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Highlands, NC 28741

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Why Consider Facial Fat Transfer To Rejuvenate the Face & Add Volume This Year

Why Consider Facial Fat Transfer To Rejuvenate the Face & Add Volume This Year

Part of the aging process, we have learned, is the loss of volume across the mid-face. Volume loss also occurs at the temples and on the lips. This is one of the reasons why the lower face starts to look wider and saggy as we get older. In recent years, research has discovered that the best way to rejuvenate the face may not be to perform facelift surgery (at least not on its own) but to restore volume using some type of biocompatible substance. Off the shelf fillers do this with temporary ingredients like hyaluronic acid. Facial fat transfer is the technique patients choose when they want permanent results or need significant volume added.

What is facial fat transfer?

Facial fat transfer is the minimally-invasive procedure in which cosmetic concerns are corrected using fat from your own body. Skilled surgeons now also use fat transfer techniques to add or restore volume to areas of the body such as the buttocks and the breasts. More commonly, fat cells are used to give the face a better contour, to fill deflated or thin lips, and to smooth deep creases around the nose and mouth and under the eyes

The treatment is performed in the office using local anesthetic and mild sedation, when needed. There are three parts to the technique:

  • Harvesting fat from a part of the body where you have an excess using liposuction. Common areas include the abdomen and the thighs. If desired, donor area can also be contoured.
  • Purifying fat cells. To add volume to the face, we want pure fat cells. To get them, we wash what is obtained via liposuction. The fat cells are then transferred to a syringe.
  • Transferring fat. The face is treated with local anesthesia before we begin injections. Then, a tiny cannula is inserted under the skin and moved back and forth. With each pass, a line of fat cells is deposited. This technique layers fat cells in a way that achieves natural-looking results.

The visit may last approximately two hours, after which you may return home to recuperate. Most people can return to normal activities by the next day.

What can you expect after increasing facial volume with fat?

After fat transfer, you may experience some swelling and bruising. Discomfort is typically minimal, although both the liposuctioned area and the facial areas treated may feel sore and somewhat tender. This is usually mild enough to manage with over-the-counter medication.

What is important to know about facial fat grafting is that 75 to 80% of the new fat cells introduced to the face are expected to survive. What is present at 4 months is permanent. Because of the loss of some of the fat cells we generally overfill the areas about 10%. Because the transferred fat cells contain stem cells, over time the overlying skin and surrounding tissue may actually improve in quality.

Dr. Buchanan performs facial fat transfer in a way that maximizes success. To learn more about this procedure, call our Highlands, NC office at (828) 526-3783.

What is the Right Amount of Filler for Me?

There are several benefits of getting fillers injected in one or more areas of the face. This nonsurgical treatment is sought by younger patients who wish to enhance the shape of their lips or cheeks and by older adults who would like to reverse many of the changes of aging. Fillers are even used to improve the appearance of the nose and are an integral aspect of the nonsurgical facelift. Still, there is a very real chance that you could be let down by your treatment. There are several reason this happens.One is that there are a huge number of injectors with little or inadequate training. Another is that patients rarely know how much filler they need to achieve their desired result, but attempt to dictate how much filler is used.

How much is enough?

Several factors contribute to the outcome of filler treatment. For this reason, it can be difficult to estimate just how much filler one person will need compared to another. For example, some people visit their provider with an idea that they need 1 syringe of filler to correct the flattening of their cheeks. They believe this because their friend obtained amazing results with just that much. After receiving their 1 syringe, the patient may feel dissatisfied that their cheeks don’t look like their friend’s. Why might this be?

  • Fillers don’t affect everyone the same way. This is because each person has unique bone and muscle structure. Even side-sleeping can affect how the face looks on one side versus the other. These small details contribute to the outcome of filler treatment and also determine, to some degree, how much filler is needed by each person.
  • The amount of volume loss (of both fatty tissue and bone) will also impact how much filler is needed to plump the area.
  • The area that needs filling also partially determines how much filler is required.

Expectations are Everything

One of the most significant factors that translates into patient satisfaction is expectation. It is important to approach filler treatment with an open mind about what is and is not possible:

  • Fillers can, occasionally, make you look 10 years younger, but only in certain circumstances. If done improperly, they can also make you look older.
  • Filler treatment can round out cheeks and plump lips, but it will not tighten loose skin. In some cases, a slight lifting effect may occur, but this is not guaranteed.
  • Results may last longer for some people. This is a matter of simple biology and how quickly the body will metabolize the inserted product.

See what fillers can do for you. Schedule an appointment to learn more in our Highlands, NC office at (828) 526-3783.

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.

Chemical Peels are Valuable Post-Summer Treatments

Micro Peels in Highlands, NCWe’re not looking forward to the end of summer just yet, understanding there are many cool months ahead. Knowing that the time is coming when the temperature cools and the sun moves farther away from the Earth, we can plan ahead, though. Around here, planning ahead means discussing ways in which all the summertime sun exposure can be addressed. It may come as a surprise to know that chemical peels still offer a great value.

