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Face and Neck Procedures FAQs

Cheek Augmentation

What is cheek augmentation?

A cheek augmentation is a procedure that improves the appearance of your face by creating more projection and lift in your cheekbone area. Higher, fuller cheekbones make you look more elegant and youthful. Cheek augmentation also helps lift your facial skin, creating a mini facelift.

Cheek augmentation can be completed by 3 methods:

  1. Cheek implants
  2. Facial fat grafting
  3. Injectable fillers

Dr. Kulbersh takes care to consider your unique facial type, bone structure, and ethnic background when choosing the best option to enhance the cheek structure.  

Why would I need a cheek augmentation?

If you were born with flat cheekbones, cheek augmentation creates a more uplifted and youthful look, improving the shape of your face. If you’ve lost weight or volume in your face due to aging, intense exercise, or weight loss, a cheek augmentation restores volume and creates a more lifted, healthy, and youthful look.

What are the benefits of cheek augmentation?

In addition to lifting your mid-face, cheek augmentation also corrects other signs of aging. By building up your cheeks, you can lift the skin under your eyes, improving the look of tear troughs without the need for dermal fillers.

The elegance of higher cheekbones also balances out your other facial features. Implants are a simple way to add symmetry to your face and dramatically enhance your natural beauty.

How long do cheek implants last?

Dr. Kulbersh uses silicone implants that can last a lifetime. He carefully chooses the right size and shape to harmonize with your natural features.

What other procedures can I have with my cheek augmentation?

If you are interested in improving your looks with other surgical and non-surgical facial cosmetic procedures, Dr. Kulbersh recommends doing them at the same time as your cheek augmentation to limit recovery time and minimize expense. Men and women often choose a facelift, neck lift, rhinoplasty, chin augmentation, or other anti-aging procedures to enhance the beauty of their new cheeks.

How long does cheek augmentation last?

The implants that Dr. Kulbersh uses are made of high-grade hard silicone. They don’t leak or deteriorate. Most cheek implants can last a lifetime.  Facial fat grafting will last 2-6 years and dermal fillers will last 1-2 years depending on the type of filler.

What is a non-surgical cheek augmentation?

Dr. Kulbersh performs non-surgical cheek augmentation using injectable dermal fillers, such as the collagen stimulator Sculptra and the hyaluronic-acid based Voluma. You may also build up your cheekbones with fat grafts, taken from an area of your body that has excess fat, such as the lower abdomen or thigh region.  Facial fat grafting is a surgical procedure but the method of injection is the same for both fillers and fat.

Depending on which type of nonsurgical augmentation you choose, your results can last from a year to up to three years. Non-surgical cheek augmentation is a wonderful way to try out a new look before deciding to move on to cheek implants.

Chin Implants

What is chin augmentation?

Chin augmentation is a surgical or nonsurgical procedure that improves the projection of your chin so that it improves the balance and proportions of the facial features. Surgical chin augmentation is accomplished with chin or mandibular implants. Dr. Kulbersh also uses dermal fillers such as Sculptra, Voluma, and Juvéderm for non-surgical chin augmentation.

What are chin implants made of?

Dr. Kulbersh only uses chin implants that are made of high-quality, medical-grade, hard silicone. These implants are the safest, most likely to stay in position, and the longest lasting. If you decide to change your implant for a different size as your face ages, silicone implants are easily removed and replaced.

How long do chin augmentations last?

The high-grade silicone chin implants that Dr. Kulbersh uses can last a lifetime. A non-surgical chin augmentation may last up to two years, depending on the types of dermal fillers used.

What kinds of improvements can I expect?

A better-projected chin makes your profile look stronger and more confident. A chin implant can also improve the front view of your face by balancing out a high forehead or large facial features.

If you have a large nose, a chin implant can make it look smaller in proportion and more harmonious. Many men and women choose to have both a chin implant and a rhinoplasty procedure (nose job) at the same time to create the most dramatic improvement in their profiles.

Can I have a chin implant when I have rhinoplasty or a facelift?

Chin implants are often combined with a facelift, rhinoplasty, neck lift, or other cosmetic facial surgery. If you have a fatty neck or double chin, you may also choose to have facial liposuction to remove the fat when you’re having your chin implant placed.

Facelift

What is a facelift?

A facelift is also called a rhytidectomy, is a surgery to lift sagging skin and tissue of the face.  During this procedure, the deeper muscular layer is lifted and the excess skin of the face is removed from incisions hidden around the ears.  The main benefits of a facelift are a higher and more youthful position of the face, restoration of volume lost to aging, and the elimination of jowls and sagging neck tissues.

When do I need a facelift?

If your face looks lower than it used to, if you have jowls, if your neck sags, or if your cheeks and midface have lost volume, you may benefit from a facelift. Try the “lift test” while looking in the mirror: With two fingers on either side of your cheeks, lift upward and back toward your ears. If your jowls and turkey neck improve, it may be time for a facelift.  The decision to have a facelift is based on the patient’s anatomy, not their age.

What benefits can I expect from a facelift?

An expertly executed facelift lifts the midface and lower face, creating a more youthful appearance. Dr. Kulbersh also lifts the deep layers of the face to create a natural-looking and long-lasting rejuvenation. He lifts in two directions — upward and outward — so that you never get the “windswept” look that makes you look “done” or plastic.

After your facelift, your skin is smoother, more uplifted and toned, and free of jowls. Dr. Kulbersh usually enhances your lift by using fat grafts to restore volume to your midface and cheeks. The addition of fat grafts to a facelift creates a “wow” effect that makes you look radiant and healthy. Most women and men look about 10 years younger after a facelift.

What other procedures can I add onto my facelift?

