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

209 Hospital Dr #202
Highlands, NC 28741

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Ring In the New Year with a New You

Ring In the New Year with a New You

Beautiful Skin Highlands, NCA new year is all about trying new things and investing in yourself. Although it’s important to make resolutions to better yourself financially, mentally, spiritually, socially, and personally, it’s also beneficial to make sure that you’re taking care of your body and physical appearance as well. Make this the year of trying new non-surgical face and body procedures and looking the best body you had in a long time. Let’s take a closer look at some options.


If you haven’t discovered Botox yet, make 2018 the year that you do. Whether you’re in your 20’s or 80’s Botox is popular for a variety of reasons including its ability to temporarily soften fine lines and wrinkles while returning you to a more youthful look including, frequently, a change in the relationship of the brows and eyes, the areas around the mouth or bands in the neck.


If you can’t get rid of that extra fat around your stomach, upper thighs, flanks or buttocks, you are certainly not alone. As we age, our body starts to store fat in places which makes it hard to get rid of it no matter how much kale you eat and how much exercise you do. Put down those leafy greens and take a seat for a minute while we tell you about Zerona, a non-invasive procedure that uses a laser to target and reduce your fat cells, leaving you with a slimmer body in just a few sessions. So, if getting a slimmer body is on your list of new year’s resolutions, let Zerona give you a hand.


Fillers are popular for a variety of different reasons including their obvious ability to temporarily fill fine lines and wrinkles around your nose, cheeks, chin, eyes, forehead and mouth. But, surprise, surprise, that’s not all fillers are good for. In fact, fillers can be used to add volume to your lips or improve their contour, reduce the bags under your eyes and help add contour and definition to your cheeks. Here at the Center for Plastic Surgery, we offer patients a variety of different fillers depending on your needs.

Whether you are interested in Botox, Zerona, fillers, or anything else to improve your appearance, see us at our Highlands office, schedule your consultation today!

3 Reasons to Get an Obagi Blue Peel

Obagi Blue Peel® Highlands, NC

Hopefully, everyone knows basic skin care and what you should be doing for your skin every day: washing your face with an alpha or beta hydroxyl cleanser, applying a pH balancer, preferably one that is also an antioxidant such as Vitamin-C Serum, and wearing a greater than 8% zinc oxide sunscreen. Traditional superficial peels can also help keep your skin radiant. For fine wrinkles and crinkles you should add tretinoin (Retin-A) and Obagi®’s ELASTIderm®. However, if this is not working fast or well enough, there is an answer. A type of chemical peel that we offer here at the Center For Plastic Surgery, the Obagi Blue Peel, is safe and effective. This article will list three reasons why you should consider getting an Obagi Blue Peel. Read on to learn more.

It’s Different Than Other Peels

Most chemical peels that you get at traditional day spas use glycolic acid. Although glycolic acid peels are great at helping get rid of dullness and some color irregularity, they sometimes aren’t as strong as our patients like. Made from trichloroacetic acid, the Obagi Blue chemical peel is stronger and works to correct areas of concern that even a facelift cannot. Additionally, it is much safer than other trichloroacetic acid or phenol/croton oil peels because of the unique blue dye in the preparation that more accurately identifies the depth that the peel has reached, thus allowing better control of the result.

It’s More Effective

As previously mentioned, because the Obagi Blue Peel is a stronger peel than glycolic peels, it can reduce or eliminate fine lines and wrinkles and some scars and help with overall skin tone. It actually peels the entire epidermis and into the dermis (the skin’s support layer), removing superficial wrinkles and crinkles. All the other peels do is remove the top layer of the epidermis, well above what causes the wrinkles. If you haven’t gotten the results that you have wanted from a glycolic or lactic acid peel alone, then the Obagi Blue Peel may be worth looking into.

It’s Non-Surgical

If your age has started to take a toll on your appearance, but you aren’t quite ready for a facelift, then you may want to consider an Obagi Blue Peel. This can actually do things for the face that surgery can’t.

