Posts Tagged ‘dermal fillers’

Is Liquid Rhinoplasty Right for Me?

liquid rhinoplastyWhile rhinoplasty is one of the most popular cosmetic surgeries performed worldwide, it can be extremely complex. Liquid rhinoplasty, on the other hand, offers a nonsurgical option to help improve the shape of your nose while avoiding costly surgery and a long recovery.

This relatively new, nonsurgical alternative may not be the best solution for everyone, though. That’s why it’s important to consult with a cosmetic surgeon before deciding between liquid or surgical rhinoplasty. During a consultation, you’ll be able to ask questions, share concerns and discuss the outcomes you hope to achieve — all of which will help you make the best possible decision.

What is Liquid Rhinoplasty?

Nonsurgical rhinoplasty involves using dermal fillers (also used in many other facial procedures to reverse signs of aging) to fill in or lift parts of the nose. This form of injectable can “plump up” targeted areas, as well as reshape and lift tissue — for example, to fill in the area around a pronounced bump on the bridge of the nose or to help lift the tip of the nose.

How is Liquid Rhinoplasty Performed?

During the procedure, your doctor will apply numbing cream to the target area. Then, when you’re ready, will inject the filler. Because your doctor will only inject a small amount at a time, you may need multiple appointments to achieve your desired changes. Administering only a little bit of the filler at a time will help ensure the changes are incremental, and can reduce the risk of complications.

The procedure typically takes less than an hour. Since it doesn’t involve any incisions or anesthesia, you’ll be able to go home immediately after the procedure. You can also return to normal activities a short time later.

Is Liquid Rhinoplasty Permanent?

Cosmetic injectables are not permanent. While most dermal fillers last around six to nine months, because the nose doesn’t move as much as other parts of the face, most people see results that last 12-18 months.

Once the results start to diminish, you can see your doctor for another session to maintain your appearance.

How Do I Know if Liquid Rhinoplasty is Right for Me?

If you’re looking to make mild to moderate changes to your nose, liquid rhinoplasty may be a great choice for you. It may also be a good first step for someone wanting to try out changes before deciding on surgery.

When considering a cosmetic procedure of any type, one practical consideration is often expense. Since liquid rhinoplasty is more affordable than traditional rhinoplasty, you may likely consider it first. But it’s important to remember that multiple treatments can add up to be just as expensive as a surgical procedure.

You’ll also want to keep in mind that while some issues can be easily corrected with liquid rhinoplasty, others may require surgery. For example, dermal fillers cannot fix internal nasal issues, such as a deviated septum. Results from liquid rhinoplasty are also temporary and not as dramatic as traditional, surgical rhinoplasty.

For all of these reasons, it’s important to discuss your concerns and options with a cosmetic surgeon before deciding on any type of aesthetic procedure. Be sure to have an open and honest conversation with your doctor about what you want to achieve, as well as the limitations and risks of each procedure.

Emory Aesthetic Center

The skilled cosmetic surgeons at Emory Aesthetic Center are experts in both surgical and nonsurgical rhinoplasty, and are available to help you make the best possible decision for yourself. Schedule your consultation today.

About Dr. Sethna

Anita Sethna, MD, FACS, is double board-certified in Head and Neck Surgery and Facial Plastic and Reconstructive Surgery since 2010. She is also an Assistant Professor of Otolaryngology, Head and Neck Surgery at Emory University School of Medicine where she has taught since 2011. Dr. Sethna is the recipient of the AOA Research Award, and she is an accomplished expert in her primary areas of interest: rhinoplasty and injectables.



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Facelift or Injectables: Which is Right for Me?

facelift or injectablesIn the not-so-distant past, invasive surgery was really the only option for fighting the signs of aging. Thankfully, today we have more options for treating patients than ever before. New therapies and treatment options, such as injectables, offer solutions for those not quite ready for (or not quite ready to commit to) traditional cosmetic surgery.

When you’re ready to consult with a cosmetic surgeon, having a better understanding of your options will help you ask better questions — and ultimately help you be better equipped to make the best decision for you.

What is a Facelift?

Facelifts offer unparalleled results. They can correct volume loss, remove sagging skin and eliminate wrinkles — resulting in a dramatically refreshed, rejuvenated and youthful appearance.

