×

Wedding Timeline: Which Procedures to Book Before the Big Day & When

If you have a wedding in your near future, you know that looking your absolute best is crucial for your big day. Though slimming down to fit into that perfect gown is important, you know that most guests (and most importantly your spouse-to-be) will focus on your glowing face. Many brides in the West Hills and Westlake areas make the decision to have one or several facial cosmetic procedures before their wedding so they can look and feel amazing when the times comes to walk down the aisle. If you will be a bride in 2019, here are some facial procedures that you should consider and a guideline for when you should ideally book them before your wedding day.

Skincare: Four Months Before

Adopting a quality skincare routine can help you reveal your best skin before the big day. However, this will take some time to work. When you consult with Dr. Hershcovitch, he will recommend the best products on the market to help you deal with issues such as enlarged pores, dryness, fine lines, or dull skin appearance. Start these as soon as possible before your wedding day, though most women will see an improvement within four months if they stick to their new regimen on a daily basis.

Laser Resurfacing or Chemical Peels: Three to Four Months Before

Are you dealing with hyperpigmentation issues or do you have scarring or dull skin that you want to address before your nuptials? Laser resurfacing and chemical peels are both intensive treatments that can have amazing results. However, they also have some downtime associated. To walking down the aisle with a peeling, red face, schedule these treatments three to four months prior to your big day. Just remember that you’ll need to be vigilant about sunscreen as these treatments can often make your skin more sensitive to the sun.

Fillers and Botox Injections: Three Weeks Before

Want to diminish fine lines and wrinkles and restore volume and youthful plumpness to your face before you say ‘I Do’? Then you should consider scheduling Botox or dermal filler injections about three weeks before your wedding. Botox can be injected into areas of your face where you commonly develop expression lines such as around your eyes, nose or mouth to smooth out your skin. Dermal fillers like Restylane, Juvederm, and Radiesse can fill in areas of hollowness or lines, and they can also be used to plump lips. Looking refreshed and rejuvenated is important for brides, and a combination of the two types of injectables can be a winning solution. Make sure to get these a few weeks before your actual wedding day so that any minor redness or irritation has a chance to subside.

Don’t Forget the Mother of the Bride:

If you are the mother of the bride and have significant signs of aging on your face and neck such as sagging, hollowness, and loose skin, you may want to have a facelift before the big day. Because a facelift is a surgical procedure that involves some downtime, recovery, and scar healing, Dr. Hershcovitch recommends his patients schedule it at least four months prior to the event. This will give you time to properly heal and for your scars to fade. Dr. Hershcovitch is an expert in performing facelifts and prides himself on leaving only minimal scars after each surgery. Your scars should easily be hidden with your hair, but a few months of healing time will ensure they have faded as much as possible.

Booking a Bridal Consultation with Dr. Hershcovitch

Not sure what treatments you want or when you should get them for your wedding day? Book a consultation with Dr. Hershcovitch as soon as the date is set so he can listen to your concerns and recommend the best procedures for you.

You deserve to look and feel your very best on your wedding day! Schedule your consultation with Dr. Hershcovitch today to find out how he can help.

 

 

 

Can Cosmetic Treatments be Holiday Gifts?

As the holidays quickly approach, many gift-givers are looking for unique presents to give to their loved ones. Though gifts such as clothing, jewelry, makeup, and shoes are often good choices to put under the tree, many people don’t think of cosmetic treatments as appropriate gifts as well. Cosmetic treatments, however, are affordable gifts to give and are often appreciated by the right recipient. Here are some reasons why cosmetic treatments should be on your radar this holiday season, who you should consider buying them for, and some of the many options available.

Why Cosmetic Treatments Make Good Gifts

Cosmetic treatments make great gifts for the right people, especially since many women and men won’t spend the money to pamper themselves or take good care of their skin. When you give the gift of a cosmetic treatment, you’re telling the recipient that they are worth the time and money to treat themselves and their skin right! You can either give a specific treatment or you can give them a gift certificate so they can choose the treatment of their choice.

Who to Buy Cosmetic Treatments For

Cosmetic treatments make perfect gifts for spouses as well as ideal presents for good friends, family members, and adult children. When giving them as a gift, make sure you emphasize that you want your loved one to relax and pamper themselves. This is a gift of relaxation and rejuvenation and one that will pay dividends for months or even years into the future.

Type of Cosmetic Treatments Available

Depending on the unique needs and preferences of your loved one, you can give them a number of different treatments that will be perfect for them. We recommend bringing them in for a consultation to ensure they receive the treatment they really want and need. If you want to keep the element of surprise, gift certificates can go a long way.  Here are the cosmetic treatments offered by double board-certified facial plastic surgeon, Dr. Matt Hershcovitch.

Dermal Fillers

Dermal fillers are innovative injectable substances that can lift jowls, contour sagging cheeks, and soften fine lines and deeper wrinkles in areas such as around the mouth and on the forehead. Dr. Hershcovitch offers a procedure called the liquid facelift that is ideal for those who want long-lasting, noticeable results without surgery. There is no recovery and no downtime required by a liquid facelift—just amazing rejuvenation!