Our Obagi Blue Peel is a medium-strength chemical peel, designed to help patients look and feel younger. If you would like to learn more about this peel or schedule an appointment, contact Center For Plastic Surgery today!

Treatment of Brown & Red Spots with IPL

Ellipse 2

Sun damage produces a number of skin changes, the most common of which are red and brown spots. The brown spots vary from generalized “freckles” to scattered small spots to larger spots. Genes and hormones may contribute to larger dark areas called melasma. The red caused by sun damage is a form of “rosacea,” or “red skin,” more properly called telangiectasia. It is essentially an abnormal increase of the small capillary blood vessels just under the skin. Another type of rosacea is natural flushing, or dilatation of those normal capillaries due to heat, drinking, exercise or other stimulus. Frequently, with good skin care, when you remove the thick outer layer of the skin, also caused by sun damage, the underlying red is exposed making it appear darker. An IPL can be used to treat both these problems.

What is an IPL and how does it work?

An IPL, or Intense Pulsed Light, is a laser like machine. However, instead of producing a single wavelength of light, it produces a spectrum of wavelengths. This allows it to target several areas where the target absorbs light and avoid having to use a very strong light pulse that can injure areas that are not targeted. For instance, Hemoglobin, the target when treating small vessels, absorbs light at 418, 542 and 577 nm (nanometers, a measurement of the wavelength of light). No laser puts out just one of those. The Ellipse IPL, on one setting, emits light from 400-620 nm, thus encompassing all absorption areas, allowing it to work at a lower power setting, thus causing less discomfort and less risk of injury to anything other than what is being treated. Melanin, the target in brown spots absorbs between 550-950 nm. Another setting of the Ellipse IPL targets this spectrum and does not extend above 1000 nm where water in all cells absorbs the light, thus not causing heat damage to the skin.

What is the Treatment and Recovery?

Treatment consists of exposing the area to be treated to the light using a rectangular lens placed on the skin. Each treatment takes from 10-20 minutes. It is slightly uncomfortable when administered, but all discomfort resolves in about 5 minutes. There is usually some increased redness when treating red that lasts about 4-6 hours. When treating brown spots, they generally turn darker. Some or all of the red fades in 2-3 weeks. The brown spots either fall off or also fade over the same time period. Any residual can be treated again in 3-4 weeks. To completely remove the problem may take 1-6 treatments, depending on the severity of the problem and your individual response. Although possible, blisters or other skin irritation is extremely rare, unlike with treatment of these problems with a laser. Most people can return to normal activities immediately after treatment.

Other uses of the IPL

The IPL can also be used to treat more severe sun damage like actinic keratoses. When this is done, the involved area is treated with amino levulinic acid that is absorbed over 6-18 hours into the severely sun damaged cell and converted to a porphyrin that has a very high affinity for blue light. The skin is then treated with high doses of blue light (400-500 nm). Because only the severely sun damaged cells contain the porphyrin and absorb the blue light, only those cells are superheated by the light energy and destroyed. This method is as effective as using chemotherapy like 5FU (Efudex, Fluroplex) and imiquimod (Aldara, Zyclara), but, instead of taking 6 weeks or more, treatment takes only a day and recovery only a week or so for the places to crust and fall off.

Because active Acne areas are inflamed and also absorb amino levulinic acid, a similar treatment is available for severe Acne not controlled by standard means.

 If you are bothered by any of these problems, call The Center for Plastic Surgery to see if an IPL treatment can help you.

How to Live 2017 Photoshop Free

Facial Rejuvenation In the world we live in, it’s easy to Photoshop all of your photos and make you and your life look Pinterest perfect. However, it’s safe to say that nobody lives a life that looks like that and there is nobody without at least a few flaws. Set a goal in 2017 to put the Photoshop down, examine your flaws and set a goal to correct what has always bothered you.  The Center For Plastic Surgery can help. Read on to learn more about skin concerns and other problems that you can treat to prevent having to visually enhance your photographs.

