As we age, our faces begin to show the effects of gravity, sun exposure and years of facial muscle movement, such as smiling, chewing and squinting. The underlying tissues that keep our skin looking youthful and full begin to break down, often leaving smile lines, crow's feet or facial creases over the areas where this muscle movement occurs. The following procedures may be used alone or in conjunction with other facial rejuvenation procedures, such as a face lift or eyelid surgery.

Botox
is a non-surgical injection that temporarily reduces or eliminates frown lines, forehead creases and crow?s feet near the eyes. Because it temporarily paralyzes the muscles that cause wrinkles, Botox gives the skin a smoother, more refreshed appearance and prevents wrinkles from permanently setting in.

Restylane
is a medication that weakens the small muscles of facial expression. It is used to smooth out smile lines, as well as visible lines and creases on the forehead and between the eyebrows. Restylane can also be used to enlarge lips.

Laser Resurfacing
removes areas of damaged or wrinkled skin to produce a naturally rejuvenated appearance. The procedure is most commonly used to eliminate fine lines, especially around the mouth and the eyes. Laser resurfacing may also be used to treat areas of uneven pigmentation.

Silicone Injections
are used to fill in facial lines and enlarge lips. Although silicone injections have a reputation to cause problems, the probability that these problems will occur is significantly reduced by proficient and specific use by the doctor.

Watch Dr. Ackerman perform a facial rejuvenation on Discovery Health

Read Dr. Ackerman's publication about facial rejuvenation
or Download the article in PDF format

Before	After	Details
		This woman underwent micro-liposuction of her cheeks and neck. No skin excision was performed during this procedure.
		This young woman underwent micro-liposuction of her cheeks and neck, as well as rhinoplasty. Note that the procedures improved the esthetic balance of her face, giving her an overall thinner appearance, even though she didn?t lose any weight.
		This young man underwent micro-liposuction of his cheeks and neck, as well as chin augmentation surgery. He achieved a more sculpted and balanced esthetic appearance, even though he didn?t lose any weight.
		This woman underwent structural fat grafting of her cheeks, which significantly corrected the creases and the hollowed, aged look around her mouth.
		This patient underwent an endoscopic rejuvenating technique with laser resurfacing that did not require any skin incisions. Note the significant correction of the aging process around the eyes and cheek areas.
		This is a woman in her early forties who underwent a facial rejuvenation procedure using an endoscopic technique with laser resurfacing that did not require any skin incisions. Note the more youthful, natural, and balanced look.
		This male patient requested surgery to improve the unhappy and tired look around his eyes. He underwent an endoscopic surgical procedure that significantly improved the appearance of the entire upper half of his face.

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