Face Lift (Rhytidectomy). As we age, skin and fat descend while our skin becomes less elastic. The resulting loss of cheek fullness, jowling and deepening of creases can be reversed with a face lift. The skin and deeper tissue planes are lifted and extra tissue removed. This is often combined with a neck lift.

Neck Lift (Platysmaplasty). The sagging of skin in the lower face, combined with loose neck muscles and excess fat causes the symptoms of an aging neck. A neck lift involves removal of the excess fat and tightening of the superficial muscles. In severe cases, excess skin may also be removed.

Eyelid Surgery (Blepharoplasty) and Brow Lift. Tired, baggy upper eyelids usually respond well to excision of extra skin. When brows have descended below their ideal position, a brow lift may be performed (alone or in conjunction with blepharoplasty). Most brow lifts involve suspension of the muscle and skin without actually removing tissue.

Nose Surgery (Rhinoplasty). Aesthetic surgery on the nose can achieve several effects, such as improving projection, shaping the tip, flattening humps and correcting asymmetries. In some cases, breathing problems due to the shape of the nose can be addressed as well.

Ear Surgery (Otoplasty). Prominent ears, asymmetries and earlobe defects can often be corrected with cosmetic ear procedures.

Chin and Cheek Implants. When a more sculpted appearance is desired, implants can provide improved cheek-bone and chin projection.  Liposuction of the neck, under the chin can also improve the appearance of the lower face. 

Botox and Dysport (Botulinum toxin Type A). Botox (and a newer drug, Dysport) act by relaxing the muscles that cause wrinkles on the face.  Such areas include the frown lines between the eyebrows, the lines of the forehead, the "crow's feet" next to the eyes, and lines caused by certain neck muscles.  Initial effects last up to 4 months.

Juvederm, Restylane and Perlane (Fillers). Many products available today fill in creases on the face that cannot be corrected with Botox.  Some of these are chemically similar to the collagen that naturally occurs in your skin.  Areas typically injected include the lower face creases (nasolabial lines), and fine wrinkles on the lips.  Fillers may also be used to augment the lips.

Fat Grafting. Fat that is removed from an area of your body can be reinjected to other areas, the way fillers are used.  The advantage of this is that effects may last significantly longer.  The disadvantage is that it requires more time and discomfort, and reinjection to "fine tune" the results is often needed.