Uneven Pigmentation

One of the most common things Photoshop is used for, uneven skin pigmentation, can make you look a lot older than you are. In order to get a smoother and more even colored skin tone, consider advanced skin care or IPL. Skin care can correct the dullness and even the pigment. It also protects it from further damage. Microdermabrasion or micro-peels can speed the process and, on an intermittent basis, keep your skin looking bright. The IPL (Intense Pulsed Light, a laser like machine with less down time) can also reduce or eliminate brown skin irregularities and can also so the same for red areas. Occasionally, correction of your skin imperfections can make many people think you have had a facelift.

Skinny Lips

Have you noticed that in all of your pictures you stick your lips out so that they look fuller? Give your mouth a break. Fillers can help plump up your pout. Fillers like Juvederm Ultra and Volbella (the latter specifically indicated for the lips) can give you more voluminous looking lips that will make you look and feel sexy without looking overdone or unnatural.

Forehead Wrinkles

Another thing that tools like Photoshop is used to correct are wrinkles on the forehead, around the eyes and on other areas of the face. Luckily, with the help of some Botox, you can temporarily relax the muscles causing these wrinkles. If they are deeper, then a filler can elevate them and skin care using Retin-A (tretenoin) to make new collagen and fill them permanently.

2017 is all about putting Photoshop to bed and showing off the real you. With the help of The Center For Plastic Surgery, you can perfect your look in no time. To learn more about these and other procedures, contact our office today!

Lights, Camera, Action – We Offer The Ellipse IPL®

Ellipse IPL Your skin can speak volumes about you. Wrinkles, scars, age spots, spider veins and acne can make you look older and do nothing to boost your self-confidence. Take heart. These conditions can be corrected at The Center for Plastic Surgery by an advanced photo skin rejuvenation system called the Ellipse IPL®, which effectively treats damaged skin by reducing pigment and abnormalities with the use of light. It’s a treatment similar to laser, but, rather than a single wave length, uses different spectra and it addresses a wide variety of skin conditions using several spectra of light instead of just one.

IPL, or intense pulsed light, is composed of short flashes of very bright light. The Ellipse IPL® uses very controlled, safe bursts of light to target your specific skin condition. The amount of light and the speed of its delivery are precisely determined by Dr. Buchanan.

Skin rejuvenation with the Ellipse IPL® helps your skin retain a fresh, youthful look. The safe, visible light treatment removes imperfections. Our patients describe the treatment as a warming sensation, similar to the feeling they have after a day in the sun. No anesthetics are required prior to treatment. If you have sensitive skin, you may benefit from applying ice immediately after treatment. In addition, the use of sun block is strongly recommended.

Is an Ellipse IPL® treatment for you?

Because skin rejuvenation is based on light absorption by hemoglobin melanin andother substances within cells, the treatments are most effective in patients who are not suntanned. So, do not tan for at least two weeks prior to your treatment. The lighter your skin, the more pronounced the contrast between the age spots, blood vessels and your skin itself, making treatments more effective. The Ellipse IPL® has settings for various natural skin tones, which ensures delivery of the correct energy output for every unique complexion.

Call to schedule a complimentary consultation with Dr. Buchanan, and experience his outstanding expertise. We are confident you will love your fresh, new look following an Ellipse IPL® treatment: (828) 526-3783.

Let’s Talk About Elastin and Collagen

Keeping your skin flexible and firm are worthy skin-care goals for everyone. The proteins Collagen and Elastin play a very important role in meeting those goals. You’ve no doubt heard of them, read about them and may have wondered what they are.


  • Collagen is an abundant protein found in your hair, nails, skin, tendons, muscles and other parts of your body. It is an important component of your body’s connective tissue. Collagen helps your skin stay smooth and firm. It also aids in the formation of new skin cells and keeps harmful toxins at bay.
  • Elastin is a protein that keeps your skin younger by keeping it flexible and elastic which helps counter the effects of gravity on your skin. There is less elastin in your body than collagen, but they work together to keep your skin looking young.

