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

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Highlands, NC 28741

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The Way to a More Sculpted Jawline

The Way to a More Sculpted Jawline

 Neck Lift | Highlands, NCYou may have heard of the term “double-chin.” This common problem affects adults of all ages. Because a a large number of double chins are made up of fatty tissue, this cosmetic condition often gives the impression that a person is overweight. The truth is, the neck under the chin is just another area in which many people wish they could spot reduce fat. It’s a part of the body on which fat cells may simply accumulate for no good reason. Statistics suggest that nearly 70% of American adults are troubled by submental fullness. Clearly, this is a problem for which reliable solutions are needed. We have them.

Treatment Options for a Double Chin

There are a handful of treatment options that can reduce excess fat under the jawline. However not every technique is ideal. In our Highlands, NC office, patients receive options that are proven to achieve the best results in the shortest amount of time. These are liposuction and neck lift surgery.

Neck Liposuction

With nonsurgical treatments like Kybella, why would anyone undergo surgery anymore? The answer is simple: reliability, fast recovery, and results. Neck liposuction is ideal for several reasons. First, the results from treatment are almost immediate. Due to the minimally-invasive nature of neck liposuction, Dr. Buchanan performs this procedure in the office using a local anesthetic. We understand that may sound uncomfortable. It’s not. Patients who undergo neck liposuction with local anesthetic and a mild sedative typically have one response: “Wow! That was easy!” Kybella typically takes more than one treatment, is more uncomfortable that liposuction and the recovery from the first treatment is longer than liposuction.

Neck liposuction removes the localized fat cells beneath the chin and jawline to reveal a more dramatic curve from the upper neck to the face. Treatment usually takes about an hour, after which a compression garment may be worn for a short while when alone. Within a few days, patients are back to normal activities.

Neck Lift

It is important to know what your skin is capable of as you seek treatment for submental fullness. Even many of the nonsurgical treatments that are popular today focus only on fat destruction. If your skin has lost elasticity, it won’t bounce back after fat is removed, no matter the method of removing the fat. Without proper retraction, the skin may look worse without the smoothing effect of the unwanted fat. For this reason, some patients are better served by a neck lift.

Like neck liposuction, the neck lift can also be performed in the office with a local anesthetic with or without sedation. The procedure involves an incision under the chino vertically in the central neck. The neck muscles are carefully released and tightened with sutures. The skin is repositioned, as well, and, with some procedures, excess is trimmed before the incisions are closed. Recovery time after a neck lift is about one to two weeks before most normal activities can be resumed.

Zerona Fat Reduction

Although Zerona is better at treating larger areas, if you have some larger areas that you wish treated, the neck can be treated at the same time using Zerona non invasive laser fat reduction.

What to Know About Kybella Double Chin Treatment

Kybella is one of the most commonly hyped and discussed double-chin treatments today. The technique is safe and it is effective. However, so are the neck liposuction and neck lift procedures. Although it is claimed there is no downtime with Kybella, after treatment there is noticeable swelling that may prevent normal activities for a few days and is generally worse than liposuction and lasts longer. Also, to get liposuction-like results with Kybella, it is necessary to undergo up to 4 treatment sessions (each with multiple injections) and several months of waiting for fat to naturally dissolve. Although it was initially thought that the reaction from the Kybella would tighten loose skin, experience haas shown that this does not happen.

If you’re interested in prompt results from chin-sculpting treatment, call our Highlands office at (828) 526-3783. During your consultation, we can provide details about sculpting procedures that are right for you.

Where is the Lip Trend Now?

Lip Enhancement Highlands, NCIn recent years, we witnessed a tremendous increase in appreciation for full, pouty lips. People everywhere sought to create their very own Angelina Jolie or Kylie Jenner look. As social media posts went viral with Jenner’s famous lips, in particular, lip enhancement procedures soared. However, about this time last summer, Kylie’s lips took a major turn. The star shocked fans by having her lip fillers dissolved. Seeing that trends are influenced by popular celebrities, many people assumed that the whole lip filler trend would disappear. Has it?

The End of a Look isn’t the End of an Era

Kylie Jenner has been one of several celebrities to openly discuss her use of fillers or other treatments. Her change of heart about what had been her signature look for a few years took the world by surprise. However, that choice is not an indication of the wider trends in beauty. Instead of tossing aside the idea of fuller lips, what we’re seeing patients do today is strive for fullness without the pout. This trend mirrors that of other plastic surgery transformations, including more natural breast augmentation and subtle facial rejuvenation procedures. As many cosmetic procedures were originally intended, patients now agree more with the concept of looking like themselves, only better.

What Does All This Mean for Lip Fillers?

The end of the Kylie Jenner lip era has not had a huge impact on the lip filler market. Primarily, what has changed is technique. Hyaluronic acid products like Juvéderm Vollure continue to be incredibly popular. Patients still appreciate the instant results they can get from injectable lip enhancement, not to mention the natural-looking outcome.

Lip enhancement, though made more popular by celebs like Jenner, is not conducted only to achieve a luscious pouty mouth. Many of our patients who express interest in lip enhancement do so out of concern for the way their lips have changed with age. Naturally thin lips can all-but disappear as they lose what little volume they had. Fuller lips deflate as collagen and elastin break down in the skin. These are common concerns that can be immediately corrected with fillers.