Laser Resurfacing

It’s possible to restore and revive the skin without surgery. With laser resurfacing, Dr. Hershcovitch uses non-invasive fractionated CO2 laser energy to delve deep into the skin and help restore it to a more youthful form. This is a more comfortable treatment than traditional laser resurfacing procedures, and patients generally need little to no recovery. Results include younger, clearer skin that is free of blemishes and evenly toned.

Chemical Peels

Chemical peels are perfect for those who want to reduce a wide range of aging signs such as dark spots, fine lines and wrinkles, and uneven skin tone. Dr. Hershcovitch uses a 35% tricholoacetic acid peel that does not bleach skin and can be used on all parts of the face including around the mouth and eyes. It has proven effective in treating conditions such as dark under-eye circles, sun spots, and melasma as well as the wrinkles and fine lines that come with aging. There is some downtime with chemical peels that is similar to dealing with a sunburn, but patients are usually back to their normal routines within a few days.

Injectables

You may not have heard the term ‘neuromodulators,’ but you’ve certainly heard the word Botox. Botox is just one of the injectable neuromodulators that Dr. Hershcovitch can use to target expression lines that comes from years of muscle contractions. Botox, Dysport, and Xeomin can be injected into certain muscles to relax them and gradually minimize lines and wrinkles. Though many people worry about their face being paralyzed or looking mask-like after having these types of injections, Dr. Hershcovitch’s years of experience have shown him exactly which muscles to target to achieve a natural and youthful result.

Cosmetic treatments make unique and useful gifts for the right person on your holiday list. If you’re considering buying a treatment as a present, contact board-certified plastic surgeon Dr. Matt Hershcovitch to find the perfect option.

 

How Long Can a Liquid Facelift Delay Surgery?

No one likes the look of sagging skin or deep wrinkles. However, not everyone wants to undergo the cost, hassle, and downtime that is involved with plastic surgery to improve these signs of aging. Though plastic surgery may eventually become inevitable to truly achieve your skin goals, there are certain cosmetic procedures that can be performed that can delay the necessity for plastic surgery. One of those procedures is called a liquid facelift, and it’s performed by board-certified plastic surgeon, Dr. Matt Hershcovitch. Using a combination of gel fillers, liquid facelifts can revitalize your appearance by providing tighter, clearer skin that has stronger definition. Many patients are so satisfied with their results from a liquid facelift that actual plastic surgery is put on hold for years into the future.

What is a Liquid Facelift?

A liquid facelift involves injecting a smooth, soft gel made out of hyaluronic acid (HA) into areas of concern. This substance keeps the skin nourished and hydrated and is naturally occurring in our own bodies. However, as we age, HA is gradually depleted and can be mimicked by the injection of dermal fillers such as Restylane, Juvederm, Belotero, and Radiesse. The injectables can volumize the treatment area, lifting areas that have sagged and smoothing out deep lines and wrinkles. A completely safe procedure, these substances are absorbed back into the body over time, leaving no residue or negative side effects. These fillers are also easily reversible by the simple injection of an enzyme that dissolves their effects. Depending on the individual patient’s needs, the doctor will choose one or more of the available fillers to use in the liquid facelift treatment.

How is a Liquid Facelift Different from Plastic Surgery?

Unlike plastic surgery, liquid face lifts are non-invasive, reversible, and require little to no downtime or recovery. They are simple procedures that are performed in Dr. Hershcovitch’s office and are out-patient. A patient who receives a liquid facelift can generally return to their normal schedule the very next day with no side effects other than some mild swelling or bruising. Liquid facelifts are also less costly than plastic surgery and many believe them to produce more natural-looking results.

What is the Process of a Liquid Facelift?

The success behind a liquid facelift lies in the careful analysis of your facial anatomy and a detailed inventory of the areas you want treated. This allows Dr. Hershcovitch to make a detailed plan guiding him to place the right types of injections in the most desirable locations to provide natural, long-lasting results. One of the common areas treated with liquid facelifts is the cheekbone area as it tends to lose their definition for most people as they age. Care is also taken not to inject certain types of fillers like Radiesse near the lips or around the eyes as they do carry some risk of clumping.

The actual procedure usually takes less than an hour to perform and patients are released from the medical clinic shortly after completion.

Can a Liquid Facelift Delay the Need for Plastic Surgery?

The results of a liquid facelift are very similar to those of plastic surgery, so they can certainly delay the need for surgery for months or even years. Dr. Hershcovitch recommends that his patients who have a liquid facelift come in every few months for an evaluation and possible touch-up. However, since liquid facelifts are safe, they can be performed numerous times or can be repeated with different types of fillers that address the patients needs. Though there is no one answer to the question of how long these procedures can delay plastic surgery, most people find that these procedures can provide them years of the youthful-looking skin they desire.

Where Can I Get a Liquid Facelift?

Dr. Matt Hershcovitch specializes in cutting-edge procedures such as liquid facelifts in his office in West Hills, California. He has years of experience in providing his patients the most skilled and sophisticated treatments to keep them looking youthful no matter what their age. Dr. Hershcovitch performs all of his liquid facelift procedures personally in his state-of-the-art medical office. He listens to each patient to find out their unique goals for having cosmetic treatments and provides compassionate follow-up and continued care.