As you age, your body has less of these critical proteins, and, as a result, your skin becomes loose, saggy and thin. It also damages more easily and is more susceptible to the effects of gravity. Fine lines and wrinkles appear, oh dear, and your skin may sag, which creates the appearance of jowls or a double chin.

It’s impossible to completely prevent the effects of aging, but there are some things you can do to protect the collagen and elastin in your body and keep your skin looking young for as long as possible.

• Eat A Balanced Diet
• Stop Smoking
• Avoid UV and UVB Sun Damage
• Replenish Collagen – We offer a number of cosmetic treatments that can counter the effects of aging.

Some of our most popular dermal fillers, such as JUVÉDERM VOLUMA™ XC, use substances to restore lost volume to your face and smooth your skin. Others, such as Radiesse®, stimulate your body’s production of collagen, for natural, and long-lasting results.

Call us for a consultation, today, to learn more about the many anti-aging, cosmetic procedures we offer at the Center For Plastic Surgery. We look forward to meeting you: (828) 526-3783.

Let’s Talk About Adult Acne


acne treatmentThe days of teenage pimples and acne may be in your past, but these days, the face of acne is changing and it may look more like the adult you. In fact, many women in their thirties, forties and fifties regularly battle acne breakouts. This can be annoying, stressful and just one other thing to deal with as you age.

The causes can and do differ with each woman, but here are four common adult acne triggers:


  • Stress – It’s difficult not to be stressed, but some experts say stress can lead to
    acne by signaling the release of cortisol, a hormone that tells your body to produce more pore-clogging oil.
  • Your Hormones – When your body experiences a spike in “male” hormones such as testosterone, oil production increases, and that can cause clogged pores where acne bacteria grows. This leads to inflammation and pimples. This male hormone spike may occur more frequently during peri-menopause, but it also happens just before your period.
  • Polycystic Ovarian Syndrome (PCOS) – Polycystic Ovarian Syndrome is an often-overlooked cause of acne. PCOS affects 5% to 10% of women – many suffer for years without realizing they have it. If your acne is accompanied by excessive hair growth or irregular periods, let us know. PCOS and other types of hormone imbalances can often be treated with medications such as an oral contraceptive or anti-androgen.
  • Your Diet – Oily foods don’t cause oily skin, but other foods can contribute to acne:
    • Carbs and sugar: Any food that leads to a spike in your blood sugar, such as pasta, bread, and sweets, can trigger skin’s inflammatory response and provoke a breakout.
    • Dairy: Several studies have shown a link between dairy products and pimples, perhaps because of the hormones that are present in these foods. Buying organic dairy products may help.

At The Center For Plastic Surgery, we can discuss your acne or other skin concerns with you. We also offer several treatments for acne scars, such as microdermabrasion, chemical peels and lasers.

Call our office to book a consultation with Dr. Buchanan and let us help you get control of your acne and it’s scars: (828) 526-3783.

Would You Like To Know More About CO2 Laser Skin Resurfacing?

The new year brings changes, resolutions and time to evaluate your body and your life. If you have considered treating the problem areas of your skin, such as birthmarks, sun damage, age-spots, acne scars or fine lines, a laser skin resurfacing treatment may be just the thing and the perfect time may be now.

CO2 Laser Skin ResurfacingLaser skin resurfacing is one of the most popular and common of the aesthetic cosmetic procedures. It is used to correct troublesome skin problems that arise because of cumulative sun damage, genetics and even nutritional factors. Additionally, over time, a gradual loss of collagen thins your skin and eventually fine lines and wrinkles form, age spots appear and your skin tone changes.

Dr. Buchanan uses the Luxor® Specialized CO2 laser, which employs a high-energy, intense burst of of CO2 light to treat your skin’s surface as well as deeper into the dermis. The Luxor® Specialized CO2 laser is a fast, revolutionary treatment that targets specific areas with minimal downtime and a speedier recovery. This is ideal if you have a busy lifestyle or cannot be away from work for a long period of time.