In recent years, several high-tech treatments have been developed. As they have, it has become easier and easier to forget what came before. For years before lasers and light treatments, chemical peels served doctors and their patients very well. We are still huge fans of the chemical peel, even more so with the variety of options that are available today. This method of treatment provides us with the opportunity to help people correct a wide range of sun damage, to improve the texture of their skin, or just to maintain the general health of the skin.

The way that chemical peels work is by removing a precise layer of tissue. Not all peels are intense. In fact, some peels don’t even cause noticeable peeling. DIY methods are posted across the internet, but do not offer what a professional peel does nor the insight to determine which peel will achieve your desired result.

A professional chemical peel is:

  • Tailored to your skin. There are numerous chemical peel solutions used in our office. Each allows us to meet the needs of every individual patient. Before conducting treatment, we perform a thorough skin analysis and consultation in which we discuss your objectives and preferences. The personal attention of a skilled esthetician makes all the difference in making the most of a chemical peel.
  • Professional chemical peels are the result of thorough research and development. Months, if not years, have gone into formulating the right ingredients in the right concentration to achieve optimal results across a wide variety of skin types. There is nothing more powerful than a professional chemical peel when it comes to achieving the ideal extent of exfoliation with the shortest amount of downtime.
  • The safety of professional chemical peel treatment is maximized by the combination of our clinical consultation and careful selection of the right, powerful peel solution. Patients are also monitored throughout treatment to ensure the desired tissue reaction is achieved.

We are passionate about offering patients minimally-invasive, low-downtime treatments that bring beauty to the forefront. To learn more about our chemical peel treatments, call our Highlands, NC office at (828) 526-3783.

Make Your Lashes Lush with Latisse

Latisse® Highlands, NC

We all know that the eyes are one of the first facial features to get noticed. This doesn’t apply only to eyes that are made up Red-Carpet style. Whether perfectly adorned under perfectly-threaded brows or ready for a no-makeup selfie, the eyes are going to get the attention of others. They will demonstrate our youthfulness by looking bright and energetic. The value of the eyes doesn’t end there. As you may know, the eyelashes also demonstrate a healthy dose of youthfulness.

It is no secret that lush lashes are totally on trend, and probably always will be. Today, it is not uncommon to notice a person wearing false eyelashes. While this is a trend all its own, false lashes do come with some disadvantages. One of them is that the look is unnatural because the lashes themselves are unnatural! We have a way to solve that problem: Latisse®.

Haven’t Heard of Latisse®?

Latisse is not a new drug. It’s been around since the FDA approved it in 2008. The product was developed on accident, really, when patients with glaucoma noticed enhancements in their lashes due to bimatoprost ophthalmic solution, a glaucoma medication. This was modified into Latisse®. Applied to the skin at the lash line, the product stimulates eyelash growth that results in improved thickness, length, and darkness.

For Latisse to work, the product needs to be applied daily. Instructions state that Latisse should be applied on cleansed skin. Contact lenses need to be removed before treatment. For visible results to occur, daily use must continue for several weeks. Clinical use demonstrates full results after about 16 weeks (4 months) of use. Additionally, studies indicate that ongoing, though less intense, use is necessary to maintain adequate lash growth and fullness.

Can Someone with Glaucoma use Latisse?

Latisse contains an ingredient that has been used to reduce the intraocular pressure created by glaucoma. Studies suggest that most people can use Latisse safely, even those with glaucoma. However, due to the potential change in intraocular pressure, experts recommend patients discuss their interest in using Latisse with their ophthalmologist. The doctor may suggest more frequent observation of intraocular pressure for at least a few months after you begin Latisse®.

It just keeps getting easier to promote natural beauty. To learn how Latisse can help you, 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.

Fat Injections for Facial Rejuvenation: What to Expect

Fat Injections  Highlands North Carolina

The idea of using fat from one part of the body to enhance another used to be tossed around in a humorous way. Through innovation in medicine, we can now look at this concept much more seriously. Fat injections, or fat graft or transfer, is now commonly used to restore youthful contours to the aging face, since, other than the results of gravity, loss of volume is the major contributor to facial aging. Fat cells can be injected into the lips to make them fuller, into deep creases around the nose and mouth or into the cheeks and areas around the eyes.

What Happens During Treatment

Fat injections require two different processes. First, the skin in the donor and recipient sites is cleansed and treated with local anesthesia. Then, a small cannula (a hollow tube used during liposuction) attached to a syringe is used to remove a predetermined amount of fat from a place where you have extra. This process is slightly different than traditional liposuction and does not typically result in a major change in the appearance of the donor area. After removing the fatty tissue, cells are processed to separate out the purest fat for injection into the face. The recipient site may be slightly overfilled at the time of treatment to account for natural fat absorption. The entire process can take a few hours.