If you are interested in delaying the need for plastic surgery with a liquid facelift, contact board-certified plastic surgeon, Dr. Matt Hershcovitch, for more detailed information.

 

 

Does Your Facelift Need a Neck Lift?

While age-related changes on the face are a common concern, the neck is sometimes overlooked. The delicate tissues of the neck are just as susceptible to aging as the face. Sunblock and anti-aging creams aren’t always applied to the neck, which can further accelerate aging in this area.

To fully address facial and neck aging, Dr. Hershcovitch frequently performs facelift surgery with a neck lift. These procedures provide tremendous benefits for patients interested in comprehensive rejuvenation. Below we’re exploring all you need to know about this popular surgical combination.

Facelift and Neck lift: The Perfect Combination

Most people seeking facial rejuvenation know what a facelift is, but many are unclear about what areas of the face this procedure actually treats. Most facelifts only address the cheeks, midface, and part of the jaw area. The area above the brows can be addressed with a browlift, but the neck is not included in any of these procedures.

A facelift performed on its own offers excellent results, but adding a neck lift can produce results that seamlessly transition from your face down to your jawline and neck. The procedure is performed by making incisions that are carefully concealed under the chin and behind the ear.

The chin incision allows Dr. Hershcovitch to remove excess fat and tighten the underlying neck muscles. Through the other incisions, Dr. Hershcovitch can lift and tighten the muscles on the sides of the neck and remove excess skin. The result is a slimmer neck silhouette that is free of excess skin and fat. This procedure is the perfect complement to a facelift, because it comprehensively addresses aging from the neck all the way up to the midface.

Deciding Whether You Need a Necklift

Most first-time necklift patients are in their late forties to early fifties, but age isn’t always the best way to determine if you’re ready for this procedure. The aging process affects all patients differently due to genetics and lifestyle factors.

Ideal candidates for this procedure exhibit the following:

  • Loose, excess skin on the neck
  • Excess fat deposits that contribute to a double chin
  • Prominent neck bands
  • Deep wrinkles and folds on the neck

For those concerned about adding to the recovery period, a necklift does not lengthen the overall recovery time for a facelift. In fact, patients can take advantage of having a shared recovery rather than opting for two separate procedures. Most patients return to their regular routine within about two weeks, and strenuous activity can be resumed by about four weeks.

Schedule a Consultation to Take the Next Step!

This popular surgical combination is a favorite among Dr. Hershcovitch’s patients. These procedures won’t make you look overcorrected; you’ll simply look like a younger, more rejuvenated version of yourself.

If you’re considering a facelift, neck lift, or both, contact board-certified facial plastic surgeon Dr. Matt Hershcovitch. He will work closely with you to develop a treatment plan that is customized to your goals and preferences.

 

Board Certification: Why it Matters for Your Safety and Results

Those considering plastic surgery have likely come across phrases like “board-certified cosmetic surgeon” or “board-certified plastic surgeon,” but these are not the same thing. For superior results and a safe outcome, it’s important for patients to understand what it means to be a board-certified plastic surgeon. Below we’re sharing what patients need to know about board certification and why it matters.

What Is Board Certification?

When undergoing any type of treatment by a physician, patients deserve the peace of mind that they’re receiving the highest standard of care, and this all comes down to the practitioner’s technical skills, experience, and knowledge. One way to validate a doctor’s level of skill is through board certification in his or her specialty. Although it might seem like board certification would be mandated by law, it is completely voluntary.

Technically, any practicing physician with a valid medical license can perform cosmetic surgery. This means that a doctor whose specialty is general medicine or emergency medicine can legally perform highly complex plastic surgery procedures, such as rhinoplasty or breast augmentation. These doctors may market themselves as “cosmetic surgeons,” or claim to be a “board-certified cosmetic surgeon.” However, the American Board of Cosmetic Surgery is not recognized by the American Board of Medical Specialties. Patients should be sure to choose a surgeon who is board certified by either the American Board of Plastic Surgery or the American Board of Facial Plastic and Reconstructive Surgery, which have very high standards for certification.

Most plastic surgeons in the United States spend about 16 years undergoing postsecondary training and education. This also includes highly specialized training in reconstructive and plastic surgery. In order to become board certified in plastic surgery, they must then pass rigorous written and oral examinations to demonstrate their proficiency. Patients can verify the status of their potential plastic surgeon’s board certification online.

Dr. Hershcovitch is double board certified by both the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology. This wealth of knowledge allows him to provide the highest level of care to patients seeking facial plastic surgery.

Why Board Certification Matters

Safety

In skilled hands, most plastic surgery procedures are fairly safe and predictable. But as with any procedure, sometimes unexpected medical events occur. In such a scenario, a board-certified physician is best qualified to handle the situation and ensure the safest outcome possible. This high level of skill is important even for patients undergoing minimally invasive or non-surgical treatments, such as Botox injections and fillers.

Results

When undergoing plastic surgery of the face or another highly visible part of the body, many patients are concerned that their results will make them look unnatural or overcorrected. This is another area where board certification can provide a tremendous benefit.

