Call Us Now!

PHONE: (828) 526-3783 | TOLL-FREE: (877) 526-3784

209 Hospital Dr #202
Highlands, NC 28741

Facebook IconGoogle Plus IconTwitter IconRealSelf Icon

What Do You Know About Wrinkles?

What Do You Know About Wrinkles?

If you are a man or woman “of a certain age,” the aging of your body and skin manifests itself in countless ways, facial wrinkles being one of the most visible and obvious.

Why wrinkles?

What’s the main causes of wrinkly skin? The sun’s UV and UVB rays resulting in an unbalance between the skin and the underlying muscles that, in the face, are attached to the skin.

How does this happen? The sun’s UVA rays cause a loss of your skin’s connective tissues including collagen and elastic tissue making your skin thinner, less elastic and much more vulnerable to wrinkles which are the result. More importantly, repeated, unprotected sun exposure can cause skin cancer. Additionally, the effects of the sun’s damaging rays are cumulative over your lifetime.

Most wrinkles appear around the eyes, eyebrows and mouth. This is because of repeated facial expressions, such as frowning and smiling. Smiling is a good thing, but worrying is not. Those frown lines don’t need extra help to deepen!

What helps? Here are 7 things to consider:

facial rejuvenationWrinkles are a natural result of aging, that’s true, but there are some things you can do to prevent or reduce them:

1.  Sunscreen is critically important but it doesn’t do any good in a drawer. Be sure to choose a product that contains at least 8% zinc oxide and re-apply it whenever you rub or wash it off (other products are OK, but need to be reapplied hourly outside and every 2 hours indoors). Don’t forget your hands and neck.

2. Stay away from tanning beds. They use UVA, the damaging part of sun rays.

3. Be gentle. Don’t scrub your skin with a rough cloth; don’t rub and pull at your skin; use an easy touch when applying makeup, especially around the eye area.

4.Use a retinol cream applied daily, especially after 30 years of age to reduce loss of collagen. If you are in your 50’s or older and haven’t been using a retinol, you probably need tretinoin (Retin-A).

5. Consider adding Obagi ELASTIderm® that converts some of the collagen to elastic tissue. This is especially true the older you are.

6. If you smoke, quit. Smoking greatly accelerates the aging process and causes wrinkles to appear prematurely.

7. Consider injectables, like Juvederm and Botox, if your wrinkles are deep and pronounced.

Today is the beginning…the rest of your life awaits you! Give Dr. Buchanan a call and request your complementary consultation 828.526.3783.

How to Get Baby Smooth Skin In Your 50’s and 60’s and Beyond

Beautiful Skin Highlands, NCIf you have children, grandchildren, or just like taking care of your friend’s children then you know there’s one thing everybody wishes they had that a baby does; smooth skin. A baby’s skin is ineviable because it’s not only flaw-free, but it is also hydrated and soft— something we all wish for. As we age, our skin starts to lose collagen and elastin in it which makes it more wrinkly and less smooth. If you are in your 50’s and 60’s and can’t seem to get the soothe skin that you want, we have non-invasive ways to help. Let’s take a closer look at how.

Tretinoin (Retin-A®) & ELASTIderm®

One reason that young skin looks so good is that all the cells are continually working to rebuild collagen (the main substance of the support layer) and elastin (the part that makes the skin elastic). With sun exposure, this process gets harder and harder and, after about 30 years of age, the cells that rebuild these simply stop working unless they are stimulated. There are several ways to stimulate them such as some lasers and micro needling, but the easiest and best way is to is a good skin care system including Tretinoin (Retin-A®) & Obagi® ELASTIderm®. The former stimulates collagen to thicken the skin and the latter stimulates elastic tissue. By using these over all the movable facial skin you can significantly retain a softer, more hydrated and more elastic skin.


Fine lines and wrinkles don’t just happen on your cheeks and around your mouth. In fact, most people notice their first wrinkle on their forehead or around their eyes. With injections of a neurotoxin that reduces muscle function like Botox, we can help to reduce the formation of fine lines and wrinkles around your eyes and forehead and leave you with a more baby-like complexion.


Fillers like Juvederm are designed to do exactly as their name suggests; fill in fine lines and wrinkles. Made from hyaluronic acid (a naturally occurring substance in the body used to build collagen) these two fillers can also help add volume and contour to your cheeks and around your mouth. They are useful especially if you already have wrinkles that are present when the underlying muscles are relaxed. With thin skin and multiple wrinkles, the filer can be placed directly under the dermis (the collagen containing support layer of the skin) to thicken it make it harder to wrinkle. The body can use some of this hyaluronic acid to make new collagen, leaving you feeling and looking one step closer to having baby-like skin.


