Acne is a common skin condition that takes the form of blackheads, whiteheads, and pimples.

Used to treat acne that has not responded to other treatment that is proven to clear acne ridden skin.

Accutane

An oral spironolactone for off-label use, prescribed for women who experience acne brought upon by hormone changes.

Spironolactone for Acne Treatment

A common ingredient in acne treatment medications used to treat mild acne and reduce acne-causing bacteria.

Benzoyl Peroxide

Acne

Acne Treatment

Face

In the United States, the most common skin condition both men and women suffer from is acne. Acne is a blanket term that’s used to describe the differing forms of acne vulgaris, which will include many types of acne like blackheads, whiteheads, and pimples. While mild acne or occasional moderate breakouts can be bothersome and difficult to deal with, severe forms of acne vulgaris, like cystic acne and nodular acne can be quite painful and disfiguring.

Get recommendations into individually tailored procedures that will rid your face of unwanted signs of aging.

Used to reduce signs of aging in the face and neck regions by flattening areas of skin by tighter appearance.

SMAS Facelift

Aims to flatten the nasolabial folds and reduce the appearance of aging by treating sagging cheeks and jowls.

Plicated SMAS Facelift

Allows for more successful flattening of the nasolabial fold with more substantial and longer lasting results.

Deep Plane Facelift

Focuses on the cheeks and under eye hollows to soften smile lines and lift the corners of the mouth.

Mid-Facelift

Gives patients a refreshed look by suspending the SMAS facial muscle and is less dramatic than a regular facelift.

Mini-Facelift

A non-surgical procedure that uses injectables to fill wrinkles and add volume to the face for a younger look.

Liquid Facelift

Creates the youthful, rejuvenating effects of a facelift without actual surgery by using PRP extracted blood.

Vampire Facelift

A minimally invasive solution to sagging brows and cheeks that allows patients to achieve younger facial features.

Endoscopic Facelift

Tightens and smooths facial skin by using a long incision to excise loose skin without disrupting underlying muscles.

Cutaneous Facelift

A type of facelift that specifically targets the upper and middle third of the face to provide a vertical lift.

Subperiosteal Facelift

A type of anesthesia used during a facelift procedure were tumescent anesthesia is used along with a sedative.

Awake Facelift

Facial Volume

Fine Lines/Wrinkles

Facial Skin Laxity

Facelift

There are several variations of a facelift procedure, or rhytidectomy, each tailored to meet specific skin needs and desired results. After assessing your skin and determining your unique needs, your surgeon will recommend a procedure that will address your individual concerns. The goal of each facelift technique is to essentially “lift up” portions of the face and neck that are showing unwanted signs of aging through the use of plastic surgery, thread lift surgery, or dermal filler injections.

Replenish facial lines and fix sagging skin on your buttocks, knees, and elbows that you have accumulated through aging.

Focuses on the midface, jowl, and neck-lifting and involves the placement of threads that are pulled to lift the skin.

Thread Lift

A type of threadlift that uses the addition of dissolvable cones to provide patients with an immediate facial lift.

Silhouette Instalift

A threadlift that helps reduce fine lines and wrinkles while also stimulating collagen production for a younger look.

Silhouette Soft Threadlift

Designed to lift the facial features and reduce fine lines and wrinkles while gaining more volume in treated areas.

PDO Thread Lift

Nasolabial Folds

Thread Lift Treatment

Neck

As we age, our skin loses its youthful appearance, and signs of aging become more and more obvious. Fine facial lines and sagging skin are just two aging indicators, but they are important areas to address because these early signs of aging indicate a breakdown of the skin’s tissues. The face and neck areas are common areas of concern, but a thread lift procedure can also be used to address other areas of concern such as sagging buttocks, and wrinkly knees and elbows.

During this type of procedure, patients will undergo a facelift while still technically awake. The operation will still reduce signs of aging by flattening folds of skin between the cheek and upper lip and treating the sagging of the cheek and the jowl, however the patient will not receive general anesthesia. As opposed to a traditional SMAS facelift, a surgeon will only utilize tumescent anesthesia and an oral or IV sedative. Some patients will request this method as they are unwilling or unable to be administered general anesthesia. The doctor will take into consideration factors such as the extent of the procedure, the length of time required to complete the surgery, and the patient’s preferences when deciding if a patient is eligible for this facelift technique. 

