Grammy Makeover Series: The Face

When we announced our brand new Grammy makeover procedure last month, there was so much we wanted to share (but there are far too many possibilities and we didn’t want to flood you with everything all at once)!  As a single, combination procedure made up of face, hand, arm, body and breast procedures, this “a-la-carte” type of tailored surgical plan helps restore a pre-child/grandchild body – so we thought we’d highlight each key part that makes a Grammy makeover so appealing to mature, female patients.  Since the face is often the first thing people notice about another person, let’s start with the surgical and nonsurgical features that can be included in your Grammy makeover facial plastic surgery plan.

When we consider facial plastic surgery, there are two ways that I can approach treatment.  As a double-board certified plastic surgeon with over 20 years specializing in facial procedures, I like to start by mapping out your surgical goals.  Are your eyelids hooded?  Has your chin accumulated pockets of fat creating a double chin?  Are the deep wrinkles of the forehead bothering you?  A facelift is often the first facial procedure that comes to mind when I talk to facial rejuvenation candidates.  A full facelift tightens loose facial skin and smoothes wrinkles mainly around the cheeks, neck and jowls (think lower half of the face) but sometimes that’s not necessarily enough, or for others needed at all, to achieve a younger look.  There are several facial procedures that focus on specific portions of the face to help provide overall rejuvenation.  The main facial plastic surgery procedures included in the Grammy makeover, beyond facelifts, are browlift, necklift and eyelid surgery (blepharoplasty) – we’ll get more into the nonsurgical highlights a bit later:

GMFace

Now, to cover the other part that makes up the facial side of Grammy makeovers.  Cosmetic injectables are always topping the most popular nonsurgical facial rejuvenation procedure list.  They can do everything from temporarily relax facial muscles of the forehead (like Botox® or Dysport®), plump up the lips (Restylane® Silk) and even add volume to hollowed cheeks (with Juvéderm® as an example).  Now, we have added Kybella™ for fat reduction of the chin to our menu of cosmetic injectables.  Kybella™ is the newest, and only FDA-approved, treatment for the “double chin” that can add unwanted weight and age to a person’s face.  This cosmetic injectable uses the active ingredient deoxycholic acid, which is already naturally found in the body.   Once Kybella™ is injected in the fat below the chin, it breaks down and destroys the fat accumulating cells so they are no longer able to store fat.  Several treatments may be needed to get a younger-looking profile of the chin or they can be used post-facial rejuvenation surgery as a type of “touch-up.”

Facial plastic surgery results can last a very long time as long as you do your part to maintain (like wearing your SPF, avoiding smoking and making sure you’re eating and exercising right).  In order to do this, many Grammy makeover patients tailor a post-makeover maintenance plan to incorporate nonsurgical treatments like cosmetic injectables and laser skincare procedures to help them keep their face looking young.  We’re all going to continue aging and a lot of patients like to keep a consistent routine to push back the need for more surgery until a later time.  Just depends on your overall goals!

Next time on our Grammy makeover series we will talk about the arm and hand components, so be sure to check back regularly.  If you’re interested in learning more about Grammy makeovers, mommy makeovers, or any of the other cosmetic and reconstructive procedures we offer, we encourage you to contact Southern Plastic Surgery (SPS) at 770-622-9100 with any questions you may have.  Stay connected with the SPS and me, Dr. David Whiteman on Facebook, Twitter and Google+ for more.

Refresh Your Look with Facial Rejuvenation

As an Atlanta cosmetic surgeon, I’ve seen how facial rejuvenation procedures are some of the most sought after cosmetic plastic surgery options today.  When you think about it, our faces are tough.  Not only do they fight against gravity, harmful exposure to the sun and aging in general, but the face is such a prominent feature that trying to hide certain insecurities we may have is near impossible and can be cause for concern for many of us.

Plastic Surgery in Atlanta GAOur genetic makeup is different, so there isn’t a recommended age to start facial rejuvenation but instead something to consider at different milestones in your life.  Think about the first time you noticed fine lines by the corners of your eyes or the moment you looked in the mirror and realized the under-eye bags were there to stay.  There are a variety of facial plastic surgery procedures that can help refresh your look and when you delve even deeper, I see many of my facial rejuvenation patients fit into two distinct groups: those that wait until signs of aging are prominent before they are prompted into action and those that start early to slow down the progression.

Get started early.

The beauty of cosmetic injectables is that they give patients temporary relief for the appearance of wrinkles, fine lines and sagging skin and depending on the type of product used (injectables vs. facial filler) can yield results up to a year.  The earlier you start cosmetic injectable treatments the less noticeable the concerns you have with your facial appearance will present themselves as your skin matures.  Starting earlier gives patients more time before major concerns give added cause to start considering a longer-lasting way of anti-aging.  Patients as young as 18 may opt for Botox®, Dysport® or Xeomin® to relax the wrinkle-causing muscles of the face while patients with thinned lips, deeper wrinkles or loss volume may consider facial fillers like Juvéderm®, Restylane®, Radiesse® or Perlane® to smooth out their skin or to better help maintain previous facial plastic surgery results.

Look more rested.