As a double board-certified facial plastic surgeon, Dr. Hershcovitch has an in-depth understanding of facial anatomy and how it relates to facial aesthetics. Plastic surgery is an art as much as it is a science; properly certified surgeons such as Dr. Hershcovitch combine their meticulous surgical skill with aesthetic insight to produce truly natural-looking results.

If you’re considering facial plastic surgery and you’d like to speak with a board-certified facial plastic surgeon, contact Dr. Matt Hershcovitch. Based on your concerns and cosmetic goals, he will work with you to create a completely customized treatment plan.

 

Get Ready for the Holidays with a Facelift in the Fall

For most people, the holiday season is packed with parties and end-of-the-year celebrations. Before the busiest part of the year approaches, many men and women choose to undergo cosmetic procedures, such as facelift surgery, during fall.

A facelift performed in the fall will make sure you enter the holiday season looking and feeling your best. With our quick guide, you can learn what to expect in terms of recovery, allowing you to look perfectly refreshed for your first party of the season.

Planning your Facelift in the Fall: What to Expect

First Week: Rest and Recover

The first week after the procedure is when your post-surgery symptoms will peak, but you will be provided with a prescription for pain medication to alleviate any discomfort. You should focus on resting for the first few days to ensure a successful recovery.

In the initial stages of recovery, it’s common for patients to feel anxious, because swelling may temporarily obscure the results. Swelling is completely normal and is just the body’s response to surgery. During the first week, you can also expect to have some bruising and feelings of soreness or tightness along your incisions.

Although these symptoms will reach their peak during the first week, you’ll still feel well enough to get up and move around 2-3 days after surgery.

Second Week: Slowly Ease Back into Your Routine

Some patients have residual bruising about 2 weeks after surgery, and most will still have light swelling. It’s also common to have tingling sensations or feelings of numbness, but don’t worry – these sensations just mean your tissues are working on healing.

Patients will begin to see the new contours of their face take shape as swelling gradually decreases. You should still be taking it easy at this point, but some patients feel comfortable enough to go back to work after the second week.

Third Week: Getting Back to Normal

By the third week, your facelift incisions should feel much better. While they tend to look puckered during the first couple of weeks, they should take on a smoother appearance by the third week as the tissues heal and swelling subsides. Some areas might still feel a little tight. Most patients have returned to work by this point. It’s usually safe to also resume light physical exercise.

Fourth Week: You’re Party Ready!

At week four, most patients will be considered fully recovered from their facelift. Although it’s common to have very light swelling for up to a year afterward, this will likely be noticeable by only you and your surgeon, allowing you to head into the holiday season with confidence.

Whether you have a packed holiday schedule or you simply want to freshen up your look this fall, there’s no better time than now to get started on your treatment plan. If you’re considering a facelift or related procedure, contact facial plastic surgeon Dr. Matt Hershcovitch. He’d be happy to help you explore your full range of surgical and non-surgical rejuvenation options.

Nose Gone Wrong: Revision Rhinoplasty Explained

Rhinoplasty is one of the most popular plastic surgery procedures performed every year. In 2017 alone, there were 218,924 rhinoplasty procedures performed in the United States. However, rhinoplasty requires a high degree of both artistry and surgical precision; it’s considered to be one of the most complex plastic surgery procedures.

As a result, it’s common for patients to seek secondary or revision rhinoplasty after their initial nose reshaping procedure. Below, we’ll be exploring why revision rhinoplasty is sometimes necessary, and how this procedure can help you achieve the results you deserve.

Common Reasons for Seeking Revision Rhinoplasty

Nasal Bridge Collapse

Cartilage forms an important part of the nose’s internal structure and foundation. When too much cartilage is removed during the initial rhinoplasty procedure, this can cause certain parts of the nose to collapse. This is usually a gradual process, with areas like the middle of the nose eventually collapsing and possibly creating a nasal obstruction.

When the patient lacks adequate cartilage, Dr. Hershcovitch can perform a cartilage grafting procedure to help build up the structure of the nose. This reinforces the nasal structure to help restore a more natural appearance to the nose. This technique can also be used in a primary rhinoplasty when the patient lacks cartilage and wants their nasal bridge to look more elevated.

Overcorrected Nasal Tip

Some patients are unhappy with the results of their nose surgery due to an overcorrected nasal tip. This usually results in an over-rotated and upturned nose, or an under-rotated, droopy nasal tip.

Over-rotation typically occurs when too much of the supporting elements of the nasal tip are removed. Without adequate support, the tip essentially falls backward, causing an upturned appearance. This can also be caused by the contracture of scar tissue, which pulls the tip of the nose. To address these issues, Dr. Hershcovitch can rebuild the structure of the nose and release the scar tissue, if needed.

In some cases, overcorrection of the nasal tip may lead to the opposite problem: a drooping nose. When the nose lacks proper structure, the nasal tip may droop downward. By rebuilding the underlying support system, Dr. Hershcovitch can correct these cosmetic irregularities through revision rhinoplasty.

Asymmetrical Nostrils

The nose is made up of many intricate and delicate components; even a slight overcorrection can significantly affect the aesthetic outcome. While most noses have a slight degree of asymmetry, complications from rhinoplasty can make the nostrils looks unnaturally asymmetrical.