A facelift can be executed with complete safety utilizing local anesthesia while the patient remains completely awake. To begin this process, first tumescent fluid is administered to anesthetize the target area. Tumescent fluid is a compound comprised of saline, numbing medications such as lidocaine, and epinephrine. Epinephrine, also known simply as adrenaline, is incorporated to constrict the blood vessels and in effect, reducing bleeding during the procedure. Lidocaine is used to numb the operating area completely. Once the patient is sufficiently numbed, the facelift operation is performed dependent on the particular surgery. This procedure costs significantly less than other facelift procedures, ranging in price from $3,500-$8,000.

An awake facelift describes the type of anesthesia used during a facelift procedure and not the surgical technique. Here is a quick guide for what to expect before, during, and after an awake facelift. 

An awake facelift is not in itself a particular type of facelift surgical technique but rather a description of the type of anesthesia used during the procedure. During this specific type of facelift, the doctor will elect to forgo administering general anesthesia and instead will incorporate tumescent anesthesia in combination with an oral or IV sedative, meaning the patient will be awake throughout the procedure.

A cutaneous facelift is one of the earliest techniques developed for tightening aging, wrinkled skin. The cutaneous facelift does not manipulate the underlying musculature in the face like more modern SMAS facelifts. Like a thread lift, the results of a cutaneous facelift will not last as long as a technique that cuts and re-drapes the muscles however the recovery time will be faster. 

Once the skin has been marked for incision and the patient is thoroughly anesthetized, the surgeon will cut the skin. Next, the surgeon will undermine the skin, separating the skin from the muscle to the extent of where the excess laxity is present. Special care will be taken to only dissect as far as needed since aggressive undermining may lead to insufficient blood flow resulting in skin bunching or poor healing. The skin will then be pulled into its new position and extra skin will be excised. Removing more skin will produce a tighter result but will create increased tension at the closure and may create a windswept look. Also, earlobe deformities are more common when greater tension is applied near the lower earlobe. Drains may be used to reduce swelling. Sutures will be placed to close the incisions.

A cutaneous facelift only removes excess skin from the face and does not address muscle laxity. Here is a quick guide for what to expect before, during, and after a cutaneous facelift. 

The cutaneous facelift is a traditional technique used when the patient only needs removal of excess skin from the face. A long incision is placed along the hairline and the surgeon will excise loose skin to tighten and smooth facial skin. The technique does not disturb the underlying muscles in the face.

Marionette Lines

The deep plane facelift results in the reduction of an aged, drooping appearance in the neck and face regions by removing excess skin while also reshaping and tightening underlying musculature. This is a similar procedure to the SMAS procedure, however, the deep plane facelift reaches deeper into the face, enhancing the lift produced by a regular SMAS procedure.  In a deep plane facelift procedure, the tightening process happens at a deeper musculature level than its counterparts resulting in a more dramatic result. However, the deeper nature of the procedure can lead to an increased risk of nerve damage. The procedure ranges in cost from $20,000-$30,000. 

The deep plane facelift begins in a similar fashion as other facelifts. Once the incision is made into the face, the surgeon will cut and release various ligaments that were tethering the face into its current shape. This allows for internal and deep manipulation of the underlying tissue rather than relying on the pulling of sutures to make the intended effect. This creates a stronger and longer lasting effect. To finish the procedure, the flap is suspended and sutured to the tissue beneath the earlobe.

The deep plane facelift, while the most invasive facelift technique, offers patients the longest lasting results. Here is a quick guide for what to expect before, during, and after a deep plane facelift. 

The deep plane facelift, while the most invasive facelift technique, offers patients the longest lasting results. This procedure allows for a more successful flattening of the nasolabial fold, resulting in more substantial and longer lasting results. This particular facelift specifically targets the mid-face region and reaches deeper layers of the facial muscle.

This particular facelift technique varies from other facelift procedures in that it incorporates the use of fiber optic cameras called endoscopes. While the procedure bears results similar to other facelift surgeries such as the tightening of any sagging facial muscle or the removal of fatty tissues, it does not result in the removal of excess skin like more traditional facelifts. However, the procedure still results in tighter, younger skin and the minimally invasive approach leads to a shorter recovery time as well as fewer complications. Alternatives such as the SMAS or plicated SMAS facelift would be a more appropriate alternative for patients who need skin removal in addition to muscle tightening. The cost for an endoscopic facelift varies from $7,700-$20,000. 

The endoscopic facelift allows for the use of smaller incisions as opposed to other forms of facelift operations. These incisions are traditionally made above and behind the ear- resulting in minimal scarring that is considerably easier to cover. With the endoscope in place, the surgeon can tighten facial muscles with extreme accuracy. The less invasive nature of the procedure also results in shorter recovery time as your body is healing from significantly less trauma.

