The choice depends on the extent of aging changes. A mini lift addresses early signs of aging in the mid-face and jowls with shorter incisions and recovery time. A full facelift is better for more advanced aging, including significant sagging in the lower face, jowls, and neck. During your consultation, Dr. Kulbersh will assess your anatomy and recommend the procedure that best meets your goals.

Neck liposuction removes excess fat but doesn’t address loose skin or muscle banding. A neck lift removes excess skin, tightens the underlying muscles, and can include fat removal for comprehensive rejuvenation. If you have good skin elasticity with mainly fat concerns, liposuction may be sufficient. For loose skin or muscle bands, a neck lift provides better results.

Facelift results typically last 10-15 years, though this varies by individual. Factors like genetics, lifestyle, sun exposure, and skincare routine all influence longevity. While the aging process continues, you’ll always look younger than if you hadn’t had the procedure. Many patients choose to have touch-up procedures or combine surgical results with non-surgical treatments to maintain their results.

Facial fat grafting (also called fat transfer) uses your own fat, typically harvested from the abdomen or thighs, to restore volume to areas of the face that have lost fullness due to aging. The fat is processed and carefully injected into areas like the cheeks, temples, or under the eyes. Because it’s your own tissue, results look and feel completely natural, and the transferred fat can last many years.

There’s no specific age requirement for a facelift—it depends on your individual aging pattern and concerns. Some patients in their 40s benefit from a mini lift, while others may not need a full facelift until their 60s or beyond. The key is having realistic expectations and sufficient changes to justify surgery. During consultation, we’ll assess whether surgical or non-surgical treatments are most appropriate for your goals.

Yes, many patients choose to combine facial procedures for comprehensive rejuvenation. Common combinations include facelift with neck lift, facial fat grafting with lifting procedures, or chin implants with facial contouring. Combining procedures can be more efficient and cost-effective, but we’ll always prioritize your safety and ensure you’re a good candidate for combined surgery.

Recovery varies by procedure, but most patients experience swelling and bruising that peaks around day 3-5 and gradually improves over 2-3 weeks. You’ll have dressings and possibly drains for the first few days, and sutures are typically removed within 1-2 weeks. Most patients return to work in 10-14 days, though strenuous activities should be avoided for 4-6 weeks. Our on-site recovery retreat provides luxury accommodations during your initial healing period.

Chin implants provide permanent structural enhancement and are ideal for patients who need significant projection or width. For minor adjustments, dermal fillers can provide temporary improvement. Facial fat grafting offers a natural alternative using your own tissue. The best option depends on your anatomy, desired outcome, and preference for permanent versus temporary results. Dr. Kulbersh will evaluate your facial proportions and recommend the most appropriate approach.

Buccal fat excision removes fat pads in the cheeks to create more defined cheekbones and a sculpted appearance. Good candidates typically have full cheeks, are over 25 (when facial fat has stabilized), and want a more angular facial contour. It’s important to consider long-term effects, as facial fat naturally decreases with age. This procedure is not reversible, so careful patient selection is crucial.

Otoplasty is recommended for ears that stick out more than 2cm from the head, have asymmetry, lack normal folds, or cause self-consciousness. The procedure can be performed on children as young as 5-6 years old once the ears have reached adult size, or on adults at any age. If your ears affect your confidence or you avoid certain hairstyles because of them, you may be a good candidate for otoplasty.

Our exclusive focus on facial procedures means Dr. Kulbersh and our team have unparalleled expertise in facial anatomy and aesthetics. We have our own fully accredited surgery center and luxury recovery retreat in the same building, providing seamless care from consultation through recovery. Dr. Kulbersh’s Beverly Hills training and double board certification ensure you receive the highest level of surgical artistry available.

Keloid treatment varies depending on the size, location, and characteristics of the scar. Options include surgical removal, steroid injections, laser therapy, or combination treatments. While keloids can be significantly improved or eliminated, there’s always a risk of recurrence. Dr. Kulbersh will assess your specific keloid and recommend the most appropriate treatment approach, including preventive measures to minimize recurrence risk.

This depends on the specific procedure and your healing progress. Generally, makeup can be applied to areas that weren’t directly treated within a few days, but you should avoid makeup on incision sites until cleared by Dr. Kulbersh, typically 1-2 weeks post-surgery. We’ll provide specific guidelines for your procedure and recommend makeup products that won’t interfere with healing.

Face liposuction removes fat from areas like the jowls, double chin, or neck using small cannulas. Buccal fat excision specifically removes the buccal fat pads inside the cheeks through small incisions inside the mouth. Liposuction addresses surface fat deposits, while buccal fat excision targets deeper structural fat pads. The choice depends on where your excess fat is located and your desired outcome.

Pre-surgical preparation includes stopping certain medications and supplements that can increase bleeding risk, arranging for post-operative care, and following specific pre-operative instructions. We recommend stopping smoking at least 4 weeks before surgery, as it significantly impairs healing. You’ll receive detailed pre-operative instructions during your consultation, and our team will guide you through every step of preparation.

As with any surgery, there are risks including bleeding, infection, scarring, and anesthesia complications. Specific to facial surgery, risks can include temporary or permanent numbness, asymmetry, hair loss around incisions, or unsatisfactory results requiring revision. Dr. Kulbersh will discuss all potential risks during your consultation and explain how we minimize these risks through careful technique and post-operative care.

A history of keloids requires special consideration for any surgical procedure. Dr. Kulbersh will evaluate your keloid history, including where they occurred and how they responded to treatment. Depending on your individual situation, we may recommend preventive treatments like steroid injections or specific surgical techniques to minimize keloid risk. In some cases, non-surgical alternatives may be more appropriate.

While initial improvements are visible once swelling subsides (2-3 weeks), final results typically take 3-6 months as tissues settle and heal completely. Facial fat grafting may take slightly longer as the transferred fat establishes its blood supply. Some procedures, like facelifts, continue to improve subtly for up to a year as the tissues adapt to their new position.

Patient satisfaction is our top priority. If you have concerns about your results, we encourage open communication with Dr. Kulbersh. Minor adjustments can sometimes be made with non-surgical treatments, while significant concerns may warrant revision surgery. We’ll work with you to address any issues and ensure you’re happy with your outcome. Revision policies are discussed during your initial consultation.

Absolutely! Many patients combine surgical procedures with non-surgical treatments like Botox, fillers, or skin resurfacing for comprehensive facial rejuvenation. Some treatments can be performed at the same time as surgery, while others are better staged before or after your procedure. We’ll create a comprehensive treatment plan that maximizes your results while ensuring optimal healing and safety.