When patients have uneven nostrils after rhinoplasty, it is frequently caused by removing too much of the pieces of cartilage that support the nasal tip. The weakened points basically buckle, causing one side of the nose to project into the other side. When correcting this type of complication, Dr. Hershcovitch works to restructure the nasal tip and strengthen its foundation to prevent further cosmetic irregularities from developing.

Avoid Rhinoplasty Complications by Choosing an Expert

While the above complications can occur, you can increase your chances of an optimal outcome by choosing a surgeon who specializes in rhinoplasty. Dr. Matt Hershcovitch is a double board-certified facial plastic surgeon who is renowned for his ability to create natural-looking results. Whether you’d like to correct irregularities left by your first nose surgery, or you’re seeking rhinoplasty for the first time, he can help you attain facial harmony. To take the next step, contact him today to schedule your personal consultation.

5 Medical Conditions Rhinoplasty Can Fix

Rhinoplasty is one of the most common cosmetic procedures worldwide, accounting for 218,924 cosmetic procedures in the U.S. in 2017. While this solution is often valued for its efficacy in improving facial symmetry and appearance, nose surgery also offers a critical, nearly irreplaceable option for many common medical conditions.

Rhinoplasty: Beyond Cosmetic Appeal

Often, patients forget the medically important functions of the nose. From facilitating breathing to feeding sensory information to the brain, a functional nose helps ensure patients live life to the fullest. When this functionality or structure is compromised, the individual’s quality of life also decreases.

Common medical conditions often addressed through functional rhinoplasty include:

1. Corrects a Deviated Septum

Whether the result of trauma or simply a feature from birth, a deviated septum is the result of the septum developing away from the cartilage or bone. This narrows the nostrils, causing them to become crooked or off-center. While slight misalignment may not be noticeable or simply visibly unappealing, higher degrees of misalignment can compromise an individual’s ability to breathe correctly.

Functional rhinoplasty, also known as septoplasty, corrects the deviation by straightening the crooked cartilage or bone that is causing the septum to deviate. Ultimately, this treatment improves breathing as well as facial symmetry.

2. Improves Sleep Apnea Treatment Efficacy

Characterized by snoring and frequent pauses in breathing during sleep, obstructive sleep apnea is common among middle aged men and women. Not only does the condition cause patients to lose out on a good night’s rest, sleep apnea can adversely affect their overall health. Common side effects of the condition include fatigue, mood change, increased risk of heart disease and death in more serious cases.

While the cause of sleep apnea is often attributed to the obstruction of air flow by soft tissue in the mouth, narrow nasal passages and chronic nasal congestion can be the source of blockage. For these individuals, functional rhinoplasty may be the next treatment option when CPAP and night guards prove ineffective. In certain instances of severe sleep apnea, rhinoplasty may be part of a larger treatment initiative to help the patient regain a restful night’s sleep.

3. Addresses Sinus Problems

Crowded nasal passages caused by a moderately to severely deviated septum can also increase an individual’s likelihood of developing frequent sinus infections and experiencing regular sinus pain. Dr. Hershcovitch specializes in both ENT and facial plastic surgery, allowing him to provide highly-tailored treatment strategies to patients suffering from these issues.

4. Assists Facial Reconstruction

As part of a larger facial reconstructive treatment strategy, functional rhinoplasty plays an important role in restoring a patient’s overall sensory functions and appearance. Trauma such as nasal fracture or nasal valve collapse can require comprehensive reconstruction and reinforcement to restore full breathing capacity. Functional rhinoplasty addresses the patient’s critical needs and creates a long-lasting solution.

5. Nasal Polyp Removal

In patients with severe allergies, benign nasal polyps can develop. While smaller polyps may be unnoticeable, larger growths may block the nasal passage and lead to difficulty breathing, deprecation of an individual’s sense of smell and inflammation. Less invasive endoscopic functional rhinoplasties can address this problem with minimal downtime and maximum results.

Explore the Advantages of Functional Rhinoplasty

Functional rhinoplasties are one of many ways Dr. Matt Hershcovitch helps patients regain control of their lives and enjoy a higher quality of life. Contact our team today to schedule a consultation and learn more about the advantages offered by this comprehensive treatment.

Questions to Ask Your Surgeon Before Eyelid Surgery

 

Eyelid surgery, also known as blepharoplasty, can fully rejuvenate the eye area. Since the eyes play an important role in overall facial aesthetics, this procedure is one of the most effective ways to refresh your entire look.

If you’re considering eyelid surgery, the next step is scheduling a consultation. Below we’re exploring some of the top questions you should ask during your consultation, so you can decide whether this procedure is right for you.

Am I a Good Candidate for Eyelid Surgery?

Eyelid surgery usually isn’t very invasive, making it a safe and effective procedure for most healthy people. Ideal candidates for this procedure include men and women who:

  • Have excess or sagging upper eyelid skin
  • Have undereye puffiness and drooping lower eyelid skin
  • Want to correct naturally hooded eyelids
  • Do not smoke
  • Do not have serious eye conditions

Will I Need Upper or Lower Blepharoplasty?