An endoscopic facelift allows for smaller incisions without compromising visualization by using intraoperative cameras. Here is a quick guide for what to expect before, during, and after an endoscopic facelift. 

For candidates who desire a minimally invasive solution to sagging brows and cheeks, an endoscopic facelift may be the answer. An endoscopic facelift allows patients to achieve tighter, younger looking facial features without the extensive scars of a traditional facelift while still allowing the surgeon adequate visualization of the structure of the face.

Jowls

The liquid facelift achieves a similar effect to that of a more invasive facelift but without the use of a scalpel. By utilizing injections the procedure is considerably less invasive. Liquid fillers are injected into the desired region of the face to create the appearance of a lift. This leads to a tighter, more rejuvenated appearance. This procedure can produce almost immediate results for patients looking to address fine lines and volume loss, however, will not help individuals who want to get rid of sagging skin. A liquid facelift ranges in cost from $400-$8000. 

To complete a liquid facelift, a variety of different injections can be utilized to create the desired look for the patient. Juvederm Ultra is a hyaluronic acid dermal filler that is used to smooth wrinkles. Results last for up to a year. Juvederm Ultra Plus is used for deeper wrinkles while Juvederm Voluma can create more volume in the regions of the cheek. These are longer lasting dermal fillers with results lasting up to 2 years. Radiesse is comprised of calcium hydroxyapatite and provides wrinkle-filling effects that are both immediate and long lasting. As the gel begins to dissolve, scaffolding is created for further collagen production. This filler is incorporated mostly for diminishing marionette/smile lines and for cheek augmentation. Sculptra is a collagen replacing dermal filler that is primarily used for candidates with deep wrinkles and severe fat loss in the face. While it does not create immediate results, it will stimulate collagen growth over time and typically requires an average of 3 treatments over the period of a few months for best results. Finally, Botox can be used alongside any of the above listed injectable fillers to enhance and extend results.

A liquid facelift uses injectables to fill wrinkles and add volume to the face for an incision-free facelift. Here is a quick guide for what to expect before, during, and after a liquid facelift. 

A liquid facelift, while not surgical, uses injectables to fill wrinkles and add volume to the face for a younger, more refreshed look. By injecting dermal fillers into areas of the face with fine lines and volume loss, a similar effect to a traditional facelift can be accomplished. A liquid facelift will restore facial contours resulting in a more rested and energetic look.

Microneedles are used to reduce fine lines and wrinkles and tighten skin through stimulating collagen production.

Uneven Skin Tone/Texture

Large Pores

Microneedling procedures can be combined with a variety of other treatments and serums to provide maximum effectiveness of the benefits of the collagen inducing micro-injuries caused during the procedure. Microneedling with PRP is a popular variation of the treatment as well as the addition of a stem cell based serum, sometimes referred to as Trifecta Therapy. 

The process for microneedling with PRP begins with the collection of blood to make the PRP. First, blood will be drawn from a vein in the arm, typically 5-15mL. The blood sample is then placed in a centrifuge which isolates the platelets, forming the platelet-rich plasma (PRP) concentration. This step in the process typically takes 15 minutes.

While the centrifuge is distilling the PRP, the patient’s skin will be cleansed in preparation for the treatment. A light numbing agent will be applied to the treatment area to help prevent discomfort during the procedure. The practitioner will gently glide the microneedling device over the area to be treated, creating tiny holes in the skin penetrating approximately .5 to 2mm in depth. The microneedling device is a hand held machine that will have between 12-80 sterile, stainless needles that penetrate the skin. The depth and number of needles on a device will depend on the brand used by the practitioner.

Once the area has been thoroughly treated, the practitioner will then apply the now developed PRP concentration. Skin will begin to feel taut shortly after the session. Following treatment it is advised to not wash off any residual residue so as to allow the PRP to continue to penetrate the skin. Skin will progressively improve in the weeks to come in tone and texture.

Microneedling with PRP

Microneedling Treatment

Microneedling stimulates collagen production by creating micro-injuries in the skin and can be combined with PRP to enhance results. Here is a quick guide for what to expect before, during, and after microneedling with PRP.

Microneedling with Platelet Rich Plasma (PRP)

Microneedling is a noninvasive procedure whereby micro needles are used to reduce fine lines and wrinkles and tighten skin. The micro needle stimulates collagen production in the skin without damaging the skin. When microneedling is combined with PRP, the therapy may then be referred to as a "vampire facial" or "collagen induction therapy".