It’s a common misconception that the term “facelift” refers to one specific procedure. Really, it’s a combination of surgeries designed to target your specific problem areas. This makes them fully customizable to your unique needs. Some examples are:

  • The classic facelift includes a lower face and a neck lift. It works to tighten the lower two-thirds of your face, including removing sagging skin from your jawline (jowls), as well as your neck.
  • The mini-facelift is a less invasive version of the classic facelift (it requires shorter incisions). This technique is best if you have less advanced signs of aging, including mild skin sagging on your lower face and jawline.
  • The mid-facelift concentrates on your cheeks and lower eyelid area. This procedure targets deep nasolabial folds (the lines running between your mouth and nose), sagging cheeks and hollowed undereyes.

In addition to the facelifts listed above, there’s also opportunity for lip lifts, chin liposuction, upper eyelid surgery and more. The sky’s the limit when it comes to what cosmetic surgery can do for you.

What are Injectables?

Injectables offer a nonsurgical way to temporarily address signs of aging. There are two categories of injectables. One relaxes the muscles that can cause wrinkles and the other restores volume.


Botulinum toxin injections (Botox is the most common brand) are used to treat dynamic wrinkles and lines that appear when you make certain facial expressions, like smiling or squinting. The injection takes just a few minutes and there’s no downtime. It takes about a week to see the full results and it lasts for three to four months.

Botox injections are commonly used to treat:

  • Chin dimples
  • “Crow’s feet” (the small wrinkles that develop next to your eyes when smiling)
  • Downward turned corners of the mouth
  • Forehead lines
  • Muscle (platysma) bands on the neck
  • “The elevens” (the two vertical lines that appear in the middle of your eyebrows)

Dermal Fillers

Dermal fillers “plump up” targeted areas to improve deep wrinkles and volume loss in your face. There are different types of dermal fillers, but the most commonly used are made of hyaluronic acids (HAs). Fillers can reshape your face and “lift” the tissues, improve facial symmetry and highlight facial contours. Results usually last from six months to a year.

Fillers are commonly used to:

  • Fill in tear troughs (undereye)
  • Hide dark circles
  • Plump the upper cheeks
  • Reshape the lips or jawline

How Do I Know What’s Right for Me?

It’s important to work with a skilled cosmetic surgeon to determine which options are right for you. Honest and open discussion about your goals is critical to ensuring you get the results you want. Many factors will play a role in determining your treatment plan, including your age, specific problem areas and budget.

If you’re under 40, or have only mild signs of aging, injectables may be a good option for you. If you have more advanced aging symptoms, a facelift will give you more dramatic results.

In terms of cost-effectiveness, it depends on when you’re beginning treatments, what you’re trying to treat and how significant your problem areas are. Getting an injection, for example, is far less expensive than having surgery. While facelifts, on the other hand, yield results lasting far longer (up to 10 years as opposed to injectables that last a few months). So, if you add up the ongoing cost of injectables over the years and compare that to the one-time cost of surgery, you may find that surgery is the more cost-effective option in the long run.

Emory Aesthetic Center

The skilled cosmetic surgeons at Emory Aesthetic Center are available to consult with you to determine what procedure will give you the results you want. Our experts are highly skilled in the full array of cosmetic injectable and facelift procedures. Schedule your complimentary consultation today.

About Dr. Nahai

Dr. Foad NahaiFoad Nahai, M.D., F.A.C.S., Maurice J. Jurkiewicz chair in Plastic Surgery and Professor of Surgery at the Emory University School of Medicine, has taught for over forty years. He is certified by the American Board of Plastic Surgery where he served as a director of the board for six years.

Not only do Dr. Nahai’s patients, but also his peers, benefit from his incomparable wealth of experience. His contributions to the field of plastic surgery make him a highly sought-after presenter, both domestically and internationally. He has developed and implemented many procedures, some of which he has been invited to demonstrate live.


Request an appointmentor call us at 404-778-6880.

Types of Dermal Fillers – Benefits and Risks

Dermal FillersThe world of facial injectable treatments can be overwhelming with all the options seen in print and TV ads. New injectable materials seem to come out almost weekly. Here is a run-down of the dermal fillers we most often use, where we use them, and some common side effects.

Hyaluronic Acid (HA)

The most frequently used dermal fillers are made of a material called hyaluronic acid (HA). Hyaluronic acid is a chemical structure found in our bodies — so most individuals tolerate the filler well, without side effects. The chemical structure of the molecule can be processed in different ways, giving us the ability to manipulate the thickness, the amount of volume and the longevity of the effects on your skin.

