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

209 Hospital Dr #202
Highlands, NC 28741

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Facial Rejuvenation Without Surgery

Facial Rejuvenation Without Surgery

Liquid Facelift Highlands, NCNatural facial aging is something we cannot avoid because several factors impact this process. Over time, particularly after about age 25, the skin stops regularly producing collagen and elastin, its thickness and elasticity decrease, and the muscles acting on it become more active. Together they markedly increase skin wrinkling. The hours we’ve spent without daily sunblock finally catch up to us in the form of further collagen breakdown, sun spots, abnormal blood vessels, and other damage. Loss of skeletal structure and fat may cause the eyes or cheeks to look hollow. These changes  lead to ever-deepening lines and creases on the forehead, around the eyes, in the cheeks, and mouth. The neck may also show signs of aging such as thin skin, excess fat, horizontal lines, and sagging. None of these changes to appearance sound particularly exciting. At the same time, neither may surgery.

If you are interested in looking your best but do not like the idea of a major surgical procedure, you have options. In our Highland, NC office, we’ve helped many patients restore a friendlier, more youthful appearance using nonsurgical treatments. Dr. Buchanan has named this anti-aging approach Today’s Liquid Facelift and uses it regularly to achieve the optimal reversal without surgery of age-related cosmetic concerns, including those that affect the neck and hands. In many cases, ti provides improvement that not even surgery can achieve.

How We Can Help You Look Younger and More Vibrant

Wrinkle Reduction

Three treatments are commonly used to reduce the appearance of wrinkles:

  • Botox is the injectable treatment that is applied to dynamic wrinkles. Dynamic wrinkles are those that originate in the muscle. Though these lines can occur anywhere effected by the facial muscles and thinning, less elastic skin, the muscles on the upper face and around the eyes and some on the neck and chin can be treated without causing problems to eliminate the muscular component of the wrinkles. Botox is a neuromodulator that decreases muscle contractions so overlying skin can lie flat and smooth.
  • Thin fillers are injectables that can be placed within the dermis to elevate fine to medium wrinkles. These products are different than Botox because they actually reduce or eliminate permanent wrinkles by adding volume to the skin layer just below the surface, pushing the wrinkle up. Though fillers have been called “dermal fillers,” since their development, this is the only time now that they are actually used intradermal. Either that or a slightly heavier filler is then placed just under the dermis perpendicular to the wrinkles to essentially thicken it and support it, reducing its tendency to wrinkle. This also supplies a scaffolding for the body to use when properly stimulated to build its own collagen to permanently eliminate the wrinkles.
  • Adding tretinoin (Retin-A) or a good retinol and Obagi’s ELASTIderm to regular skin care for everyone 25-30 years old or older is the mainstay of wrinkle prevention or reversal. The tretinoin or retinol stimulates the skin to continue making collagen to maintain or recreate collagen and and prevent or reverse thinning. ELASTIderm is now the only product presently available that stimulates the production of elastic tissue in the skin to allow it to contract rather than wrinkling. Other modalities like Fraxel Laser or in office microneedling can also help stimulate collagen, but the retinols are still the mainstay.
  • A leveling peel or laser can also significantly reduce wrinkling, but their 2 week down time make them less desirable than the above.

Restoring Volume

Lines and wrinkles are just part of the overall problem with facial aging. The loss of volume results in folds, depressions and loss of youthful contours. Although, if there is also too much extra skin, surgery may be the best answer, restoring volume deficits with filler or fat can frequently restore a youthful appearance alone. This is especially true in the mid-face where volume loss is frequently the worst.

Skin Rejuvenation

Aging and sun damage can also result in spots, dullness, and red vascular collections. To restore vibrancy, and reduce these problems we use the Obagi Nu-Derm System to restore normal skin appearance and an IPL (a laser like machine) to treat the vascular problems and, occasionally the brown spots. Microdermabrasion and micro peels can also assist in the improvement. These are preferred techniques because they do not require much downtime if any at all.

Look more vibrant and youthful. Call (828) 526-3783 to schedule your visit with us.

Reasons Fat Transfer May be Ideal for You

Fat Injection Highlands, NCWe recently discussed how facial fat transfer works and what to expect after treatment. With more people considering a move away from off the shelf fillers and toward a more permanent solution to facial volume loss, we understand many questions need to be answered. Here, we discuss some of the top reasons why people choose facial fat transfer over fillers, and why you may want to do the same.

Two Benefits in One Treatment

When we use fillers to restore facial volume, the product we inject is provided by a manufacturer. When we perform fat transfer, the substance that supplies volume is your own body fat. To obtain fat cells for transfer, it is necessary to perform minor liposuction. Patients often choose small areas that are troublesome, such as the hips, flanks, or abdomen, to harvest fat. Liposuction performed under local anesthetic sculpts one area of the body while fat transfer rejuvenates another. All in all, the combination of treatments can refresh both the face and body.

Treatment is Customized

Fat transfer is developed around the needs of each patient. Some patients prefer that more fatty tissue is removed for better body contours. Some need or have very little fat available, so liposuction takes only what is absolutely necessary for contouring the face. As long as sufficient fatty tissue is present, patients may choose to harvest from a variety of areas, but, most commonly, the midsection. It may also be possible to remove fat from under the chin to sculpt the face even more.

As with liposuction, fat injections are also administered based on the areas of concern. Some patients wish to have only one area treated like their lips or cheeks, where others prefer full-face rejuvenation that smoothes and rounds everywhere there is volume loss with properly-layered fat cells.

Results are Natural and Long-Lasting

Though there are several benefits to facial fat transfer, the permanent results that can be achieved with treatment are among the best. It takes approximately 4 months to fully see how much of the transferred fat has survived. After this point, though, new cells are expected to remain indefinitely. As fat cells do, those that are transferred to the face may grow and shrink with weight changes. The overall results will also naturally change as age changes the structure of the skin and underlying bone and fat is further lost naturally. A benefit, however, of fat grafting is transfer of stem cells that can further rejuvenate the area and skin.

Fat transfer is facial rejuvenation with an added bonus of slight body contouring. To learn more about his treatment, call our Highlands, NC office at (828) 526-3783.

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.

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.

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