Assists in skin regeneration and tightening, pore reduction, scars, acne, mild wrinkles, and skin discoloration.

On the day of treatment, the skin will be cleansed and a topical numbing agent will be applied to the treatment area. While the skin is being numbed, a small amount of blood will be drawn and processed to isolate the PRP, or platelet rich plasma. Once the treatment area is thoroughly number, the microneedling procedure is performed. The microneedling device will create tiny holes in the skin as it is gently passed over the skin. After the microneedling is complete, the extracted PRP will be immediately applied to the treated skin. Next, the treated skin will be enriched with the application of stem cell growth factor serum. Both the PRP and growth factor serum are clear on the skin and should be allowed to stay on the skin for the remainder of the day. 

This variation of microneedling takes advantage of the microchannels created by the microneedling device. Without the addition of the stem cell growth factor serum, this procedure would be known as a vampire facial. Other popular combinations of microneedling include the addition of radiofrequency energy to further enhance the collagen-inducing properties of the micro-injuries created during treatment.

Microneedling with PRP and Stem Cells

Microneedling stimulates collagen production by creating micro-injuries in the skin and can be combined with PRP and stem cell growth factor serum to enhance results. Here is a quick guide for what to expect before, during, and after microneedling with PRP and stem cells.

Microneedling with Platelet Rich Plasma (PRP) and Stem Cells

Microneedling with PRP and stem cell therapy assists in skin regeneration and tightening, pore reduction, scars, acne, mild wrinkles, and skin discoloration.

Bags Under the Eye

A mid-facelift targets the cheek and under eye area to give patients a younger, more rejuvenated appearance. Similar to the SMAS facelift, the mid-facelift manipulates the underlying muscles to create a longer lasting solution for those with sagging skin and facial features. The mid-facelift though, also suspends the cheek fat pad and the eye muscle to create a complete transformation for the middle third of the face, erasing fine lines and wrinkles around the temples. 

Once the patient has been thoroughly anesthetized, the surgeon will make the initial incisions around the hairline and forehead to access the drooping facial muscles. Incisions may also be made for endoscopes to improve visualization. The doctor will then dissect the skin from the muscle in the forehead and cheek area. At this point, the surgeon will reposition the undermined muscles to their new position. The "flap" that is raised includes the SMAS muscle, malar fat pad and orbicularis oculi muscle. These muscles will then be fixated in a higher position, closer to the temples and to the sides of the rim of the eye bone. It is common for patients to combine a mid-facelift with other surgeries such as a blepharoplasty or fat grafting procedure to enhance the overall outcome.

A mid-facelift, also called a vertical facelift or cheek lift, softens smile lines and lifts the corners of the mouth. Here is a quick guide for what to expect before, during, and after a mid-facelift. 

A mid-facelift, also known as the vertical facelift or cheek lift, focuses on the cheeks and under eye hollows. This procedure helps to soften smile lines and lift the corners of the mouth. It is common to also have a  blepharoplasty procedure or micro-fat grafting done in conjunction with a mid-face lift.

Though less dramatic in results, the mini facelift is still an effective option for reducing signs of aging in the face and neck regions. By making a smaller incision point, the mini-facelift can create a rejuvenating effect on the cheek regions and the jowls while reducing post-op recovery time and procedure complications. Variations such as “the s-lift,” the “ponytail facelift” or the “lunchtime facelift” only slightly differ from the mini-facelift and minimally deviate in incision length or placement. These procedures range in cost from $3,500-$8,000. 

For this procedure, an incision is made at the hairline, extending behind the ear. For this procedure, the incision does not extend into the temporal or upper forehead region unlike its counterparts the SMAS facelift or the deep plane facelift. This allows for a considerably less invasive procedure. With the simple incision made, the surgeon will then raise the SMAS muscle. For this particular procedure, the SMAS can be raised and either plicated or imbricated. To close out the procedure, the incision is then closed and a head dressing is placed on the patient for healing.

The mini-facelift suspends the SMAS facial muscle, however, the effects are less dramatic than a traditional facelift. Here is a quick guide for what to expect before, during, and after a mini facelift. 

Mini Facelift

The mini-facelift goes by a variety of different names such as “S-lift”, “weekend facelift”, “ponytail facelift” and the “lunchtime facelift”. However, each one is simply a version of the same base procedure. A mini-facelift provides patients with a refreshed look by suspending the SMAS facial muscle, however, the effects are less dramatic than a traditional facelift.

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