sit-com at 88, not everyone is ready for active aging. Some honestly feel their age, and they slow down. However, many more aging Americans believe that they “look their age,” and they force themselves to slow down, just because they think they are supposed to slow down for no other reason than because they think they “look old.”

For those with the energy to rock on at 70 or 80, there is no reason to slow down just because of how they feel they look. If you know someone who’s slowing himself or herself down – only because of the way they think they look, tell them there are ways they can look as young as they feel.

Today, it is medically possible to dial back your “apparent” age by ten or twenty years, and there is no reason for people to look older than they feel, or live life slower than they’d like to. If you don’t believe me, ask Ringo Starr or Betty White.

Turn 70. Act Your Grandchild’s Age.
By KATE ZERNIKE
Published: July 9, 2010, The New York Times (c)

Ringo Starr celebrated his 70th birthday last week by playing at Radio City Music Hall and saying his new hero is B. B. King, still jamming in his 80s.
Enlarge This Image

Joining Mr. Starr in his 70s next year will be the still-performing Bob Dylan(“May you stay forever young”) and Paul Simon (“How terribly strange to be 70”). Following soon after will be Roger Daltrey (“Hope I die before I get old”) and Mick Jagger, who is reported to have said, several grandchildren ago, “I’d rather be dead than singing ‘Satisfaction’ at 45.”

A rock ’n’ roll septuagenarian was someone the gerontologist Robert Butler could have only dreamed of in 1968, when he coined the term “ageism” to describe the way society discriminates against the old.

Dr. Butler, a psychiatrist, died, at age 83, a few days before Ringo’s big bash. No one, his colleagues said, had done more to improve the image of aging in America. His work established that the old did not inevitably become senile, and that they could be productive, intellectually engaged, and active — sexually and otherwise. His life provided a good example: He worked until three days before his death from acute leukemia.

But as much as Dr. Butler would have cheered an aging Beatle onstage, his colleagues said he would have also cautioned against embracing the opposite stereotype — the idea that “aging successfully,” in his phrase, means that you have to be banging on drums in front of thousands — or still be acting like you did at 22 or 42.
That stereotype is almost as enduring as ageism itself.

“The stories that we hear tend to pull us toward the extreme,” said Anne Basting, the director of the Center on Age and Community at the University of Wisconsin at Milwaukee. “It’s either the stories of young-onset Alzheimer’s, or it’s the sky-diving grandmas. We don’t hear enough about the huge middle, which is the vast majority of folks.”

In fact, for most people, the 70s represents the end, not a beginning. Life expectancy in this country is still 78 — higher for white women, lower for men and blacks. It is rising, but not as fast, perhaps, as our expectations. As Gloria Steinem said of her 70th birthday in 2004, “This one has the ring of mortality.”

Yet with Clint Eastwood directing films at 80 and Betty White starring in a new sitcom at 88, the pressure for 70-year-olds is not to face mortality, but to kick up those slightly arthritic heels ever higher.

The eighth decade, said Dr. Basting, is “now seen as an active time of life: you’re just past retirement, that’s your time to explore and play mentally.”

But while many will be healthy, others will not. “There will be an increase in frailty and disability because people are living longer,” said S. Jay Olshansky, a demographer at the University of Illinois at Chicago who studies aging. For some people, an increased risk of stroke and Alzheimer’s “is going to be the price they pay for extended longevity,” he said.

The risk, gerontologists say, is that in celebrating the remarkable stories, we make those not playing Radio City, and certainly those suffering the diseases that often accompany old age, feel inadequate.

Social policy may only contribute to that pressure. The European Commission recommended last week that European workers not be allowed to retire before 70, to keep state pension funds solvent. In this country, Representative John Boehner of Ohio, the Republicans’ leader in the House, suggested raising the retirement age for Social Security benefits to 70 to keep the program afloat.

Thomas R. Cole, director of the McGovern Center for Health, Humanities and the Human Spirit at the University of Texas Health Science Center in Houston and the author of a cultural history of aging, said he hailed anyone who, borrowing a phrase from his mother, age 85, “is playing above the grass.”

At the same time, he said, “if we don’t pay attention to the dark side of our 70s and 80s, we’re not going to pay enough attention to the people who need help.”

“We’re going to make it look like if you’re sick, it’s your own fault; if you’re not having orgasms or running marathons, there’s something wrong with you. We need to think carefully about how to take care of people who are frail. We need to allow people to not feel like failures when they can’t do the things they used to do.”

He traces the origins of this “splitting apart” of the reality of old age — good and bad — to the mid-1800s, when people in the United States first experienced what he calls “the legitimization of longevity.”

Life expectancy was only 40, but people began to believe that humans could live to be old — which they defined as 80 or more.

“People first began to say, ‘I’m here to live a long life, and if I work hard and am a good person and am middle class, I will die a good death,’ ” Dr. Cole said, “ ‘and if I don’t do these things, I deserve a short life and a painful death.’ ”

That split persists, he said, in our obsession with health and longevity, visible to anyone glancing across a magazine stand.

“It assumes you can control these things through willpower,” he said.

Gerontologists tend to think of successful aging as taking advantage of what potential there is, staying as socially and intellectually engaged as possible. Our culture tends to measure it more in terms of how active people are.

“It wouldn’t do us a whole boatload of harm to reinstate some values to contemplation,” said Dr. Basting. “Part of the pressure on older people to be successful and give back and volunteer and be active and play tennis is that we are a culture of doing. We don’t really know how to be. That’s something that late life gives us, is time to be. But that’s stigmatized.”

We might take a new model from musicians and other artists growing older. Creative types tend not to retire, but their later work often reflects their different stage of life. Dr. Cole cited the roles and films of Clint Eastwood, and the songs of Mr. Simon. “Old Friends” reflected on the strangeness of 70 from a young adult’s perspective, but on an album released when he was 60, he sang of “growing old” from a first-person perspective.

On the other hand, Dr. Basting said, Mick Jagger might test the limits — can he really strut like that when he’s 75?

For boomers, it can be particularly jarring to watch the icons of the rock ’n’ roll era aging. Robert Kastenbaum, a 77-year-old psychologist who has written extensively on aging, compares it to a 50th high school reunion and meeting the girl you had a crush on.

“This bubble-headed girl who was too sexy to exist, there she is now as the most mature, sensible grandmother,” he said. “You think you can’t believe the difference. The fact is both of these things are true. She was truly adorable, now she is admirable.”

We need to recognize all those stages, he said, and not think there is some dissonance. “It’s tolerance of ambiguity.”

Dr. Butler might have agreed. In a recording of what was apparently his last interview, conducted less than two weeks before he died, and posted on The New Old Age, the New York Times blog on aging, he told Joshua Tapper, “Sometimes the oldest person in the room comes up with the most thoughtful thing — not always.

“I think we ought to have a realistic portrait of all different periods of life and not try to romanticize old age as the most wonderful, all these great old wise people,” he said. “I think that goes too far.”

Does the pressure ever let up? Maybe.

Dr. Basting, who has studied elderly theater troupes, recalled that one member declared that the age of 90 was “true freedom.”

“Anything you do, people are just shocked that you’re alive,” Dr. Basting said. “There’s no expectations at 90.”

Dr. Amiya Prasad: https://karldrogba.com/