In-Office Facelift under Local Anesthesia

Facial Rejuvenation

Natural is Important

My facial rejuvenation technique and philosophy center around providing my patients with natural appearing results by providing patients with more volume to the face particularly in the places where it has been lost and lifting tissue where it is necessary. I have a saying – ” I would much rather appear old gracefully than to appear bizarre at the hands of a plastic surgeon”. Natural is important.

My technique in general provides volume replacement using your own fat by fat transfer or by using off-the-shelf fillers like juvederm, voluma, sculptra, or bellafill. Skin tightening most often includes a mini-facelift for which I am world reknown, an upper blepharoplasty, and a lower blepharoplasty. Some patients will also benefit from a brow lift or a neck lift depending on the degree of facial aging.

Sequential Approach

1. Provide volume where needed
2. Tighten skin of the face, neck, upper and lower eyelids, and temple if needed
3. Rejuvenate the skin with a skin rejuvenating BBL and Profractional lasers

After re-establishing the platform with volume replacement and surgical lifting, the rejuvenation process will generally require laser skin treatments to improve the quality of the skin. This generally implies the reduction of sun spots, spider veins, texture problems, and fine lines.

Awake Anesthesia

My patients choose between having their facelift procedures in the office or at the surgery center. Office procedures are performed in my Loudoun, Virginia office outside of Leesburg. Office procedures are performed with the patient awake but the patient takes valium and a oral pain medication followed by injection anesthesia. Surgery center patients go to Loudoun Ambulatory Surgery Center where the procedure is performed with the patient asleep.