Facial plastic surgery is in the midst of a revolution. It is now well accepted that the aging face results from loss of volume. There is loss and remodeling of bone and fat as we age. Thanks to the dedicated research and clinical studies by Val Lambros MD, Sidney Coleman MD, Danny Vllegar MD, Rebecca Fitzgerald MD, Joel Pessa MD, Rod Rohrich MD, and Sam Lamm MD to name just a few, plastic surgeons, facial plastic surgeons, and cosmetic dermatologists are in the midst of changing how we have addressed the aging face for the past 50 years.
Today, a large percentage of patients are able to be rejuvenated without surgery. Instead of cutting and pulling, we are filling and buffing. By replacing lost volume, natural youthful facial contours are restored. The choice of material to replace volume varies and includes Juvederm, Restylane, and Radiesse; newly FDA approved “for cosmetic use” Sculptra, or a patient’s own fat. The tone, texture, color, and additional tightening of facial and neck skin can be further enhanced with fractionated CO2 laser treatments such as Fraxel repair.
By combining volume replacement with fractionated CO2 laser skin resurfacing, patients achieve their goal of looking healthy, youthful, and natural without the need for general anesthesia, operating rooms, or scalpels.
As evidenced by the emphasis of volume replacement and fractionated CO2 laser skin rejuvenation lectures and instruction courses at our national and international dermatology, facial plastic, and plastic surgery meetings, there is truly an unprecedented revolution occurring in the treatment of the aging face. In patients with excessive skin redundancy, there will still be the need for surgery. For the most part though, the future facial cosmetic surgeon will likely be asking, “Syringe please” instead of “Scalpel”.
Dr Persky is located in Encino, California but services all of Los Angeles and the San Fernando Valley. Including, Beverly Hills, Hollywood, Santa Monica, Malibu, Sherman Oaks, Studio City, Calabasas, Woodland Hills, Tarzana and Agoura Hills and more.