What is Facial Rejuvenation?
Facial Rejuvenation is the process by which the face is made more youthful, more vibrant! At True Beauty, the process begins with a thorough consultation and facial analysis by expert
Dr. Brian Reagan. He will review your history and patiently listen to your goals. He will discuss different options, always starting with the simplest of approaches and progressing towards more definitive treatments.
Why True Beauty with Dr. Reagan is a great place for Facial Rejuvenation!
Dr. Reagan is a board certified Plastic & Reconstructive Surgeon. When it comes to facial rejuvenation, the type of board certification means a lot! Other boards may not reflect the breadth of training in facial rejuvenation. Dr. Reagan developed his surgical skill and judgement over an intense 9 yr training period at some of the finest institutions in the country. Other boards entail only a few years in training. And while Dr. Reagan is an expert in Surgical Rejuvenation, he is also an expert in Non-Surgical and Minimally Invasive Facial Rejuvenation. Dr. Reagan offers the full breadth of the services including botox, fillers, lasers, and surgery. You can be confident that the advice you receive will be thorough and unbiased. Without limitations, True Beauty can offer what is best for you!
Aging is an inevitable process no one can avoid, however, certain procedures can delay the signs of aging and shed years off your appearance. Deep wrinkles, sagging skin, and loss of volume in the face can all be corrected with surgical and non-surgical procedures. A facelift procedure tightens the skin, smoothes out wrinkles, and removes sagging skin. A necklift tightens skin and muscles to give your neck a more youthful appearance. Blepharoplasty, or eyelid surgery, corrects sagging eyelids and remove excess fat in the upper or lower eyelid creating a more youthful and rested appearance while also improving certain wrinkles in the eye area.
Micro fat grafting is a technique that utilizes the fat in your own body. It is transferred surgically to areas that are lacking in volume. Some of the most common areas in the face where micro fat grafting is used are cheeks, lips, nasolabial fold lines, and temples. Micro fat grafting can also be used enhance the jawline, smooth out scars, and soften wrinkle around the mouth. A Rhinoplasty or nose job, is a surgical procedure used to reduce the size of the nose, change the shape or angle, smooth out a bump, correct nasal obstructions, and correct birth defects or deformities.
Non-Surgical Facial Rejuvenation
Skin Care: Facial Rejuvenation starts with excellent skin care. The aestheticians at True Beauty will obtain a thorough history of your current skin care regimen. Many patients are using overpriced department store brands that accomplish very little. Others are using the wrong products for their skin type, or are reacting adversely to their current program. Let our aestheticians be your personal concierge to obtaining youthful, glowing skin. We carry only the best products including Skinceuticals, Rhonda Allison, Revision, IS Clinical, and our very own True Beauty line.
Skin Treatments: Simply stated, the Aestheticians at True Beauty are Amazing! All are certified and well trained. We offer the entire spectrum of skin treatments including custom facials (check out the “Ultimate Event Treatment”), brow tinting, and eyelash plumping. Exfoliation is achieved through dermaplaning or microdermabrasion (traditional and the Dermasweep MD). An array of peels are available including the Cosmelan MD Depigmentation Treatment for significant pigment issues, especially in darker skin types. Our aestheticians are also experts in acne treatment. They will perform extractions and recommend appropriate products to achieve healthy, beautiful skin. (see the skin treatments for more information)
Botox True Beauty is your trusted source for Botox! Botox (Onabotulinumtoxin A) is a protein that is injected in solution to treat wrinkles. It acts by blocking the signal from the nerve to the muscles that animate or cause expression. Final results takes 3 days to a week. Its effect should last approximately 3 months. The goal at True Beauty is to give you a fresher, more youthful appearance, not to freeze facial expressions. Areas commonly treated include the frown lines, forehead lines, and lines around the eyes (crows feet). More specialized areas include around the mouth and in the neck. Dr. Reagan performs all botox treatments at True Beauty. Call the office for our next “Treat Yourself at True Beauty” for specials on botox.