This versatility is important because, depending on your particular area of concern, you may desire one benefit of the treatment over another. For example, you may desire additional volume and want the treatment to last a long time, but not need fine lines to be treated. On the other hand, you may desire smoker’s lines around the mouth to be improved, but not want a lot of volume or swelling in the mouth area.

Hyaluronic acid fillers come packaged in a variety of forms: Juvederm, Volbella, Juvederm Ultra Plus and Voluma, Restylane, Restylane Silk, Restylane Refyne/Defyne, Lyft and Belotero. Your facial cosmetic surgeon will recommend the use of particular kinds of HA fillers based on the treatment area, as well as your desired outcome, preference, and experience.

Side Effects of HA

Hyaluronic acid is a water-loving (hydrophilic) product, which means one expected side effect is swelling. The degree of swelling experienced after HA treatment varies. You’ll most likely experience swelling on the first day after injections, with a drastic reduction after that.

Follow these tips to help reduce swelling during the first day and night after facial injections:

  • Keep your hands off the area injected
  • Keep your head elevated while resting and sleeping
  • Limit alcohol and salt intake
  • Use cold compresses on the affected area

Rarely, patients are hypersensitive to this product and can exhibit an allergic response. If you experience any significant swelling, itching or redness at the injected areas, you should contact your surgeon. The biggest benefit to HA fillers is that with another enzyme injection, they can be dissolved, making this filler reversible.

Other Types of Dermal Fillers

Although HA fillers are the most common, other fillers may be useful for specific treatment areas:


Permanent fillers, such as Artefill, can be helpful for areas with deep folds and are unlikely to change dramatically over time, such as the lines from the nose to the mouth (called nasolabial folds). The downside to permanent fillers is that if there is a reaction or a less than desirable result, the process is not reversible.


Radiesse is a temporary thickener made of a material called calcium hydroxyapatite. It’s longer lasting than HA fillers, and not dissolvable.  Your plastic surgeon may recommend Radiesse for deeper injection areas such as the lines from nose to mouth (nasolabial folds), cheeks and deep temple injections. One risk of using Radiesse is possible injection into a blood vessel, which can affect blood supply to a specific area of skin, causing serious complications. In some cases, Radiesse injection made too close to the skin can cause lumpiness under the skin. When used correctly, however, this filler can be very beneficial for reducing deep folds and providing volume.


Sculptra is collagen-stimulator filler intended for patients who need to gradually increase volume in larger areas. Before injection, Sculptra is hydrated with water for 48 hours. It’s then injected in small doses throughout the tissues under the skin in the treatment area. You can expect it to take between three to six weeks to see full results. Benefits include a more natural-appearing result and gradual increase in volume rather than abrupt change. The downside is that results can take several months to become apparent.

Which Dermal Filler is Right for You?

A board-certified facial plastic surgeon with experience treating the face can help you determine the best derma filler treatment for your most bothersome areas. The best filler product will depend on the area of concern, the depth of the issue and the thickness of the material. The experienced cosmetic surgeons at Emory Aesthetic Center have years of experience with fillers and individual preferences based on those experiences. Feel free to ask questions, return for a second discussion or look at photos to help you make your decision. Ultimately, our goal is ensuring your best result.

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Get Your Face Holiday Ready

Nonsurgical facial procedures to get your face holiday ready. Emory Aesthetic Center can help you glow this holiday season.With the weather getting colder and the holidays approaching, this is a great time for facial procedures that will give your skin a special glow. There are several nonsurgical treatments that can leave you radiant and require little to no downtime.

Injectables (BOTOX®, Dysport®) – Botulinum toxin

Botulinum toxin is an injectable substance that helps smooth facial lines caused by normal movements of expression, like when you lift your brows, frown or smile.

What can I expect?

The short injection session gives results that last about four months. There is no real downtime, you can usually go back to your normal routine immediately following the injections. You’ll see full results in 5-10 days.

Dermal fillers

Dermal fillers are injectable products used to fill deep wrinkles or add volume to the face, including the cheeks, eyelids, lips, nose, chin, jawline and temporal area. They are popular non-surgical options to rejuvenate and reshape the face. Hyaluronic acid fillers (including Restylane®, Juvederm®, Voluma® and Belotero®) are most commonly used.

What can I expect?