Another way to get that baby perfect skin is getting frequent micro peels. Your skin type and your exact issues of concern will help determine what type of peel will be best for you. MicroPeels work by targeting the top layer of your skin removing the outer dead cell layer that has been created by time and sun exposure leaving healthier, brighter skin in the process. They also get rid of external weight that tends to increase the incidence of wrinkles.

Having that smooth baby skin doesn’t have to be an unattainable fantasy. With the help of our staff at the  Center For Plastic Surgery, we have a variety of both non-invasive and surgical procedures we can use to help you get a more youthful glow. To learn more, schedule a consultation at our Highland’s office by calling us at (828) 526-3783.

Forehead Lift VS. Botox®: How to Decide Which One is Right For You

Forehead Lift Highlands, NCAs a patient, it can sometimes feel overwhelming to look at all of the cosmetic procedures that are available to you. However, here at the Center For Plastic Surgery, we make it our goal to make sure that all of our patients feel confident and informed each and every time they are seen. Two procedures that some of our patients have a hard time choosing between are either a forehead lift or Botox. So, what are the differences and how can you decide which one is right for you?


If you suffer from fine lines and wrinkles across your forehead and around your eyes— welcome to the aging club. Botox can correct these and also elevate the brow as long as the tissues can be held up against gravity. Because of this, Botox has remained one of the most popular non-invasive procedures amongst patients desiring to rejuvenate the brow and peri-orbital area because it is fast, safe, and frequently very effective. Also, because it’s non-invasive, you don’t have to worry about recovery time. The major drawback is that it only lasts an average of 3-6 months and there are some patients that are just not candidates.

Forehead Lift

If you are looking for something that’s a little more permanent than Botox, then a surgical procedure like a forehead lift may be right for you. It is also indicated if the brow is so lax that the forehead muscles cannot elevate it once the muscles pulling it down are eliminated.

When it really comes to choosing between something non-invasive like Botox and something surgical like a forehead lift, it comes down to the type of procedure you want and the results you desire. During your initial consultation, we will help determine which one of these procedures (or even another procedure) is going to give you the best results possible to meet your needs.

Are you ready to learn more about these and other procedures? Schedule your consultation at our Highlands office today by calling (828) 526-3783.

Botox In the News: A Recent Study Finds a “Better” Way to Inject Botox

Botox in Highlands, NCBotox is consistently a popular option for patients who are seeking to soften fine lines and wrinkles across the forehead and around their eyes. A recent study released by The American Academy of Cosmetic Surgery recently discusses what was described as a “new” way to use Botox to temporarily alleviate fine lines and wrinkles. So, what did the study say exactly?

The “New” Technique

In this study, the authors used a technique different from usual to help temporarily soften fine lines and wrinkles across the forehead without giving patients the “frozen-forehead look” they typically receive after the usual technique of injecting Botox. With standard methods, Botox is injected directly into the muscles in limited areas of the forehead and spreads causing the muscles to relax and prevent them from contracting. With their “new” method, Botox is administered with a “microdroplet” technique only in the areas where relaxation is desired.

What Were the Findings?

In a 227 patient study, patients demonstrated a statistically significant improvement in the appearance of fine lines and wrinkles across their forehead without spread to unwanted muscles that can occur with standard Botox injection technique. The doctors concluded that this technique was less likely to spread to unintended areas. Additionally, they also found the botulinum toxin could lift the brow when injected into the appropriate muscles. Although described as “new,” because it is different from what most injectors have done, this is a technique we have been using and refining for at least 15 years. It has given us an advanced method of actually sculpting the face instead of just relaxing muscles.

Botox and fillers are some of the most favored treatments that we offer our patients here at the Center For Plastic Surgery. Schedule your appointment with our Highlands office today to learn more about how Botox may benefit you.

Injectables Aren’t Just For Women

BOTOX® CosmeticWhile most women are in-the-know about the benefits of Botox and Dermal Fillers, more men are opting for these popular, non-surgical treatments to address fine lines, wrinkles and other signs of aging. According to the American Society for Aesthetic Plastic Surgery, injectables saw a 21% increase from 2014 to 2015.

There are two types of injectable treatments: Neurotoxins, such as Botox® Cosmetic, and Dermal Fillers, such as JUVEDERM® and Radiesse®.