Fillers True Beauty is your trusted source for Fillers! Fillers are products that are injected at various depths into the soft tissue of the face to add volume. Examples of fillers used at True Beauty including areas of injection are as follows:
Fillers are a great tool for achieving facial rejuvenation. They are readily available and essentially non-invasive. The downside is that they need recurrent application, usually every 6-8 months. Voluma is thought to persist longer (up to two years), and Sculptra can promote collagen that can last years. Bruising and minimal swelling can occur, so give yourself a few days to recover.
The problem with fillers is that they are overused! Their ability to correct soft-tissue laxity is limited, and overuse can lead to that plump, amorphous look that is so recognizable. Thus, who you select as your injector of fillers is critical towards achieving a natural, beautiful outcome. Dr. Reagan performs all injections at True Beauty. Call for our next “Treat Yourself at True Beauty” for specials on fillers.
Minimally Invasive Facial Rejuvenation
The practice of Cosmetic Surgery is in constant evolution. Techniques are refined over the years. Technology is introduced to improve outcomes. At True Beauty, Dr. Reagan has developed approaches to achieve real results with with less down time. These approaches are all performed in the office without the need for general anesthesia.
Fraxel is a fractionated CO2 laser for skin resurfacing. “Fractionated” lasers treat the skin vertically rather than tangentially. Only a “fraction” of the skin is treated with each pass, thus reducing pain of application. In addition, by leaving islands of epithelium intact, the healing time is reduced. Fraxel effectively treats pigment (browns), telangectasias (tiny red vessels), and wrinkles. The healing time is approximately 1 week as compared to the traditional 2 weeks of older lasers. A specific post-laser skin care protocol is employed to ensure the best outcomes.
Fat Grafting– Loss of facial volume is a common sign of aging. Dr. Reagan commonly uses the patient’s own fat to restore facial volume (autologous fat grafting). The fat is painlessly harvested with the Tickle Lipo system, washed, and re-injected into the face. Areas of treatment include the cheeks, nasolabial folds, prejowl sulcus, and lips. The ability of the fat to survive is unpredictable and somewhat dependant on the recipient site. It is not unusual for patients to undergo multiple treatments over the years. Downtime consists of minimal bruising and swelling for a few days.
Mini-Facelift– Dr. Reagan has lectured nationally and internationally on the merits and limitations of mini-facelifts. At True Beauty, Dr. Reagan performs a mini-facelift under local anesthesia. This approach is ideal for the patient seeking true improvement of the jowls with minimal down time (1 week). The bruising is easily hidden, and many patients return to normal activity after 1-2 days. Regardless of extent of surgery, Dr. Reagan strongly believes that your choice of surgeon is still the most determining factor for a good outcome. (Please see Dr. Reagan’s video on “Patient Beware”from The Plastic Surgery Channel)
The Trinity Lift – By combining three “less invasive” approaches, Dr. Reagan has created the Trinity Lift! An office-based procedure, the Trinity Lift addresses the 3 major needs of facial rejuvenation- tissue repositioning (mini-lift), restoration of volume (fat grafting), and skin resurfacing (Fraxel). And with a recovery time of 7-10 days, the Trinity Lift is ideal for busy professionals with demanding lifestyles. (please see before/after photos)
Surgical Rejuvenation/ Facelift Surgery- The Gold Standard
At True Beauty, Dr. Reagan is an expert in Facial Rejuvenation Surgery. As a graduate of the #1 training program in the country, Dr. Reagan trained with many of the top facelift surgeons in the world. As a busy facelift surgeon in San Diego for over 14 years, Dr. Reagan is uniquely qualified to meet and exceed your expectations. He uses only proven techniques to create natural, long-lasting results. Please review our Before/After photos to better appreciate Dr. Reagan’s mastery in facial rejuvenation. Dr. Reagan believes it is sometimes necessary to “do more” to achieve beautiful, natural results.