After Fat Injections

There is very little downtime needed to recover from fat injections. Many patients feel well enough to immediately resume normal activities. However, we do suggest no vigorous activity or straining for 6-8 hours and care to not put pressure on the grafted areas for one to two weeks. The intensity of effects like redness, swelling, and bruising typically relates to the location and size of the treatment area. Usually, these effects fade over the course of several days. If a larger volume of fat is extracted, the donor site may be slightly swollen for a few weeks. At about four months post-op, we expect the final results of treatment to be apparent and long-lasting. The renewed facial contouring after fat injections can last a lifetime or as long as normal fat would last.

Learn More

Get the full details on fat injections and how they can correct the signs of aging on your face. Call our Highlands, NC office at (828) 526-3783.

How Fat can Rejuvenate Your Face

 Fat Injection Highlands, NCHistorically, facial rejuvenation has required surgical lifting techniques. While procedures such as blepharoplasty eyelid rejuvenation continue to be popular, fewer people are undergoing full facelift procedures these days. Instead, they are choosing minimally invasive procedures that achieve subtle but beautiful results. Fat grafting is a prime example. We are pleased to offer this service in our Highlands office to help our patients feel better about their appearance as they age. Here, we discuss the various ways in which fat can be used to refresh the face.

What is Fat Grafting?

To understand how fat grafting can benefit your appearance, it helps to know the details of this process. It is the most natural and long lasting way to restore the fat that is lost over time and is responsible for much of the signs of aging. This cosmetic procedure may be performed in the office using local anesthesia to numb the area of the body from which fat will be harvested and the area where it will be injected. Depending on the amount of fat we need and the amount of body fat present, we may select the neck, abdomen, or thighs as a donor site. After the area has been numbed, a minor liposuction procedure is performed to obtain the necessary amount needed for injection. The tissue that is aspirated is processed to separate out the fat and stem cells from other tissue and blood. The prepared cells are then placed in a syringe and meticulously injected into the face to achieve the desired amount of contouring or wrinkle reduction.

Fat can rejuvenate the face by enhancing the following areas:

Cheeks

Rounded cheeks with higher cheekbones are an indicator of youthful beauty. With age, the bony structure may degrade. This exacerbates the natural loss of fat resulting flattening of the contours of the mid-face. The insertion of living fat cells across the mid-face restores height, projection, and triangularity to make the mid-face appear younger.

Forehead and Temples

Men and women over the age of 40 may struggle to pinpoint where their cosmetic frustration originates. This can be particularly relevant to the upper face, where the temples can hollow over time and the brow may drop below the bony ridge orbital rim ridge on which it once sat. Fat cells can be injected directly at the temple area to restore fullness to the outer area of the eyes. Injections can also be administered across the brow line to lift the brow without surgery.

Under Eyes

Non-surgical eyelid rejuvenation removing the hollows under the eyes has become one of the most common areas treated with a filler and can achieve outstanding results. Fat injections can achieve the same results but they last longer. Typically, fat is introduced to the area below the eye, not into the eyelid itself, unless absolutely necessary. When inserted into the tear trough it decreases the appearance of under-eye puffiness, and when into hollows it decreases dark circles.

Are You a Candidate?

Most healthy adults who do not have severe gravitational problems are good candidates for facial rejuvenation with fat injections. To learn more about this simple, in office procedure, schedule a consultation at our Highlands office by calling (828) 526-3783.

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.

Ease into the New Year with a Look You Love

Liquid Facelift Highlands, NCA new year can motivate just about every one of us to make new goals. From our experience, we see many men and women become more interested in their appearance. Facial aging is an unavoidable problem for which surgery used to be the only answer. Twenty years ago, even folks whose age-related concerns such as jowls and creases on the lower face were mild had to choose between surgery and a “wait and see” approach.

Not anymore.

The development of lasers, light devices, and injectables has changed the way that we approach the varying degrees of facial aging. If you’re interested in increasing your perception of personal beauty this year, contact our Highlands, NC office. Together, we can develop a strategy that will provide you with the results you want, and that very frequently need not involve a major surgical procedure.

A Look at Today’s Liquid Lift™

One of the most profound changes that occurs as we age is the deflation of critical parts of the face. In many situations where we have historically focused on the skin, the real problem has been volume loss. Naturally, over time, the shape of the face begins to change. Where the face was once wider at the top around the cheeks and temples, it starts to drop during early adulthood. By mid-life, the general Y-shape of the face has deflated into more of a square. Width now resides at the sides of the jawline, leaving the cheeks and temple area rather flat. The skin becomes thin and the underlying muscles overpowers it causing wrinkles and increasing the folds of deflation. Today’s Liquid Lift™ has been developed to correct these specific changes.

The liquid facelift technique that Dr. Buchanan utilizes looks beyond the literal crease or area of sagging and considers the originating cause. That, then, becomes the area to correct. For example, rather than injecting a dermal filler superficially and directly beneath a crease, product becomes more efficient through injection into the mid-face. When volume restores the proper contours to the cheekbones, the concerns created by deflation become much less noticeable.

In skilled hands, a liquid facelift can achieve natural, easy beauty. Learn more about our technique for facial rejuvenation. Call  (828) 526-3783 to schedule a visit with us.

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