Botox® Cosmetic is an FDA approved, non-surgical procedure for treating wrinkles formed by facial movements in the forehead and between the eyebrows. These are called “glabellar lines.” Botox uses a neurotoxin (botulinum type A) to temporarily paralyze facial muscles by blocking nerve receptors. Botox injections prevent muscle movement in the forehead, between the eyebrows, and near the corners of the eyes – the areas that cause that tired, stressed, and angry look. Each session takes about 15-20 minutes, and most patients return to normal activities immediately. The effects Botox last three to four months in most patients, at which time repeat injections are needed.

Dermal Fillers can help diminish wrinkles, fill out facial features, adjust the contours of the chin and cheek area, and restore a healthier, robust, more youthful appearance to a man’s face. Injectable fillers differ from neurotoxins in that they contain a synthetic hyaluronic acid gel, a natural substance found throughout the body that is a precursor of collagen, the support layer of the skin. Dermal fillers are designed to add volume to the treated areas. Treatments can be completed within 30-minutes and require no downtime. Depending on the product and treatment area, the rejuvenating effects of dermal fillers typically last from four months to a year – then the body will naturally metabolize the filler. To maintain results, periodic repeat injections are advised.

All fillers work similarly, but each has unique properties for treating specific concerns, severity, or area of the face. At your consultation, we will help you decide the optimum treatment option to achieve your goals.

To learn more about how injectables can help keep you looking your best, call to schedule an appointment, today: (828) 526-3783 or toll-free (877) 526-3784.

Are You Considering A Botox® Treatment?

BOTOX® Cosmetic

Are You Considering A Botox® Treatment?

Eventually, everyone must deal with the fine lines and wrinkles associated with aging. Fortunately, there is a perfect way to diminish their appearance – Botox® Cosmetic Treatments.

Botox® is a purified form of botulinum toxin A, which means there’s no botulism risk when used properly. It works by blocking the nerves that contract facial muscles, softening the appearance of lines and wrinkles. Botox® is most effective on wrinkles that haven’t quite set, called “dynamic” wrinkles that appear while you’re moving the muscles of your face, such as when you smile and frown.

  • Botox® lifts the brow making your face look less tired, giving you a more youthful appearance.
  • Botox® is a fast, easy, non-surgical and minimally invasive solution for wrinkles in the forehead and around the mouth.
  • Botox® decreases excessive This is a benefit many people may not be aware of. For some people, excess sweating under the arms is an embarrassing problem that must be dealt with on a day to day basis. A simple Botox® treatment can lessen the amount of sweat produced.

If you decide to give Botox® a try, consider the following:

  • If you take aspirin or ibuprofen, be sure to tell your doctor before you schedule a treatment. These medications thin the blood and increase bleeding. Some natural suppléments, such as fish oil, gingko, or vitamin E, also thin the blood. Your doctor may ask you not to use those supplements for two weeks before your treatment.
  • Remember that “less is more.” Ask your doctor for a natural, expressive look.
  • Although parties are fun, they are not a time to try Botox®. These treatments should only be done by a doctor who is board-certified in dermatology or plastic surgery.

If you’re breastfeeding, pregnant, or plan to become pregnant, the FDA recommends that you talk to your doctor before starting Botox®. Rare side-effects can be headache, bruising, pain at the site of injection, and, in less than 1% of cases, drooping eyelids or eyebrows that will return to their natural position within a few weeks.

If you would like to learn more about Botox®, call us for a consultation: (828) 526-3783.

Of Course You’ve Heard Of It…But Do You Know These Botox® Facts?


Botox® is an amazing aesthetic cosmetic treatment.

It is hugely popular world-wide but you may not know much about it and how it works.

Read on to learn 12 facts about this popular treatment:

Botox® is made from botulinum toxin type A, a neurotoxic protein produced by bacteria…the same bacteria that causes the disease botulism.

Decades ago, scientists found that injecting tiny amounts of botulinum toxin type A into a muscle temporarily paralyzed that muscle

The FDA approved Botox® for eye spasms in 1989

The FDA approved it for wrinkles, creases and frown lines in 2002.

Muscles are the cause of wrinkles around the forehead and eyes. Wrinkles form because you make repeated muscle contractions when you laugh, frown and squint. When injected into the muscle, Botox® blocks nerve signals to that muscle, stopping its contraction.

Try a Botox® treatment…
• As a preventive measure: Botox® slows down the creation of lines and creases.
• To relax your face: Botox® eases that “angry” look.
• To give your face a “lift”: Depending on which way certain muscles pull, Botox® can give a lift to your eyes and the corners of your mouth.

The frown area between the eyes is the most common area to be treated.

A Botox® treatment is surprisingly easy. It is performed in a few small pokes with a very tiny needle.

Botox® results are not immediate. Unlike fillers, Botox® takes about a week to fully relax the muscle.