Brow Lifts– A youthful brow should be positioned 2-3 mm above the orbital rim in women, and at the orbital rim in men. Drooping of the brow (Brow Ptosis) can begin in the 30’s and progressively worsen over time. A general heaviness of the upper eyelid can occur with obliteration of the upper crease laterally (lateral hooding). When the brows are lifted properly the forehead complex should become smooth. The frown muscles (corregators) will also be weakened at the time of the brow lift.
Techniques described to lift the brows include the Coronal Approach, the Anterior Hairline Approach, the Endoscopic Browlift, Direct Browlift, and a Browlift through the upper eyelid incision. Dr. Reagan typically performs the Endoscopic Browlift using small incisions behind the hairline. Women with a high hairline may opt for the Anterior Hairline approach. Men will benefit from either a Direct Browlift, or the Upper Eyelid Incision approach.
It is important not to overcorrect the brow elevation, which leads to the “surprised” look. This is especially true for men.
Please see Dr. Reagan’s article “The Eyes Have It” for more information on Browlifts.
Eye Rejuvenation “Blepharoplasty” – Patients frequently present with the complaint that they look “tired”. Often this is the result of excess skin and fat around the eyes. This can be corrected with an Upper and Lower Blepharoplasty. Blepharoplasty involves removal of skin and fat through incisions that are easily hidden. With an Upper Bleph, the incision is hidden in the Supratarsal Crease which is located 4-5 mm above the lash line. With an Asian Blepharoplasty, it is often necessary to create a supratarsal crease. With a Lower Bleph, the fat is either removed from within the eyelid (Transconjuctival Approach) or from an external approach (Subcilliary Approach). Extra skin from the lower eyelid is removed with a Subcilliary Incision. Laser tightening alone may be sufficient to correct minimal skin laxity of the lower lid.
Dr. Reagan can perform Upper and Lower Blepharoplasty under either local or general anesthesia. Recovery consists of bruising and swelling. Head elevation, icing, and dressing compression can help reduce these symptoms. Eye drops will often be recommend in the post-op period. Recovery is usually 1-2 weeks.
Complications can include excessive swelling or bruising, dry eyes, tearing eyes, blurred vision, temporary inability to completely close the eyes, and drooping of the lower eyelid (ectropian). These symptoms usually resolve within a few weeks. Rarely (<5%) a revision under local anesthesia will be necessary to remove more tissue or correct lower lid malposition.
Please see Dr. Reagan’s article “The Eyes Have It” for more information on Blepharoplasty
Facelift surgery receives as much attention (good and bad!) as any other procedure in Plastic Surgery. Performed correctly, a facelift will restore natural beauty without looking overdone or unsightly. Friends and acquaintances will simply comment on how good you look! While minilifts definitely have their role in facial rejuvenation, Dr. Reagan believes that for most patients a true facelift will provide the best, most lasting result.
There are many versions of facelift surgery described in the literature. Having trained with some of the top facelift surgeons in the world, Dr. Reagan will utilize only the most tested, predictable techniques. The underlying tissue will be repositioned and secured to yield lasting results. A SUBSMAS dissection is performed. The outer skin will be released and redraped in a natural manner. The incisions will be hidden around the ears without distortion. Neck rejuvenation is typically included with a facelift. A small incision will be placed under the chin to aid in tightening the neck tissue. Dr. Reagan performs his full face/neck lifts under general anesthesia at his fully accredited (AAAASF) surgical center using board-certified Anesthesiologists.
Recovery is typically 3 weeks and consists of resolving bruising and swelling. Compression garments are utilized. Patients often begin to perform normal activities after 2 weeks. Dr. Reagan routinely performs other procedures simultaneously with a facelift such as a browlift, blepharoplasty, fat grafting, or laser resurfacing.
Please see Dr. Reagan’s natural before/after photos! See for yourself how wonderful you can look, and call True Beauty to schedule your complimentary consultation!