When it’s time for a facelift, you may need a neck lift. During a neck lift, Dr. Kulbersh tightens your neck muscles (a procedure known as a platysmaplasty), repositions and redrapes your neck skin, and trims away the excess. If you have excess fat underneath your chin, Dr. Kulbersh removes that with liposuction.

In addition to neck lifts, women and men frequently combine their facelift with other cosmetic surgeries, such as a brow lift, eye lift, chin implant, and neck lift.

What’s a mini facelift?

A mini lift is a type of facelift that only addresses the lower face. It’s a perfect procedure to erase jowls and the beginnings of a turkey neck. Dr. Kulbersh tailors each procedure to your own specific needs and goals.

Will my facelift scars show?

Dr. Kulbersh takes care to hide your incisions in the creases behind your ears. While you’re healing, your scars may be visible. Women can hide their scars by wearing their hair down.

After you’ve healed from your facelift, your scars should be barely visible. If you look at Dr. Kulberh’s before and after pictures, you will not be able to see the scars on the pictures.

How long will a facelift last?

Dr. Kulbersh’s facelifts turn back the clock about 8 to 10 years and usually last about that long, too. You can maximize the benefits of your facelift by getting regular laser treatments, chemical peels, or micro needling treatments to stimulate collagen production in your skin and improve its quality. Dr. Kulbersh often combines a facelift procedure with a chemical peel to give you amazing glowing skin that makes you look healthy and energized.

Can you perform a facelift non-surgically?

If you are in the early stages of aging, Dr. Kulbersh may rejuvenate your face non-surgically using a variety of procedures that improve the signs of aging. He creates a “liquid facelift” by using Botox to relax the dynamic muscles that create wrinkles; laser therapy and chemical peels to improve, strengthen, and rejuvenate your skin; collagen stimulators to build up the cheekbones and chin (if appropriate) to create more support and lift, and dermal fillers to smooth out deep creases and wrinkles. Liquid facelifts must be touched up about every four to six months.

Facial Plastic Surgery

What is facial plastic surgery?

Facial plastic surgery is any kind of surgery that improves the appearance of your face. Facial plastic surgery can be used to correct birth defects, repair damage from trauma, or to reverse the signs of aging.

What kinds of facial plastic surgery can I get?

Dr. Kulbersh performs a variety of facial plastic surgeries, depending on your needs. Some procedures include:

Can I combine different types of facial plastic surgery?

Dr. Kulbersh commonly recommends multiple procedures during a consultation. HIs goal is to improve the balance and proportions of the face.  In order to obtain the best result, patient m need more than one procedure. Many men and women, for instance, choose to have a neck lift, brow lift, and blepharoplasty at the same time as their facelift. Combining a rhinoplasty with a chin augmentation is another common choice. Doing more than one procedure at once can be cost-effective, minimizes trauma to your body, and decreases your overall recovery time.

Facial Fillers

What are facial fillers?

Facial fillers are an injectable therapy that replaces the volume in your face that was lost to aging, weight loss, or trauma. The most common types of facial fillers are:

  • Collagen stimulators, like Sculptra, which trigger your body to rejuvenate your skin by producing strong new strands of the proteins collagen and elastin
  • Hyaluronic-acid based fillers such as Juvéderm and Restylane, which infuse your skin with the same natural moisturizing agent your body uses to keep skin supple and joints working smoothly
  • Autologous fat, which is fat that’s taken from an area of your body where it’s not needed (such as your lower abdomen) and injected into your cheeks to replace lost volume

What are facial fillers used for?

Facial fillers are used to:

How long do facial fillers last?

The longest lasting facial fillers are fat grafts, which can last for up to six years. However, you may need a series of treatments to get the results you want. Sculptra can last for up to two years. The HA fillers last between 6 months and 2 years.

Can facial fillers replace a facelift?

When you are in the earliest stages of aging, Dr. Kulbersh may recommend improving the quality of your skin by amping up collagen production with lasers and chemical peels. He uses facial fillers to create even more volume and strength in your skin. The judicious use of facial fillers, in what is known as a “liquid facelift” may allow you to delay a surgical facelift for many years. If you do have a facelift, supplementing it with fillers over time can help your results last.

Necklift

What is a neck lift?

A neck lift is a surgical procedure in which the excess skin of your neck is redraped and trimmed away. Dr. Kulbersh may perform a platysmaplasty when he does a neck lift, too. During a platysmaplasty, Dr. Kulbersh tightens your underlying neck muscles to create a tauter, healthier-looking neck and to increase the longevity of your neck lift.  Platysmaplasty is usually reserved for patients with a particularly heavy neck.

What kinds of benefits can I expect from a neck lift?

Because a sagging neck is one of the most dramatic and visible signs of aging, a neck lift creates a significant rejuvenation that makes you look younger, healthier, and more energized. A neck lift eliminates or improves:

  • Turkey neck
  • Waddles
  • Sagging neck skin
  • Platysmal bands
  • Double chin
  • A soft jawline

Do I need liposuction as part of my neck lift?

A double chin is another common sign of aging. If you have a fatty submental (under chin) area or fatty neck, Dr. Kulbersh removes that with liposuction as part of your neck lift procedure.  The liposuction during the necklift can improve the angulation and definition of the jaw and neckline

What other procedures can be done at the same time as a neck lift?

If your neck is sagging, you probably also have jowling and mid-face sagging as well. Most women and men who get a neck lift also undergo a facelift or a mini lift. You can add in other cosmetic or anti-aging procedures, too, such as upper and lower blepharoplasty, brow lift, chin or cheek augmentation, and rhinoplasty.

Will the scars from my neck lift be visible?

Depending on the extent of your lift, you may just have a single scar on the underside of your chin, which should fade with time. If you have a mini lift or facelift, the scars are hidden behind your ears.

Next, read our nose procedures FAQ

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