Depending on your cosmetic goals, you may need upper blepharoplasty, lower blepharoplasty, or both. Upper blepharoplasty can remove excess eyelid skin, reposition fat pads, and tighten muscles that have started to droop. Lower blepharoplasty reduces the appearance of undereye bags and produces a lifted, youthful look. When treating the undereye area, Dr. Hershcovitch is careful not to remove too much fat. Instead, he repositions the fat to create a smooth, youthful texture that ideally complements the eyes.

What is Recovery Like?

This procedure has a relatively easy recovery. During the first week, you might have some mild swelling, bruising, dry eyes, and feelings of tightness around your incisions. Most patients do not find these symptoms to be very painful and can alleviate them with OTC medication and cold compresses.

By ten days – 2 weeks, many patients feel comfortable returning to work and social activities.

When Can I Wear Contacts Again?

After surgery, it’s important to be as gentle as possible with your incisions so they can fully heal. Since inserting your contact lenses requires you to pull or lift your eyelids, it’s recommended that patients wait at least two weeks before wearing their contacts.

Will I Have Visible Scars?

In most cases, you will not have noticeable scars after eyelid surgery. For upper blepharoplasty, the incisions are made within the natural creases of the eyelid, so they are nicely concealed once healed. Lower blepharoplasty is performed by making incisions either just below the lash line or within the inner eyelid, so these scars will also be concealed.

What’s the Best Option for Sagging Brows?

It’s common for sagging brows to be present in those who have drooping eyelid skin. While blepharoplasty can only treat the eyelids, a brow lift (sometimes called a forehead lift) is the perfect option for correcting cosmetic concerns above the eyebrows.

Using well-concealed incisions along the hairline, Dr. Hershcovitch can tighten the underlying tissues and gently reposition them during a brow lift. The result is a smoother, wrinkle-free forehead with youthfully positioned eyebrows. This procedure can also be performed endoscopically, which is minimally invasive and requires much shorter recovery time.

What Other Procedures are Performed with Eyelid Surgery?

Several other procedures can complement the results of eyelid surgery. Many patients choose to pair their blepharoplasty with a facelift to treat aging from the midface down to the neck.

For those who don’t feel ready for a facelift, injectables perfectly bridge the gap between non-invasive treatments and surgical procedures. If you’ve been researching your options for facial rejuvenation, then you’ve probably come across products like Restylane, Juvéderm, and Radiesse. These injectables are called dermal fillers, and they work by replenishing volume to the face. This has several effects:

  • Smooths away fine lines and wrinkles
  • Restores volume under the eyes and to other areas that have lost fullness
  • Provides structure and lift to areas that are starting to droop

Injectables like Botox, Dysport, and Xeomin (known as “neuromodulators”) are also great alternatives if you’re not ready for facial surgery. Neuromodulators reduce the appearance of movement-related wrinkles by relaxing certain facial muscles. They are often injected near the eye area to reduce crow’s feet and creases between the eyebrows.

Are You a Board-Certified Facial Plastic Surgeon?

While board-certified plastic surgeons are perfectly qualified to perform blepharoplasty, it’s beneficial to choose a surgeon who is specifically board certified in facial plastic surgery. The American Board of Facial Plastic and Reconstructive Surgery is a separate governing body from the American Board of Plastic Surgery and requires specialized training for surgery of the face, head, and neck. Board-certified facial plastic surgeons like Dr. Hershcovitch have a deep understanding of facial anatomy, allowing them to produce superior results that blend in seamlessly with the natural architecture of a patient’s face.

If you’re considering blepharoplasty and you’re ready to take the next step, contact Dr. Matt Hershcovitch to schedule a private consultation today. Dr. Hershcovitch is a double board-certified facial plastic surgeon who provides the highest level of surgical care and artistry for those seeking cosmetic enhancements.

Awaken Your Appearance with an Eyelid Lift

Eyelid surgery (blepharoplasty) can dramatically improve your appearance and brighten up your face. This procedure removes excess skin, tightens muscles, and repositions the tissue surrounding the eyes. The result is smoother skin with a defined and youthful eyelid contour.

With a relatively quick recovery and a short procedure time, eyelid surgery is a great option for those seeking facial rejuvenation but who aren’t ready for more invasive procedures. Discover how this popular surgery can awaken your appearance and address common age-related changes.

How Blepharoplasty Rejuvenates the Face

Removes Excess Skin

Over time, the delicate tissues surrounding the eyes lose elasticity. As collagen and elastin decline, the skin starts to droop and sag. This is one of the main reasons why people seek blepharoplasty. Drooping eyelid skin can affect the overall aesthetic of your face and may cause an angry, tired, or upset appearance. In some cases, sagging eyelid skin can also obscure vision.

During blepharoplasty, Dr. Hershcovitch restores the natural contour of the upper eyelids by trimming excess skin. For those who have drooping lower eyelids, a lower blepharoplasty can also be performed to fully rejuvenate the eyes. Even though a small amount of skin is removed, these subtle adjustments can dramatically improve your appearance while allowing you to still look like yourself.

Reduces Eyebags and Puffiness

While sagging eyelid skin is usually the top complaint for patients considering blepharoplasty, under-eye puffiness is another concern. As you age, the pad of subcutaneous fat in your face shifts downward. This downward shifting causes fat to settle beneath the eyes, creating “eyebags.” Puffy under-eye bags can also worsen dark circles and make you look tired, even when you feel great.

