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

209 Hospital Dr #202
Highlands, NC 28741

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A Facial Refresher Without Surgery

A Facial Refresher Without Surgery

The signs of aging create concern for many adults. As tissue loses firmness and resiliency, lines on the forehead and around the eyes, nose, and mouth worsen. In time, the changes in facial structure need to be addressed in more profound ways. Historically, the way to restore a more youthful appearance has been to undergo facelift surgery. When we hear the term facelift, it is surgery that comes to mind for most people. Today, we have another non-surgical option to consider. For patients of our Highlands, NC office, that option is Today’s Liquid Lift™.

What Is A Liquid Facelift?

A liquid facelift is a nonsurgical, minimally-invasive procedure for revitalizing the face. Treatment involves the strategic use of fillers to correct volume loss, one of the most common signs of aging. The Liquid Facelift has been around for many years now and has been refined by experienced physicians like Dr. Buchanan. Where the many Liquid Facelifts typically includes fillers only, our technique incorporates Botox and fat injections as needed to achieve optimal results.

Dr. Buchanan developed Today’s Liquid Lift in response to seeing many patients encounter re-aging after an initial facelift. Many of the patients who visit a plastic surgeon have no dramatic signs of aging on the neck to address but have a desire to restore more youthful contours to the face. Surgery may not be the ideal solution to achieve this objective. This is especially true since many of the surgical methods used by many physicians actually further thin the face.

Today’s Liquid Lift addresses the signs of aging that result from natural deflation in subcutaneous tissue. As volume is lost in the mid face, cheek or under the eyes, the now loose skin and tissue descend downward. They are stopped by ligaments attached deep resulting in a depression under the ligament and fullness above it. This creates under eye bags, depressions in the cheek with loss of the youthful cheek curve, and nasolabial and marionette folds around the nose and mouth. In the past, nasolabial folds were treated as an individual problem. Filling these creases with fillers may soften their appearance but it does nothing for the original problem. By neglecting the deflated tissue in the malar and cheek areas, there is a potential to increase the squareness of the face and actually worsen the appearance of aging.

A youthful face is triangular. There is more width near the top of the face, transitioning into a narrow jawline and chin. Today’s Liquid Lift restores volume in the malar area (the mid-face). In so doing, this technique naturally elevates the tissue that has begun to droop. Filing over the malar bone below the orbital rim also refreshes the face by smoothing the transition of skin between the upper cheek and the lower eyelid. This technique camouflages puffiness without the risk of swelling in the tear trough area.

Experience the Benefits of a Liquid Facelift

A Liquid Facelift is advantageous for several reasons. It is nonsurgical, convenient, incurs no downtime, and achieves good results. Today’s Liquid Lift offers all of these benefits and more thanks to refined techniques.

Learn more about nonsurgical facial rejuvenation. Call (828) 526-3783 to schedule your consultation.

Yet Another Reason to Love Botox

Botox treatments have been available for many years now and have helped millions of people turn back the hands of time without having to undergo surgery. Initially, treatment focused on smoothing away frown lines. Over time, we came to realize that a few injections could raise a drooping brow line, erase crow’s feet, and even treat a downturned mouth. With all that we know about Botox Cosmetic, one might think there is nothing left to learn. Apparently there is, and now we have yet another reason to appreciate this cosmetic drug.

Get a Second Boost from Botox

The known mechanism of Botox is that the purified botulinum protein inhibits muscle contractions for 3 to 6 months. According to a recent study, Botox may have a secondary action in the skin. Canadian research has indicated that the drug may also boost elasticity for up to 4 months. Elasticity is the characteristic of the skin that gives it a bit of stretch. Skin with good elasticity is prone to contract from muscle pull rather than pleating. When the skin loses elasticity, it doesn’t bounce back and is more likely to look crepey and lined. In other words, a loss of elasticity contributes to looking older.

To observe the effects of Botox, researchers recorded elasticity measurements in study participants; 43 women who had never had the wrinkle-reducing treatment. Baseline measurements were obtained with a device called a Cutometer. Several times after the participants received Botox, subsequent measurements were taken. At the conclusion of the study, the authors observed elasticity improvement up to 30 percent for up to 4 months following injections.