The results of lip enhancement can make a big difference in a person’s life. A skilled provider can make small adjustments to particular parts of the lips to make a big impact on appearance. For example, a small amount of filler into the top lips can accentuate and shape the perfect “cupid’s bow.” Injections at the lip line can recreate subtle fullness that makes the lips look younger. Filling the lower lip can restore its normal proportion and eliminate lipstick bleed.

Schedule your Consultation

Lip enhancement treatment isn’t going anywhere because aging is continuous. To schedule your consultation for natural, younger-looking lips, call our Highlands, NC office at (828) 526-3783.

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.

Treating Facial Skin Wrinkles

Wrinkled or crepey facial skin is caused by an interplay of the skin and how it ages, gravity, loss of supporting volume, and action of the underlying muscles. As we age, the skin stops producing both collagen (the substance that gives the skin its thickness and strength) and elastin (the substance that makes the skin elastic). This happens around 30 years of age with collagen only being made after that as part of healing. With both collagen and elastin present, the skin contracts and then, because of its thickness, resists further muscle pull. With the loss of them, the skin does not contract and the muscle pulls the skin further than normal and causes it to pleat. With time, the muscles also hypertrophy and pull even harder and the places where the skin tends to bend become permanent lines. How much the skin crinkles or wrinkles varies due to your genetic predisposition and how you have treated your skin. Smoking, diet and other environmental factors speed the process. There are, however, several things that can be done to improve or reverse this.
 

Use of Botox®

If the muscle can be weakened with Botox® or a similar neurotoxin, the process can be slowed. This works best around the eyes and in the forehead where the muscle function is not essential. If started early, it can even slow the creation of wrinkles.
 

Improving the Quality of the Skin:

You can also slow the process and even reverse it by adding collagen and elastic tissue to the skin. Collagen can be added by use of tretinoin (Retin-A) or good retinol or by microneedling or similar laser procedures. We prefer tretinoin or retinol regularly as it continually stimulates collagen production, is less invasive and, we think, more reliable. Elastin can be added by use of Obagi’s ELASTIderm®, the only product proven to do this. We generally add these to Basic Skin Care at about 30 years of age when the skin stops producing collagen and elastin without some encouragement.
 

Reversing Wrinkles:

If the wrinkles are minimal or small, the above options will reverse them, but it takes about a year or so to do so. There are 2 things you can do to improve the wrinkles faster. One is laser resurfacing or a leveling peel that brings the surface of the skin down to the level of the bottom of the wrinkles and stimulates significant collagen production. Both these, however, have a prolonged recovery. The other is to fill the lines or depressions with a filler like Juvederm® Volbella and then crisscross it under the skin to stiffen it. This also helps the tretinoin work since it can increase the body’s use of the hyaluronic acid from the filler to convert it to collagen (something that is now proven to happen). Fillers are also the answer if the wrinkles are due to volume loss as they fill deep, replacing the lost volume, and stretch the skin back, flattening many of the wrinkles. This is especially true with lip wrinkles. The recovery from this is minimal with only a little swelling and, occasionally, some bruising that is easily camouflaged.

To find out more or to determine what is right for you, call 828-526-3783 to make an appointment at our Highlands office.

Fillers or Blepharoplasty: What is the Best Option for You?

Blepharoplasty Highlands, NCThe eye area is a point of concern for many adults. Several different problems under the eyes can cause frustrating problems, such as puffy bags, lines or dark circles. These can be caused by the stretching of the eyelid skin, descent of the tissues or loss of supporting tissues. You may have heard of filler treatment for under-eye problems like these and that there is a surgical procedure, lower blepharoplasty, that can improve the appearance of the under-eye. Both provide an excellent opportunity for a younger, fresher looking face, but it is likely that one is a better option for you based on your desired outcome, what caused the problem and your preferences. Here, we discuss details of blepharoplasty and fillers to set you on your best path.

Procedural Similarities and Differences

Blepharoplasty is an eyelid surgery that is performed as an outpatient procedure. It is best for those who have too much skin in the under-eye. In most cases, unless cheek elevation also needs to be done, the procedure can be done in the office with local anesthesia. Our blepharoplasty techniques are conservative, focusing on removing excess and repositioning tissue to achieve an excellent, long-lasting contour beneath the eyes. Lower blepharoplasty surgery can take anywhere from an hour to several hours, depending on the degree of change needed to achieve the desired outcome. Recovery is rapid. Sutures are removed in 3-5 days and most swelling and bruising resolve in 10 days to 2 weeks. You can resume most activities in several days.

Filler treatment is done in the office and can be done with local anesthetic if needed or a topical numbing cream can be applied to the skin. The treatment itself usually takes less than an hour, and all fillers we use contain a numbing medication so any sensation is minimized. They are ideal for those who have simply lost volume and have minimal excess skin. A filler below the tear trough at the upper cheek can restore volume to the area and diminish the appearance of both hollowness and puffiness. By smoothing the area, shadows and highlights are eliminated reducing “dark circles.” You do not need to take time off work or social obligations to recover from filler treatment. If, instead of an off the shelf filler, you opt for fat grafting, recovery is almost the same.