• Following treatment, your skin will glow, your skin tone will be evened out and your skin will respond by stimulating the growth of new collagen.
• You will notice an immediate softening of wrinkles, fine lines and scars.
• There may be some slight swelling.
• You should be able to return to work in about five to eight days.
• You must avoid exposure to the sun and apply sunscreen when you go outside.
• Results are long-lasting and with proper skin care can last for many years.
• Usually one treatment gives great results but in patients with deeper wrinkles a second treatment may be needed.
• And here’s some additional good news: Both men and women can benefit from laser skin resurfacing!

If you have questions or concerns about your skin, call to book a consultation appointment with Dr. Buchanan, today: (828) 526-3783.

Do You Feel Like A “Peel” Would Be Wonderful?

Tempus Fugit – Time Flies.

As you age, changes to your body and skin begin to show the effects of time, your genes, the environment and missing hormones. But you aren’t alone. Today, more and more women and men are turning to chemical peels as a treatment for blemishes, large pores, acne scars, age spots, uneven pigmentation and pre-cancerous growths.
It’s true. A chemical peel is a great way to achieve smoother, more youthful-looking skin.

The facial peel is one of the oldest cosmetic procedures in the world. Today, peels are popular because they offer nearly immediate results and can be performed as an outpatient procedure.

chemical peels

A chemical peel is a controlled injury to the skin. An alpha or beta hydroxide acid, resorcinol or other acid solution is applied to the skin, removing its damaged, outer layers, smoothing and enhancing its texture.

Patients with light hair and fair skin are great candidates for chemical peels. Those who have darker skin may still achieve good results. Although chemical peels can improve the appearance of fine lines, they are not designed to treat deep wrinkles.

At The Center For Plastic Surgery, we offer a variety of peels, from lighter peels to skin-sensitive peels to deeper, more potent peels. We tailor the strengths of our peels to your individual needs to achieve the best results with the least risk and down time.

To prevent pigmentary problems with the TCA and Phenol/Croton Oil peels, we require our patients to be on the Obagi® System or Hydroquinone for six weeks before the peel.

Rest assured. We will carefully evaluate your skin to determine how to provide you with the best possible results.

Your peel will be performed in our office.
Your new pink skin will emerge in about 7-10 days.
The pink color will fade but your skin will be sensitive.
Avoid the sun until the pinkness fades and use sunscreen every day.
Recovery time is zero to two weeks depending on the peel used.
A peel would, indeed, be wonderful!

Call, today, to book a consultation appointment: (828) 526-3783.

What Does It Take to Have Total Facial Rejuvenation?

51833917Everyone will eventually succumb to the signs of facial aging — from forehead wrinkles to sagging eyelids to nasolabial folds. No one is exempted from this fact of life. The good news is you can actually take measures to either reduce or tone down their appearance either via surgical or non-surgical cosmetic procedures.

Let’s explore the surgical route below!

The Facelift

This procedure is primarily considered as the gold standard of facial rejuvenation. Generally, a face lift has the following basic components: removal or redistribution of facial fat, tightening of the facial muscles, and trimming excess facial skin.  If your main concerns has to do with prominent jowls, sunken cheeks, and the appearance of moderate to severe degree of laxity, a facelift is your best bet.

The Eyelid Lift

If your facial aging woes also includes sagging upper and lower eyelids, an eyelid lift or blepharoplasty should also be in order. Dr. Buchanan can make eyelid lift incisions as subtle and unobtrusive as possible. On a whole, an eyelid lift can fully complement what a face lift does to the middle and lower thirds of the face.

The Forehead/Brow Lift

An eyelid lift may come to mind if you want to improve the appearance of your brows. However, there’s another surgical cosmetic solution for such issue — a forehead or a brow lift. By and large, a brow lift can help improve the appearance of drooping brows and restore them to a more youthful position.

Your Personalized Facial Rejuvenation Plan by Dr. Robert T. Buchanan

Dr. Buchanan’s aim in every facial rejuvenation procedure is to do more than just improve the appearance of your face but rather make sure that each feature is restored to their naturally youthful positions.

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!