Does This Matter to You?

Does the way in which Botox works matter, really? It might. You see, elastic skin is less susceptible to new wrinkle formation. This means that a few injections may not only diminish the lines and creases you’ve already developed but that they may also slow the formation of new wrinkles.

The Center for Plastic Surgery offers minimally invasive options that can help you love the way you look. To schedule your Botox treatment in our Highlands, NC office, call (828) 526-3783.

Would You, Could You, Yes You Should – “Brotox” For Men Is Trending!

Botox for menThe number of men opting for Botox injections has absolutely boomed over the past decade. Since it was discovered that Botox was the perfect way to get rid of lines and wrinkles, especially between the brows and around the eyes and mouth, women have flocked to receive these easy, safe injections.

It has taken a bit longer for men to climb onto the “Brotox Bandwagon.” But over the last few years, men have become much more proactive and open about their appearance. Botox can give them a competitive edge and make them feel better about themselves. There’s also now less stigma associated with cosmetic procedures for men.

Why the shift? Men feel pressure to maintain a more youthful look in the highly competitive job market. Youthful appearance is an asset, for both women and men. For those who are “job hunting,” looking less stressed and more youthful can give an applicant a definite edge. Metrosexuality may also account for some of the cosmetic treatment shift for men, as well as the recent up-turn in the economy. Also, as men are living longer and feeling younger, they too are wanting to look like they feel.

Aging is a given; nobody gets younger. If you decide to try Botox, seriously think about what you want to achieve and then discuss  this with your doctor. It is very important to choose a doctor who is experienced with injecting male patients. Male anatomy, even in the face, is distinctly different than in women. Exact dosing requirements for men do not currently exist but there is a general consensus that men require higher doses of Botox than their female counterparts. Most men are conservative about their injections…they don’t want to look like they’ve had a “bit of work” done. Privacy is definitely a concern.

If you have read about the “Brotox” trend or have a friend who has tried it or just think that it may help give you a more rested or less angry or quizzical look, call to schedule a consultation appointment to learn more. We treat many men with several types of injection treatments…we would love for you to be one of them: (828) 526-3783.

It’s Possible to Maintain a Youthful Look into Your 50’s & Beyond

 Medi-Spa Services Highlands, NCAging gracefully doesn’t have to be impossible. In fact, one of our goals here at the Center For Plastic Surgery is to help everyone age as well and gracefully as possible. If you have reached that point in your life, maybe around your 50’s, where you are looking in the mirror and wondering where your youth went, then let us help you find it again. Although we won’t be able to take you back more than a few decades,  we can reverse considerable aging of your skin, face and body.

Watch Your Skin Care

If your skin care regimen has not  maintained your skin looking young and radiant, then it is time for a medical grade system that will reverse everything that has happened to it. If you have maintained most of your skin’s youthful properties, you may just need to modify a few things to keep it looking healthy and young. Frequently, we don’t realize how our skin is aging until it actually requires a lot of work to reverse the problems. That is why we suggest adding retinol to basic skin care of a gentle cleanser, pH balancer, exfoliant and sun block at about 30 years of age. This can markedly help reduce fine lines and wrinkles later on.

Try Fillers and Botox

If you haven’t already, give fillers and Botox a try. Both of these injectables are great at reversing early facial aging without having to undergo surgery. Plus, because they are more affordable than surgery, they may be a good jumping off point. Botox is also one of the mainstays of preventing wrinkles by correcting the imbalance between thinning skin and increasing muscle function, one of the main contributors to wrinkles and crinkles. Once wrinkles are present, fillers are important also in reversing the problem without laser or peels.

Consider Surgery

There is absolutely nothing wrong with having a surgical lift; whether it be a forehead lift, eye tuck or something else. In fact, it’s the best way to get long-lasting results. Our present procedures are easier and have a faster recovery than those in the past.

As you can see, we have more than a few ways to help you maintain or get your youthful look back. To learn more about these and other options, schedule a consultation at our Highlands office by calling us at (828) 526-3783.

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.

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