Dr. Hershcovitch treats this common issue by carefully repositioning the fat pad so that a smooth, even texture is produced. He will also remove any excess fat to make sure puffiness is reduced. The key to achieving natural-looking results with this technique is to leave enough fat so the under-eye area still looks youthful. When too much fat is removed, it can actually create hollowness under the eyes. With a balanced approach, Dr. Hershcovitch restores a bright, youthful look without compromising your natural features.

Corrects Hooded Lids

Blepharoplasty isn’t always sought for facial aging alone. Some men and women with naturally hooded eyelids would prefer to have more lid space. Others feel that their hooded lids give their eyes a heavy or tired appearance. In either case, eyelid surgery can correct these cosmetic concerns.

Blepharoplasty for hooded eyelids is designed to remove small amounts of skin so that more lid space is revealed to brighten up the eyes. This procedure is also an excellent choice for those who lack an eyelid crease and want to have a more defined eyelid contour.

Softens Lines and Wrinkles

While topical products can help soften the appearance of fine lines, there’s only so much they can do. Many patients choose blepharoplasty to reduce bothersome wrinkles, especially the deep skin folds that tend to develop beneath the eyes.

During lower blepharoplasty, Dr. Hershcovitch will make an incision either just below the lower lash line or on the inside of the lower eyelid. This ensures that no resultant scars will be visible. Through these small incisions he will tighten muscles that have started to droop, and gently re-drape the tissue for a refreshed look.

Other Options to Consider

If you don’t feel ready for blepharoplasty, there are non-surgical options available that produce great results for minor cosmetic concerns. One option that many patients turn to is Botox. Botox injections force certain facial muscles to relax, which softens the appearance of movement-related wrinkles such as crow’s feet and creases between the eyebrows. Botox can also provide subtle lift to the eyebrows.

If your main concerns are undereye circles and hollowing under the eyes, dermal fillers are a perfect choice. These injectables reduce dark circles by replenishing volume under the eyes. They can also fill in lines and wrinkles and produce a smooth, supple skin texture.

If you’re ready to take the next step but you’re not sure which procedure is right for you, contact Dr. Matt Hershcovitch to schedule a personal consultation today. Dr. Hershcovitch is a double board-certified facial plastic surgeon who is committed to delivering personalized, natural-looking results for those seeking cosmetic enhancements.

Mini Facelift vs. Full Facelift: What to Expect

While you can’t control the aging process, facial plastic surgery makes it possible to restore a youthful, refreshed look. One procedure in particular that many men and women turn to is facelift surgery. When the signs of age start to appear, this effective surgery can essentially turn back time while allowing you to still look like yourself.

If you’re researching your options for facelift surgery, then you’ve probably come across the terms “full facelift” and “mini facelift.” But how do you know which procedure is right for you? Read on to discover everything you need to know about these popular facial surgeries.

Full Facelift

Who Is an Ideal Candidate for a Full Facelift?

Full facelifts are great if you’re seeking a more dramatic transformation, and you have severe facial aging that you’d like to address. Ideal candidates for a traditional facelift typically exhibit the following:

  • Deep folds and wrinkles on the face
  • Sagging skin on the cheeks
  • Jowls
  • Marionette lines
  • Skin laxity on the neck

About the Procedure

A full facelift can target basically everything from the midface down to the neck, and it is great for tightening up loose skin on the neck, cheeks, and on the majority of the face. When performing a full facelift, Dr. Hershcovitch lifts the deeper structures of the face to produce a truly natural-looking lift. This is usually done by using one of the following techniques: the SMAS technique or the deep plane method.

The SMAS (superficial musculoaponeurotic system) is a layer of fibrous tissue under the skin that goes from the forehead down to the collarbone area. During an SMAS facelift, Dr. Hershcovitch will make incisions along the natural contours of your face, and then gently reposition the SMAS to restore volume and produce lift. A deep plane lift – which targets the layer below the SMAS – allows even deeper facial structures to be lifted. In either case, the goal is to lift the deeper tissues where aging occurs. This supports a more naturally rejuvenated appearance, rather than just pulling the skin tight.

Benefits of a full facelift include:

  • Offers the most dramatic reduction of facial aging
  • Can address a larger area of the face
  • Long-term results

Recovering from a Full Facelift

Each facelift is customized to the patient’s individual needs, so recovery varies depending on the extent of your procedure. But in general, full facelifts typically require about 1-2 weeks of recovery. Immediately after your procedure, you will need to wear a bandage and headwrap for a day or two to facilitate healing.

It’s common to experience bruising, swelling, and soreness after the procedure, but these temporary side effects resolve within about a month. Most patients are comfortable returning to work and social events within a week or two. However, strenuous exercise should be avoided for up to 6 weeks.

Mini Facelift

Who Is an Ideal Candidate for a Mini Facelift?

A mini facelift is excellent for people who have mild to moderate facial aging. This procedure is not well suited for those who have significant sagging or deep skin folds, but it is a popular option for men and women who need a bit more rejuvenation than non-invasive procedures can provide.