The injection session takes about 30 minutes, depending on the areas being treated. You’ll see results immediately and you can resume your activities the same day. You might have mild swelling, redness or bruising for a few days following the procedure, but it can usually be covered with makeup.

Fractional laser resurfacing

Fractional laser resurfacing uses a gentle laser that penetrates beneath the top layers of skin to promote collagen production. It’s ideal to treat minor wrinkles, large pores, uneven skin pigmentation and poor skin tone. Although you can see results with just one session, you’ll see the best results if the procedure is repeated every 4-6 weeks.

What can I expect?

Fractional laser resurfacing takes about 45 minutes and requires a numbing cream or local anesthetic to reduce discomfort. You can expect some swelling and redness for about two days. Your skin tone will be darker (like a sun tan) for about three days. Sun protection is recommended after the procedure. In 5-7 weeks you’ll notice rejuvenated skin.

Photofacials/IPL therapy

Intense pulsed light (IPL) is used to treat redness, brown spots, spider veins and rosacea. It prompts the body to produce collagen and can reverse signs of sun damage like dull skin and fine wrinkles.

What can I expect?

You should refrain from sun exposure and tanning for at least 4-6 weeks before the treatment to avoid hyperpigmentation. During the procedure, your skin will be cooled to help prevent discomfort. Depending on the areas being treated, a session lasts 30-60 minutes. There may be mild swelling or redness for a few hours. You should limit your time in the sun and use sunscreen after the procedure.


Hydrafacial involves a multi-step treatment that cleanses, exfoliates and removes impurities and dead skin cells. It then infuses nutrients in the skin including antioxidants, peptides and hyaluronic acid. This medical facial treats environmental damage, reduces fine lines, firms the skin and increases skin hydration. A light chemical peel is included to improve skin texture without any post-procedure skin flakiness.

What can I expect?

A Hydrafacial session is very relaxing and lasts about 45 minutes. There’s no downtime and your skin immediately looks cleaner and more hydrated.

Facial peels

Facial peels, also known as chemical peels, are used to remove layers of damaged skin. It treats signs of skin aging caused by sun damage and other environmental conditions. Two to three days after application, the old skin will gradually flake and “peel” off to reveal more even and fresh skin. There are several kinds of chemical peels, including glycolic acid, salicylic acid, retinoid acid, TCA and modified Jessner’s peel.

What can I expect?

A chemical peel session typically lasts 30-45 minutes. If you get a superficial peel, you may have flakey skin for 2-3 days. If you get a medium peel, you may require 5-7 days of downtime as your skin recovers and sheds the superficial layer. Crusting and scabbing may occur; you’ll be instructed how to clean and moisturize your face. Limited sun exposure and sun protection is recommended after the procedure. Within a week you’ll see bright new skin.

Emory Aesthetic Center

The expert cosmetic surgeons and licensed aestheticians at Emory Aesthetic Center can help you choose the best facial procedures to address your goals. During your consultation, you will learn about different options and choose one based on your needs, lifestyle, and budget. Let us help you get holiday ready.

cta-request-blueOr call us at 404-778-6880 to schedule your personal consultation

Injectables: When’s the Right Time Start?

Emory Aesthetic Center helps you determine the proper time to start Botox© or fillers based on your age. Prevent and treat signs of aging with injectables.How young is ‘too young’ to start injectable treatments for your face? When are you ‘too old’ to benefit from injectables? The truth is, if you’re not happy with what you see in the mirror, it never hurts to talk to an expert about your options.

As for clear-cut parameters regarding age, they rarely exist. Whether you’re 25 or 85, cosmetic injectable and filler treatments can have excellent results. The key is to use the proper treatments at the proper time.

Preventing and treating fine lines with injectables

Botox© can be very helpful, even at an early age (late 20s up to mid-30s), to prevent and treat the finer lines that come with repeated contraction of facial muscles. These lines are often found between your eyebrows, on your forehead or around your mouth and eyes. If lines are present even when your facial muscles are at rest, it may be time to consider treatment.

With consistent Botox injections, deep lines fade into finer lines, and fine lines may disappear completely! With just a few injections, you’ll notice subtle lifting that makes you look bright and refreshed. Younger patients usually need injections two to three times a year. If you’re over 40, you’ll typically need four to five treatments a year to maintain results.

Adding lip fullness

Fillers can be used to add natural-looking fullness to your lips. If you’re in your 20s or 30s, you may just want plump lips to ‘up your style.’ Or, if your lips have thinned with age, this is an excellent opportunity to restore your youthful appearance.