The full results of a Botox® treatment last from four to six months, but many of our Highlands clients find that their results last longer.

The degree of improvement depends on how deep the creases are when you begin treatment, but everyone will see improvement.

Botox® does wear off. Most of our patients love it, however, and return for repeat injections. If you do happen to experience a very rare side effect, Botox® will wear off and everything will go back to normal.

This is the perfect time to try Botox®. Call to schedule an appointment, today: (828) 526-3783.

Are Botox Injections Really Safe?

Every year, thousands of people elect to get Botox injected into problem areas for cosmetic reasons. Typically, these are done to smooth out wrinkles and fine lines, or to treat a droopy part of the face and give it a lift. Botox is even used in a procedure called a ‘Liquid Facelift’ to give the effect of a facelift without surgery – and does so very well! But one question that is often asked before receiving Botox injections is often “are they really safe?”

Botox is, by nature, actually a poison called botulinum toxin type A. Although this may seem alarming, it is actually what ‘relaxes’ the face and causes the muscles to freeze – and the wrinkles to disappear! But how can injecting a poison into your skin be okay? While Botox is poisonous in large quantities, the stuff you’re getting at your doctor’s office is purified in a lab to be safe, and administered in very small doses. It doesn’t take much Botox to get rid of wrinkles.

Botox, which is measured in units of the mixture, is used in very limited amounts. Depending on what you’re trying to achieve, your doctor may spread out one unit into smaller injections over a wide area of your face, or you may get a few bigger injections to isolate a stubborn muscle.

As with any medical procedure however, there are always risks. Botox, especially in the cosmetic industry, doesn’t come with many though. The most important factor when getting Botox is actually your doctor! Be sure to research him or her, ask tons of questions about how they will perform the procedure, and always ask for some examples of their previous work. Always take note of the environment they’re in as well – is it clean and tidy? Are the staffs professional and well organized? These are all signs that you’re in good hands.

In North Carolina you can trust the extensive experience and professionalism from Dr. Robert Buchanan and his team. With years of experience delivering Botox treatments and touch-ups, you’ll be in good hands! Let us make you smile again – without the lines! – And look amazing!

Can Botox Cause Dry Eyes?

When Botox was introduced in the 1980s, it was first used treat optic muscle disorders. In 2002, it was approved by FDA for cosmetic use, that is to improve the appearance of frown lines between the eyebrows. A decade later, Botox reigns as king amongst non-surgical cosmetic procedures. This could only mean one thing — it certainly lives up to its promise. While Botox side effects rarely occur, Dr. Buchanan believes that educating clients on what to expect (both positive and negative) is the key to better cosmetic outcomes in his North Carolina plastic surgery practice.

Dr. Buchanan’s Take on Dry Eyes

One of the most common side effects of Botox is dry eyes. To avoid this problem, it is very important that you seek the services of Botox specialists, people who are trained and skilled in injecting Botox for cosmetic reasons.

“Yes, Botox injections around the eyes can cause you to not be able to close your eyes which then causes the dryness. The only two places around the eyes we usually inject Botox is between the eyebrows and laterally,” Dr. Buchanan shares in this ASAPS (American Society for Aesthetic Plastic Surgery) Q & A post. “We also try not to totally eliminate all function laterally to prevent this problem. If Botox is put in other places in the Orbicularis muscle (the one that closes the eye), especially medially, this muscle may fail to close the eye.”

“You will just have to wait until the Botox wears off. Meanwhile, use of Restasis and Lubricants like Systane and Refresh Tears and an ointment for night use will usually control the symptoms until this happens,” Dr. Buchanan further recommends.

Finding a Botox Specialist for Cosmetic Use in North Carolina

Millions of men and women receive Botox each year. However, finding a Botox cosmetic specialist (not ophthalmologists who inject Botox for different conditions)is very crucial. It is important to note that the injection site may vary between Botox for cosmetic purposes and Botox for non-cosmetic use. Possible risks from a mistake in the technique or the injection site include bruising, infection, and unintentionally affecting other muscle groups (like what happens in dry eye syndrome).

The Center for Plastic Surgery in Highlands, North Carolina

We invite you to explore your cosmetic options with us! We perfectly understand that cosmetic surgery is not just about improving the physical aspect but making you feel better about yourself, too.

Dr. Buchanan has hospital privileges at both Highlands-Cashiers Hospital and at Harris Regional Hospital in Sylva.  The procedures are performed either in his office or at Highlands-Cashiers Hospital.  We are located at 209 Hospital Drive, Suite 202, Highlands, NC.  Call us at 828-526-3783 or fill out this contact form to schedule an initial consultation. We look forward to your visit!