Ideal candidates for a mini facelift usually exhibit the following:

  • Diminished skin elasticity from the midface down to the neck
  • Decreasing jawline definition
  • Mild to moderate wrinkles

About the Procedure

Similar to a full facelift, a mini facelift allows the surgeon to reposition the deeper structures of the face to provide lift. However, a mini facelift typically addresses only the SMAS layer, making it a less-invasive approach. A mini facelift can also be performed as an in-office procedure using local anesthesia only. Because it does not require general anesthesia and uses shorter incisions, this procedure is ideal for those seeking facial rejuvenation without the inconvenience of more invasive procedures.

Patients can enjoy the following benefits from a mini facelift:

  • Procedure is less invasive
  • Shorter downtime
  • Provides subtle, natural-looking rejuvenation

Recovering from a Mini Facelift

Since the mini facelift takes a less aggressive approach, downtime is much shorter when compared to a traditional facelift. Temporary post-op symptoms, like bruising and swelling, usually subside quickly. While all patients will vary in their recovery, most can return to work within a week, sometimes even sooner.

Both mini facelifts and full facelifts can produce incredible results for people seeking facial rejuvenation. Rather than making you look like a completely different person, a facelift can simply reverse the changes that age has caused. The right procedure for you ultimately depends on your cosmetic goals and preferences.

If you’re considering facial plastic surgery, you deserve to put your care in the hands of an expert, like Dr. Matt Hershcovitch. Dr. Hershcovitch is a double board-certified facial plastic surgeon, and he is considered a leader in the field. Contact him today to schedule your personal consultation.

Incision Decision: Weighing Your Rhinoplasty Surgery Options

Rhinoplasty is a complex plastic surgery procedure designed to refine the nose. Although the ultimate goal of any rhinoplasty is to create a balanced and proportional nose, there’s no singular surgical method that is one-size-fits-all for every patient. Rather, surgeons employ a variety of techniques. They also use a variety of incisions to access the nasal structures and position soft tissue. Two methods of the procedure, the closed rhinoplasty, and the open rhinoplasty, are performed using different incision styles.

Dr. Hershcovitch believes that rhinoplasty surgery should be a collaboration between the surgeon and the patient. Rather than just dictating the best course of action for your case, he will explain what your options are and educate you on why each technique is different.

Of course, there’s no harm in coming into your consultation prepared. If you’d like to get a sense of which rhinoplasty technique may be appropriate for your case, we’ve put together a helpful guide to the differences between different rhinoplasty incisions.

Closed Rhinoplasty

A closed rhinoplasty, also known as the endonasal approach, is a technique where the surgeon creates the incisions inside the nostrils; any resulting scarring will be completely hidden.

What Closed Rhinoplasty Can Be Used for

Discretion is important to most of Dr. H’s patients and is one of the reasons why so many would prefer the closed rhinoplasty technique. Unfortunately, it’s not always appropriate. Because it doesn’t offer the best view of the nasal structures, closed rhinoplasties are mostly reserved for straightforward cases – for instance, if a patient merely needed to smooth out a bump on the nasal bridge.

Patients also prefer the closed rhinoplasty because it offers a quicker, milder recovery period.

Open Rhinoplasty

An open rhinoplasty is performed by creating a small incision on the columella, the narrow strip of tissue that divides the nostrils. One the incision is made, your surgeon will gently lift the skin and shape the bone and cartilage. The tissues are then gently repositioned onto the new nasal structure and the incision is closed.

An open rhinoplasty is typically reserved for cases when the surgeon needs in-depth visualization of the nasal structures. Because an open rhinoplasty is often used for extensive manipulation of nasal tissue, it often leads to a longer recovery than a closed rhinoplasty.

What Open Rhinoplasty Can Be Used for

An open rhinoplasty is ideal for cases that require extensive treatment. If patients need the tip of their nose reshaped, a second rhinoplasty, or to strengthen certain structures with grafts, an open rhinoplasty will most likely be used.

Scarring with Open Rhinoplasty

An open rhinoplasty technique will leave a small scar on the columella. Keep in mind – this scar is barely noticeable. The scar will really only be visible if someone is looking up directly at you from below.

As a facial plastic surgeon with extensive training with closing incisions, Dr. Hershcovitch makes sure there is as little tension as possible on the incision to prevent a noticeable scar from forming.

Miscellaneous Incisions

In the case that a patient requires a reduction in the size of their nostrils or narrowing of the width of their nose, we may need to create an incision where the nostrils meet the cheeks. By creating an incision along the natural contours of the nose, we can ensure that any resulting scar will blend seamlessly into your facial features.

What Can I Do to Reduce the Appearance of Scars?

You can do your part to prevent scarring by taking good care of your nose during the healing process. Protect your nose while it’s tender and healing. Make sure to keep your head elevated during the first week of your recovery to reduce swelling and tension on the incisions. Limit your sun exposure to ensure your scars fade as much as possible. You can even take supplements like arnica and bromelain to speed up the healing process.

With all this in mind, we should remind you that the technique isn’t the biggest factor in any rhinoplasty. What matters more is that you find a talented, compassionate surgeon that can help you attain your reasonable goals. Contact the office of Dr. Hershcovitch to learn more about how our experienced and friendly team can help you feel confident about your appearance.