You don’t have to be fearful of an ‘overdone’ look similar to those you’ve seen in the tabloids — adding a very small amount of definition and a ‘bee-stung’ appearance goes a long way toward giving you a more youthful look. The procedure is simple, requiring only a topical anesthetic, and results lasts 4 months or more.

Filling in hallowed under-eyes

Loosing volume under your eyes can result in ‘sunken in’ eyes and dark circles that leave you looking tired. You can experience this at any age, but it tends to happen as you get older. Dermal fillers are used to fill in the area under your eyes creating a brighter, more youthful appearance.

Adding facial fullness

If you’re in your mid 40s or older, you may benefit from added volume and lifting to your mid-face region. Fillers, are used to lift and subtlety reposition drooping cheeks to decrease the appearance of jowls and lines around your mouth.

The process of injecting these types of fillers also stimulates collagen production. This means with time, you can be left with slightly more collagen in your tissue than before you got the injections. If you continue to get them, you may even need less product, less often — an added benefit to your wallet.

Finding the right surgeon

Injectables can bring years of youthfulness back to your face with minimal downtime and maximum reward. Schedule a consultation with a facial plastic surgeon to talk about your options. Make sure you ask how many times your surgeon has performed these procedures, what kinds of risks or side effects are common and what can be done about any complications.

Emory Aesthetic Center

The highly-skilled team at Emory Aesthetic Center offers a broad range of nonsurgical and surgical options for facial rejuvenation.

Or call us at 404-778-6880 to schedule your personal consultation

Your Age Defying Questions Answered: Secrets to Defying the Aging Process

facial-rejuvenation-emailAging is a part of life. And yes, your appearance will change as you get older. But that doesn’t have to be a bad thing. Aging gracefully is about allowing the best version of yourself to shine through, and there are countless facial rejuvenation tools and treatments to help you do just that.

During our live chat on Tuesday, July 19th, Emory Aesthetic Center plastic surgeon, Dr. Felmont Eaves, answered all of your questions about helping to defy the aging process. Dr. Eaves discussed everything from skin care products to injectable treatments to cosmetic surgical options, such as Botox®, facelifts and eyelid lifts.

Below are just a few questions we were unable to respond to due to the large number of questions we received. For a full listing of questions and answers, please read our chat transcript. It is full of useful tips and answers that may be relevant to you. You may also visit for a full list of services and treatments offered by the Emory Aesthetic Center.

Question: How do I minimize dark circles beyond getting more sleep?

Dr. Eaves: There are two reasons that we may develop dark circles under the eyes. The first reason is that there is a dark tone to the skin itself. That is a difficult problem to treat, as currently we don’t have a great solution to dark circles. Sometimes bleaching creams containing hydroquinone can help, but that isn’t always successful. And chemical peels typically don’t work in this situation.

The other reason for dark circles, however, is the shadowing caused by bulging fat pads of the lower lids. Either surgery to remove or reposition the lower lid fat, or an injection of filler into the depressed area underneath the prominent fat – can soften or eliminate that shadow.

Question: What’s the best way to help with my lower face sagging without injecting a bunch of fillers?

Dr. Eaves: In the right patient, fillers can be great, but when the face truly begins sagging (not just deep folds by the mouth), then surgery is required to make truly significant changes. With a lower face lift (which typically includes tightening the neck as well) the jowls can be reduced, the cheek contours can be improved, and deeper folds/wrinkles around the mouth can be softened. It can provide dramatic, long lasting results, and recovery is generally relatively quick.

Question: How can you stop sagging eyelids?

Dr. Eaves: Sagging eyelids are generally treated with a blepharoplasty (an eyelid tuck and eyelid lift). Blepharoplasty can be used to treat the upper eyelids, the lower eyelids, or both, and are often combined with other areas of facial rejuvenation, such as a facelift, neck lift, and brow lift. Sometimes a sagging upper eyelid also has a component of malposition, where it isn’t just saggy skin. In those cases the lid can be repositioned while the blepharoplasty is being done.

Botox® for Men: Looking Good Isn’t Just for Women

Get rid of crow’s feet, a furrowed brow or sunken eyes in minutes. More men are using toxin injectables and fillers to look younger.Women aren’t the only ones who want to look better. According to the American Society for Aesthetic Plastic Surgery (ASAPS), men received nearly 600,000 injectable procedures (such as Botox® and fillers) in 2015.