In some people, a combination of treatment may be the most reasonable. In fact, we have stopped doing cheek lifts and, instead, combine Blepharoplasty and filler or fat grafting.

The results of blepharoplasty last years. The eyes will always look younger than they would have had a blepharoplasty never been performed. However, the area will continue to age over time and further treatment may be desired again in the future. Fillers, on the other hand, are partially absorbed naturally by the body over time. This means that some of the filler is permanent having been used by the body to create new collagen, the building block of the tissues. Because the filler we use for eyelid rejuvenation is the longest lasting one available, it lasts minimally two years and has lasted significantly longer, in one case, well over 4 years.

There are pros and cons to both forms of eyelid rejuvenation and each has a specific problem where it is ideal. For further information and to find out whether fillers or blepharoplasty would be best for you, call our Highlands office at (828) 526-3783.

Give Yourself a “Hand”

Consider your hands. Think of all the things they have accomplished over the course of your life: The meals prepared, the love given, the dishes washed, the diapers changed, the letters written and the flowers planted. Your hands have worked hard and are one of the first places to show the visible signs of aging. With time, you may begin to see darkened “age spots” or a loss of fatty tissue which makes your hands look bony and perhaps older than your age.

hand careHand rejuvenation treatments can reverse the visible signs of aging, including the effects of sun damage and can help restore your hands to a more youthful appearance – one that matches your youthful, active lifestyle. Various treatments are available and treatment options may be combined to help you achieve the look you desire.

Here are four ways Dr. Buchanan can treat your aging hands at The Center For Plastic Surgery:

  1. Laser Like Skin Rejuvenation – The Ellipse IPL® offers the advantages of intense pulsed light therapy, a proven technology that treats the red and brown areas of sun damage using short bursts of laser like light which penetrate and gently remove “age spots.”
  2. Chemical Peel – The Obagi® RADIANCE Peel is a salicylic acid peel that can improve the look, texture and feel of your hands in minutes with no down time. Glycolic fruit acid peels remove the dry, top layer of the skin to reveal healthier, moist skin underneath.
  3. Microdermabrasion – This is a superficial skin polishing that “sands” off the first layer of the skin with tiny crystals. The procedure is non-surgical, non-invasive, fast and easy.
  4. Injectables – When injected, fillers such as Juvederm injectable gels or your own fat plump the skin on your hands to give them a more youthful appearance by somewhat hiding the veins, bones and tendons.

As with any cosmetic procedure, it’s important to have realistic expectations and keep in mind that these procedures are designed for improvement, not perfection.

If you would like to know more, call 828-526-3783 for a consultation with Dr. Buchanan, today, and enjoy younger looking hands.

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.

Botox

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

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.

MicroPeels

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.

Radiesse® Vs Juvederm Voluma®, What’s the Difference?


dermal fillers Highlands, NC
Let’s face it: unless you’re a teenager trying to pass for 21, no matter how old you are, you want to look younger. Because aging gracefully is now more attainable than ever, there are a variety of surgical and non-invasive treatments that we offer patients here at the Center for Plastic Surgery. Whether you’re in your twenties or significantly older, fillers are one of the most popular noninvasive procedures that we use to help soften fine lines and wrinkles and add more volume to the face and lips.

Two similar injectables that we have offered here at our office to add volume to the cheeks, under-eye, pre-jowl, and nose are Radiesse and Juvederm Voluma. Although both of these injectables are fillers designed for the same problem, they are different. These differences have caused us to prefer one over the other. Let’s take a closer look.

Radiesse®

Radiesse has been used for cosmetic purposes since 2005 and was the first soft tissue filler that was heavy enough to elevate the deep tissue and help with volume loss under the eye, in the cheeks, and in the pre-jowl area. Made from calcium hydroxylapatite— a naturally occurring compound in the body used in cleft palate repair in children for many years— Radiesse works on two levels. When it is initially injected, it works to automatically add more volume to the area but it also works to encourage your body’s natural production of collagen— which helps make the results last longer than other fillers before it. The average longevity is 18 months. Its biggest drawback is its lack of reversibility.

Juvederm Voluma®

Here at our office, we offer a variety of  Juvederm fillers used for different purposes, but we are going to focus on Juvederm Voluma. Voluma hasn’t been around for as long as Radiesse but took off when it was released in 2014 because of its safety and longevity. Made from hyaluronic acid, also a naturally occurring substance but reversible, Voluma works the same as Radiesse by filling deep spaces to help add more volume. It, too, unlike any other filler other than Radiesse, is heavy enough to support the tissues. It lasts a minimum of 2 years and we have seen it last well beyond 3 years. Because the price per month of longevity is less than Radiesse and, because of its reversibility making it safer, it is now our preferred filler for volume replacement. We combine it with the other Juvederm products to give you the best results for whatever problem you have that fillers can correct.

If you want to learn more about fillers, schedule a consultation at our Highlands office today by calling us at (828) 526-3783.

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