Malar lifts (Cheek Lift)-The malar region is the soft tissue overlying the cheek bone. This tissue can droop with age and lead to a flattened, hollow appearance. The nasolabial folds can become deeper, more obvious. On selected patients, Dr. Reagan performs a Direct Subperiosteal Malar Lift. This is performed through the lower eyelid incision in conjunction with a lower blepharoplasty. This can be performed alone is younger patients, or with a conventional facelift in older patients. While this is considered a more invasive or aggressive approach, the results are remarkable. (see malar lifts)
Neck Lifts– A “turkey neck” is one of the more common complaints that prompt patients to seek facial rejuvenation. Such an appearance is the result of laxity of neck skin and underlying muscle (platysma bands). In some cases, excess neck fat is the culprit. In cases of excessive fat with minimal skin laxity, neck liposuction alone may yield an aesthetically pleasing result.(see neck lipo). In most cases, however, some form of skin redraping with platysmal tightening will be necessary. Dr. Reagan routinely performs central neck approximation of the plastymal bands, along with tightening of the lateral platsyma to create a more lasting, rejuvenated neck. Occasionally an isolated neck lift can be performed with good results, but usually a neck lift is performed simultaneously with a facelift.
Laser Resurfacing is a great way to rejuvenate the skin. It treats most of the signs of aging including wrinkles, brown spots, and red vessels (telangectasias). Determining the appropriate treatment of laser vs. excision of skin will be made by Dr. Reagan during your consultation. In many cases, Dr. Reagan performs both laser and some form of skin excision to achieve ideal results.
There are two types of skin tightening lasers that Dr. Reagan frequently uses. The Erbium Laser is a very effective treatment for correction of wrinkles, especially those around the mouth. Recovery is typically 2 weeks. General anesthesia is necessary to perform the erbium laser.
For patients that don’t want general anesthesia, or for those with only 1 week recovery time, the Fraxel Repair laser is an excellent option. Wrinkles, browns, and reds will be treated successfully. A topical anesthetic ointment with local nerve blocks is sufficient for treatment.
Autologous Fat Grafting– One sign of facial aging, especially in lean patients, is loss of facial volume. Dr. Reagan routinely performs autologous(your own) fat grafting to the face to achieve a more youthful appearance. The fat is harvested using our Tickle Lipo system, processed, and injected into the cheeks, nasolabial folds, prejowl sulcus, and lips. Fat can also be injected into the dorsum of the hands.
A common question is “How long does the fat last?” The answer is uncertain. In some patients, and in some areas of the face, the fat seems to last longer (years). In other areas such as the lips the fat seems to mostly disappear after 6-8 months. There is much research ongoing to determine best practices to achieve longer lasting fat grafting.
Branded Surgeries (LifeStyle Lift, Quick Lift,etc..) and Choosing a Surgeon.
Dr. Reagan has lectured nationally on the changing ways Plastic Surgery is being marketed to the public. While clever names are effective at communicating a certain aspect of a surgical approach, Dr. Reagan cautions patients to do a little research before agreeing to let someone perform surgery on their face or body. The most important factor in achieving a successful outcome is the choice of your surgeon. Make sure your surgeon is a Board-Certified Plastic Surgeon and a member of ASPS (American Society of Plastic Surgeons). Know that plastic surgeons with an interest in aesthetic surgery will likely be members of ASAPS (American Society of Aesthetic Plastic Surgeons). Observe how much time your surgeon spends with you during your consultation. Are you feeling rushed? Are your questions answered? Does the office return your calls in a timely fashion. Ask if your surgeon will see you in the post-operative period. And ask to speak to previous patients, every surgeon who takes good care of their patients should have a few people who are willing to discuss their experience. Online reviews can be misleading and a function of marketing efforts. Dr. Reagan has over 100 unfiltered reviews available for prospective patients to review! And always seek multiple opinions, usually 3 will suffice. True Beauty and Dr. Reagan would be honored to assist you in any way!