If you’re a man who wants to look your best, clearly you’re not alone. Maybe it’s time to look for ways you can put your best face forward.

What are Injectables?

Injectables are cosmetic treatments that are injected into your body to improve your appearance without surgery. There are two types of injectables: neurotoxins (e.g. Botox®) and dermal fillers.

Neurotoxin Injectables

Neurotoxins  (also called toxins) are used treat deep lines caused by repetitive movements, such as smiling. Botox® is one of the most powerful neurotoxins in use today. Some people refer to Botox® to describe all cosmetic injectable treatments, but it only represents one substance.

This type of injectable is often used to treat:

  • Crow’s feet
  • Forehead wrinkles
  • Furrow lines between the eyebrows

It only takes minutes and you’ll have absolutely no downtime. You can expect to see full results in two to seven days. Results typically last three to four months and sometimes up to six months.

Dermal Fillers

There are different types of dermal fillers, but the most common contain hyaluronic acids (HAs). Fillers  add volume to address common aging problems like deep wrinkles, loss of fullness and sagging skin.

Fillers are used to treat:

  • Folds between the nose and lips (nasolabial folds)
  • Lips
  • Marionette lines (from corner of the mouth to the chin)
  • Sunken temples
  • Under eyes
  • Vertical lines around the mouth

Like injectables, fillers take just minutes, and you’ll see results right away. There may be a little bit of swelling and occasionally some light bruising. Typically, you can expect to get back to work the next day. The type of filler used and the area of the body it’s used on determine how long your results will last. For example, fillers in the folds around your mouth may last six to nine months, while fillers underneath your eyes may last a year or longer.

Who Should I Trust for Injectables and Fillers?

Don’t sacrifice quality for cost. The process seems straight-forward, but performing injectable treatment properly requires a great deal of skill and in-depth knowledge of facial anatomy. Look for a qualified cosmetic surgeon.

Thinking about Getting Injectables or Fillers?

Emory Aesthetic Center offers a variety of injectable procedures and other options to keep you looking your best.


Or call us at 404-778-6880 to schedule your personal consultation

About Dr. Eaves

eaves-iii-felmontDr. Eaves recently returned to Atlanta, Georgia, to head the Emory Aesthetic Center as Medical Director, having previously completed his plastic surgery residency as well as a fellowship in endoscopic and minimally invasive plastic surgery at Emory University, The Emory Clinic, and associated hospitals. Before joining the Emory Aesthetic Center, Dr. Eaves was a partner in Charlotte Plastic Surgery for more than fifteen years and served as group president from 2010-2012.

His professional and institutional committee memberships and offices include an impressive list of national, international and local plastic surgery organizations, societies, boards, task forces, advisory councils, coalitions and foundations, including having served as President of the American Society for Aesthetic Plastic Surgery (ASAPS) from 2010-2011 and Trustee (2011-Present).

Dr. Eaves’ primary areas of academic inquiry have been in minimally-invasive and endoscopic aesthetic surgery, patient safety, system and process improvement in plastic surgery, evidence-based medicine applied to plastic surgery and recontouring surgery after massive weight loss. He has received several patents for new medical devices he developed, and has made major clinical service contributions to his field. Dr. Eaves has published more than 100 articles, book chapters and book reviews on plastic surgery in peer reviewed publications, as well as manuals, videos, computer programs and other teaching aids and has coauthored the first textbook on the topic of endoscopic plastic surgery.

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The Skinny on Non-Surgical Facelifts

happy-ladyNothing could sound better, right? Getting all the benefits of a facelift without the need to undergo cosmetic surgery? But like most things, if it sounds too good to be true, it usually isn’t. The truth is that non-surgical treatments simply can’t replace what a facelift can do. In order to get the best results in your facial rejuvenation, it is often a combination of both non-surgical and surgical options that give you the best result.

More and more, we find ourselves actually combining surgical and non-surgical techniques to give our patients the best results. For example, while a blepharoplasty (eyelid tuck) can tighten the loose skin of the upper eyelid or reduce bagging of the lower eyelid, Botox® can be used to treat the “crow’s feet” at the corner of the eyes while chemical peels, micro-needling, or lasers can help improve the appearance of the lower eyelid skin.