If you’ve graduated beyond the injectables phase and entered the ages of looking perpetually tired because of under eye bags and hooded eyelids, blepharoplasty (eyelid surgery) could be the facial rejuvenation treatment you consider.  The main goal of eyelid surgery is to remove excess fat, tissue and skin that accumulates around the eyes and this can be done on the upper, lower or a combination of both the upper and lower lids to get you back to looking more rested.  Eyelid surgery results are subtle enough that your family and close friends may not recognize that you had surgery, but effective enough that you look more relaxed, awake and as if you just had the best sleep of your life!

Lift your woes.

When the skin on your face starts to sag well beyond comfort and the folds are deep enough to make a bulldog your doppelgänger, a more invasive procedure, rhytidectomy (or better known as facelift), is needed to help turn back the clock.  Collagen breaks down as we get older and the loose skin creates a dulled appearance that can extend from the top of the forehead all the way down around the cheeks, jowls and neck.  A facelift can work in two ways.  On one hand it directly removes excess skin and on the other hand it addresses the fundamental cause of your facial aging.  To help these underlying concerns, I reposition the skin, tissue and muscle to replace the lost volume and create a look that is smoother and more youthful.  Patients have the option of a full facelift or may opt for isolated concerns on the upper, middle and lower sections of the face independently.  While facelift results are much more extensive than those which are produced from cosmetic injectable treatments, with any facial cosmetic procedure the plastic surgery results are not permanent and a touch up procedure is recommended to help you looking younger, for longer.

If you’re interested in exploring your facial rejuvenation options with me, please don’t hesitate to contact my office to set up a time when we can go over your questions and concerns.  To keep up with my latest rants and raves as a cosmetic surgeon, stay connected with me, David Whiteman, on Facebook, Twitter and Google+ for plastic surgery news and updates.

Non-Surgical & Surgical Facial Rejuvenation

Facial rejuvenation treatments come in many forms.  From daily skincare regimens of moisturizer to more entailed cosmetic facial plastic surgery, men and women of all ages and skin types are choosing facial rejuvenation procedures to combat signs of aging in order to revive their youthful appearance.  In fact, according to the 2014 statistics shared by the American Society of Plastic Surgeons, facial rejuvenation procedures saw a surge in popularity and remained among the top five in both minimally-invasive and cosmetic surgery procedures:

Plastic Surgery in Atlanta GABotox® – 6.7 million treatments performed

Botox® contains a purified form of botulinum that works by temporarily relaxing the muscles that cause wrinkles between (glabellar lines) and around (crow’s feet) the eyes that form with age and repeated facial and forehead expressions.  As Botox® is injected into the muscle, it is eventually absorbed and eliminated by the body and therefore treatments must be “re-touched” just about every 4-6 months to maintain the same facial rejuvenation results.

Facial Fillers – 2.3 million treatments performed

Like Botox®, facial fillers are cosmetic injectables but are unique in that they are composed of naturally-occurring substances found in the human body that work to restore lost facial volume and smoothes wrinkles and lines.  Facial fillers such as Juvéderm®, Expression®, Perlane®, Radiesse® and Restylane® are great for patients aged 21 and up who have moderate to minimal signs of aging or simply want to help maintain previous plastic surgery results.  Popular areas for facial filler treatments include the cheeks, lips, around the mouth area and jaw line.  Depending on the type of filler you choose, typical results can last anywhere from 6 months up to two years, therefore follow-up treatments are necessary to keep a more youthful appearance.

Blepharoplasty (Eyelid Surgery) – 207,000 procedures performed

As we age, skin loses its elasticity, often causing the upper eyelids to droop and form excess fat deposits underneath the eyes on the lower eyelids.  Blepharoplasty is performed to eliminate those telltale signs of aging on the upper and/or lower eyelids by removing excess fat, tissue and skin around the eyes in order to provide a rested appearance.  Depending on the patient’s particular goals, eyelid surgery can be performed on the upper eyelids (to address the “hooded” appearance from sagging eyelid skin) and/or on the lower eyelids (to target the fatty tissue that creates under eye bags).

Facelift – 128,000 procedures performed 

When you’re at the point where you’re looking for longer-lasting facial rejuvenation results, facelift surgery can target moderate to minimal signs of aging such as lax skin, or deep wrinkles and fine lines; particularly helpful for those looking to eliminate excess skin around the cheeks, jowls and neck.  Once I remove excess, sagging skin, I reposition the remaining skin, tissue and muscles (if needed) to fill lost volume and create an overall smoother, wrinkle-free appearance.  There are also those patients who may have specific isolated areas of concern on their face in regards to the neck and jowls and choose to opt for a mini facelift to only rejuvenate and tighten the lower third of the face.

Whichever facial rejuvenation plan we tailor for your unique needs is entirely up to you, however, the first step towards facial rejuvenation is to choose a board-certified plastic surgeon with extensive training in the procedure of your choosing.  When your safety is concerned, it is important to be your biggest advocate and do the research!  If you’d like to meet with me, cosmetic surgeon Dr. David Whiteman, to answer any questions, feel free to schedule a consultation whenever the need arises.  You can also stay connected with Southern Plastic Surgery on Facebook, Twitter and Google+ for plastic surgery news and updates.