Facial Rejuvenation

Facial Rejuvenation

Facelift (Rhytidectomy)

The decision to have a facelift typically occurs when you feel youthful, but are seeing lines and skin laxity that do not correlate well with your mental image of self. We understand that you have put a lot of thought into this decision, and we want to get to know you and your desires and put equal thought into it as well.

The typical reason our faces and neck age are typically because we lose elastin from sun exposure and time, and we also lose some of the fat in our cheeks. The soft tissue that remains loses its suspension, and the end effect is a more square shape (rather than the youthful triangle). Our neck skin becomes looser and the underlying muscle can band up off of the neck. Additional factors that can accelerate aging include stress, smoking and nutritional factors among others. Massive weight loss can also contribute to an aged appearance of the face and neck from the skin laxity.

There are a number of nonsurgical options for some of these problems, but there is no procedure as effective against face and neck aging as a facelift. There is nothing more exciting than watching a patient smile when they see their face and neck for the first time after this procedure. Despite the swelling, there are visible changes seen immediately postoperatively.

The recovery is typically 2 to 3 weeks, and there can be considerable swelling during the first 7-14 days, depending on the extent of what is needed.

The most common procedures which are combined with facelift are :blepharoplasty, brow lift, and dermabrasion to smooth the skin.

Injectables: Botox and Xeomin

Botulinum (Botox, Xeomin, and Dysport) is used to treat facial lines seen with animation or expression. While it may soften the look of other lines, it is not indicated for hard formed lines.

Treatment is via injection with a needle similar to the ones with which you used to get TB skin testing (small). The treatment is well tolerated, and the results can be seen anywhere from 4 to 7 days after injection.

Dermal Fillers: Juvederm and Restylane

Dermal Fillers are typically effective against lines or contour depressions around the mouth, such as nasolabial folds, and marionette lines and perioral lines. They can also be used to enhance the youthfulness and beauty of the cheeks and lips. The injection area is often numbed prior to treatment, and is typically very well tolerated.

There may be some swelling of the treated area, as well as occasional bruising in patients taking aspirin or ibuprofen or otherwise. Return to normal activity is immediate, but the swelling is most pronounced in the first 24-72 hours.

IPL (Intense Pulsed Light)

Used for hair reduction, photo facial, to decrease appearance of facial vessels and capillaries. IPL or intense pulsed light therapy can be used to improve the appearance of brown spots or dilated blood vessels on the face, and can reduce unwanted hair. The eyes are protected with goggles during this treatment and the skin is typically treated with an ice roller to enhance comfort. The treatment times depend on the size and nature of the treated areas, and a typical patient description is the feeling of a “snap” on the skin. Particularly for hair reduction and dilated blood vessel treatments, the need for multiple sessions is expected in order to get an optimized result.


Microdermabrasion is a gentle facial treatment which can improve the appearance of fine lines, acne scars, and large pores. It is generally performed as a series of treatments, typically 2-4 weeks apart. During this procedure, the eyes are protected with pads or goggles and the facial skin is treated with calcium oxide crystals that are directed onto the skin and then suctioned away. This therapy does not typically produce any open areas of the skin, and usually takes 20 to 30 minutes. This can leave the treated skin feeling refreshed and rejuvenated.

Chemical Peel: Vi Chemical Peel

Chemical peels are formulated to penetrate to specific depths within the skin.  The peels are referred to as superficial, medium-depth, and deep.  The most commonly utilized peel in our practice is a medium-depth peel.  It is used to improve the appearance of irregular pigmentation, acne scarring, enlarged pores and fine lines.  The peel is applied in the office and  it often takes approximately one week to go through the process of peeling.  Topical ointment is recommended and applied during the peeling process to promote a good end result.