Although a brow lift can create a more open appearance to the eyes, it may not totally address the wrinkles of the brow. Botox® can help here as well, and in addition, dermal fillers can add attractive volume to the brow itself or fill in a temple that has lost volume. In the face, fat grafts as part of a facelift can soften the deeper nasolabial folds (the lines that run from the sides of the nose to the corners of the mouth) but will not help fill in the more superficial lines around the mouth. Chemical peels, lasers, or dermal fillers can be employed to do that.

For a sagging jawline or jowls, only a facelift can predictably help to create a smoother, more youthful jawline. A facelift is the only real tool to tighten loose and sagging skin in the neck. With that being said, it is important not to underestimate the power of non-surgical treatments in this area as well. While they cannot remove the jowls, injectable fillers can camouflage the jowls in younger patients. And while it cannot tighten the loose skin of neck, neurotoxins like Botox® can soften muscular bands in the neck.

In order to figure out what is right for you, it is important that you have a consultation with a surgeon who is an expert in providing both surgical and non-surgical treatments to the face. The options will change depending on your individual needs, your preferences, and your age. At the Emory Aesthetic Center, our board certified physicians are here to help you figure out a treatment plan that is customized just for you.


or call us at 404-778-6880 to schedule a consultation

About Dr. Eaves

eaves-iii-felmontDr. Eaves recently returned to Atlanta, Georgia, to head the Emory Aesthetic Center as Medical Director, having previously completed his plastic surgery residency as well as a fellowship in endoscopic and minimally invasive plastic surgery at Emory University, The Emory Clinic, and associated hospitals. Before joining the Emory Aesthetic Center, Dr. Eaves was a partner in Charlotte Plastic Surgery for more than fifteen years and served as group president from 2010-2012.

His professional and institutional committee memberships and offices include an impressive list of national, international and local plastic surgery organizations, societies, boards, task forces, advisory councils, coalitions and foundations, including having served as President of the American Society for Aesthetic Plastic Surgery (ASAPS) from 2010-2011 and Trustee (2011-Present).

Dr. Eaves’ primary areas of academic inquiry have been in minimally-invasive and endoscopic aesthetic surgery, patient safety, system and process improvement in plastic surgery, evidence-based medicine applied to plastic surgery and recontouring surgery after massive weight loss. He has received several patents for new medical devices he developed, and has made major clinical service contributions to his field. Dr. Eaves has published more than 100 articles, book chapters and book reviews on plastic surgery in peer reviewed publications, as well as manuals, videos, computer programs and other teaching aids and has coauthored the first textbook on the topic of endoscopic plastic surgery.

Takeaways from the Emory Aesthetic Center’s Getting Ready for the Holidays Live Chat

eac-holiday-260x200Thank you to everyone who joined us on Tuesday, October 13th, for our live online chat on “Getting Ready for the Holidays”, hosted by Emory Aesthetic Center’s facial plastic surgeon, Dr. Anita Sethna.

Believe it or not, the holidays will be here before we know it. In this live chat, Dr. Sethna provided advice and answered questions on how to get your skin glowing for the festive season. She discussed effective non-surgical treatments that will give you a brighter, rejuvenated look. She also answered questions around cosmetic surgical options and recovery to ensure your are ready just in time for the season. Here are just a few highlights from the chat, including one question we didn’t have a chance to answer:

Question: Can you perform a nose job with injections? My friend said that he had it done and I can see a difference.

anita-sethna-avatarDr. Sethna: Non-surgical rhinoplasty is a relatively new concept in injectables, but not one that should be taken lightly. There are no FDA-approved injectables for injection into the nose. That being said, in very select cases either after a rhinoplasty has already been done, or if a small issue in the bridge needs to be corrected, injection of a hyaluronic acid filler (juvederm , restylane for example) can be injected to correct the concern. A rhinoplasty surgeon familiar with the anatomy and blood vessels of the nose should be the one performing the injection. The risks of improper placement or unintended consequences can be severe in the nasal skin if performed by an untrained individual. As always, a consultation with a rhinoplasty expert to determine whether your concerns are even amenable to non-surgical (injectable) rhinoplasty is recommended prior to any interventions.

Question: What is the simplest thing someone can do to look fresher and rejuvenated?

anita-sethna-avatarDr. Sethna: On a daily basis, skin care is probably the easiest and biggest bang for your buck. The ingredients that are most helpful are tretinoin, or some type of retinol, that is essentially a daily exfoliant that is helpful in stimulating collagen and removing surface dead skin cells.



Question: When would you recommend a chemical peel and what does it best treat? Wrinkles? Complexion? Wondering if I should have one.

anita-sethna-avatarDr. Sethna: There are many different types of chemical peels and many different concentrations that can be used to achieve a different type of cosmetic result. Very limited amount of down time can be achieved with a lower concentration of peel solution and can improve overall brightness of the complexion and possibly improve the appearance of darker spots or age spots. If deeper wrinkles are present or overall skin tightening is desired, most of the time a deeper peel will need to be performed in an operating room or under sedation, with a recovery time of closer to seven days. Most peels can be repeated to get more drastic results and can be repeated with varying intervals depending on the depth of the original peel. Ultimately, the best recommendation on whether or not it will be helpful will be to come in for a consultation to address what your overall goals are and whether a peel could accomplish those.

If you missed out on this live chat, be sure to check out the full list of questions and answers on the chat transcript. You can also visit for a full list of services and treatments offered by the Emory Aesthetic Center.

If you have additional questions for Dr. Sethna, please feel free to leave a comment in our comments area below.


or call us at 404-778-6880 to schedule a consultation.

How to Prevent and Treat Crows Feet

happy-ladyCrow’s feet, or laugh lines around the eyes, can be a challenging area to treat from a cosmetic perspective. On one hand, expressions of joy transmitted through the eyes are beautiful in their own right, but deeper lines and creases in this area can often draw attention to the changes associated with aging and loose skin.

My personal approach is to attempt as much as possible to prevent the lines from becoming deep, or in some cases, even forming to begin with. There are two main methods to achieve this – skincare to plump and stimulate collagen (such as tretinoin or Retin-A©), and Botox® (or equivalent Xeomin® or Dysport®) to reduce the muscle movement in the area and thereby reducing crease patterns. These options can be started at any time, even in the early 30s before real creases have begun. A combination of treatments early can prevent the formation of obvious deeper creases. At this stage, Botox can be performed as little as twice a year before creases have actually formed.

Once the creases are present, the above combinations of skincare and Botox can still make a significant impact and can lessen the appearance of lines around the eyes. Often, this is all that patients are interested in so that they can still appear to have movement while improving their overall appearance. If a more drastic improvement is needed, a series of peels or even fractional laser treatments can be undertaken. The choice of intervention depends on the comfort level of the surgeon and the amount of downtime or recovery the patient is able to give.

If a week of downtime is tolerable, fractional laser resurfacing can be performed relatively aggressively to specifically treat the area around the eyes. Makeup can typically be worn to reduce the appearance of redness during the recovery period. Because we usually cannot be aggressive enough with one treatment to wipe out these lines, a repeated treatment may be needed 3-6 months later. During that period of recovery, Botox can be used to give the skin a continued break from creasing as well.

Facial peels can also be performed, often at varying depths, depending on the amount of recovery or downtime afforded. Often, a peel will have 3 days of recovery and can be repeated every 4 to 6 weeks for a total of 3 to 4 treatments to allow improvement in this area. It is a slower, but less intensive treatment plan. Continuing skincare and Botox through this period will also boost results.

All in all, a multi-pronged approach is often needed to treat the eye area. The good news is that crow’s feet respond to treatment quite well if all options are utilized. Other treatments, such as fillers, can be used as well if indicated, but are not routine as they can be fraught with unexpected complications. With judicious use of Botox and a rigorous skincare routine early, an ounce of prevention is definitely worth a pound of cure.

Come meet with one of the board-certified physicians of the Emory Aesthetic Center. We can discuss your goals and determine what combination of treatment is right for you.


or call us at 404-778-6880 to schedule a consultation.

About Dr. Sethna

anita-sethna-avatarDr. Sethna understands that facial plastic and reconstructive surgery demand a marriage of science and artistry, and she enjoys using precision, skill, and vision to make her patients’ dreams reality. Dr. Sethna’s meticulous attention to detail and her passion for maintaining a natural look ensure optimum results for her patients.

A dedicated teacher, Dr. Sethna is devoted to assisting residents in facial trauma or reconstructive cases at Grady Hospital. She relishes the opportunity to educate residents and medical students in all aspects of patient care. Dr. Sethna has a strong interest in several areas of facial plastic surgery research and has presented at national meetings on the importance of resident and fellow education in rhinoplasty techniques and adjunctive measures to decrease discomfort during cosmetic procedures.