SAN DIEGO FACELIFT - Dr Brian ReaganDr Brian Reagan

Complimentary Consultations
9850 Genesse Ave / La Jolla, Ca 92037
p: 858.362.9076 / f: 760.707.5097

6221 Metropolitan St. #100 / Carlsbad, Ca 92009
p: 760.707.5090 / f: 760.707.5097

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FACELIFT

More than any other procedure, a facelift is very doctor dependant. Ask to see many photos and speak to past patients. I tighten the underlying layer (SMAS), then redrape the skin to achieve natural results. I almost always tighten the neck muscles (platysma). I have never had a patient look too pulled. Beware, many physicians claim they do more extensive work, only to deliver less. Many physicians are offering “minimal surgery” techniques with less down time. This approach may benefit those with limited recovery time, but results vary and may not last as long. Facelift San Diego – Dr. Reagan


Procedure:	Improving sagging facial skin, jowls, and loose neck skin by removing excess fat, tightening muscles, redraping skin. Most often done on men and women over 40.
Length:	Several hours.
Anesthesia:	Local with sedation, or general.
In/Outpatient:	Usually outpatient.
Side Effects:	Temporary bruising, swelling, numbness and tenderness of skin; tight feeling, dry skin. For men, permanent need to shave behind ears, where beard-growing skin is repositioned.
Risks:	Injury to the nerves that control facial muscles or feeling (usually temporary but may be permanent). Infection, bleeding. Poor healing; excessive scarring. Asymmetry or change in hairline.
Recovery:	3-4 weeks.
Duration of Results:	Usually 5 to 10 years.

The Trinity Lift- Dr. Reagan’s answer to the LifeStyle Lift/ Quick Lift. Get the results you want with less down time – usually back to work in 10days or less. By combining three popular facial rejuvenation techniques – a mini-facelift, skin resurfacing with Fraxel Repair, and Fat Transfers, Dr. Reagan can elevate droopy jowls, smoothen wrinkled skin, and restore facial volume. All with less cost, less downtime and no general anesthesia. So don’t respond to some anonymous television commercial, call the Doctor you know and trust who will be there before, during, and after your procedure to ensure your experience is transformative. And all patients will be treated to a pre-procedure exfoliation and a post-treatment O2 healing therapy at Dr. Reagan’s amazing medical spa True Beauty. The results are real, the value is amazing, the experience will be wonderful.

MALAR LIFT

A malar lift is designed to directly elevate the cheek tissue. Candidates tend to be either very young (40′s) or older (70′s), and have sagging cheek tissue.” See Press for article. – Dr. Reagan

Procedure:	Lift the cheek tissue and reduce nasal-labial folds.
Length:	2 hours.
Anesthesia:	General.
In/Outpatient:	Outpatient.
Side Effects:	Swelling, bruising.
Risks:	Decrease cheek sensation, lower lid pull down.
Recovery:	2-3 weeks.

INJECTABLES

Juvederm Juvederm is a dermal filler used to fill and smooth moderate to severe facial wrinkles and folds. It is available in modified versions which are useful for adding volume to lift and contour the face. Juvederm is made of hyaluronic acid, a natural substance in the body that helps maintain skin volume and hydration as well as joint lubrication and cushioning. Hyaluronic acid retains moisture, absorbing more than 1,000 times its weight in water. It also binds with collagen and elastin, transporting essential nutrients to these fibers which make up much of the support structure of the skin. The hyaluronic acid in Juvederm and the other dermal fillers listed here is not derived from animal sources.	Restylane Restylane is also made from hyaluronic acid, but is used mostly for moderate facial lines and wrinkles as opposed to lifting and contouring purposes. Restylane is often used in conjunction with Botox to enhance and extend the life of results.
Perlane Perlane is made by the same company (and from the same hyaluronic acid) as Restylane. The difference is that the gel particles are larger and, therefore, Perlane is more effective at filling in deeper folds and achieving increases in facial fullness. Perlane is also often used to augment lips and other areas of the face that could benefit from a restoration of youthful volume.	Sculptra Sculptra is generally used as a treatment for facial lipoatrophy, the loss of fat beneath the skin that sometimes causes sunken cheeks, indentations, and hollow eyes. The main component of Sculptra is poly-L-lactic acid, a bio-compatible substance that does not cause damage to surrounding tissues. Unlike other dermal fillers, Sculptra does not produce immediate results. It works by stimulating collagen production, so results appear gradually over a period of a few months. Three to five treatments are usually required, and results can last up to two years or more.
Autologous Fat Autologous fat is simply fat harvested from one’s own body. Its use eliminates the risks of allergic reaction or rejection by the body, since it is one’s own tissue. However, not all of the live fat cells survive when transplanted into the new site, so a fairly high rate of re-absorption is to be expected. Because of this, the physician will usually overfill the area being treated, which can leave the patient with a result that may look — at least temporarily — abnormal.	Botox The signs of aging that respond best to botox injections are those lines and wrinkles caused by the repeated contractions of muscles used during facial expressions, especially those activated when we are frowning or squinting. Therefore, botox is used most commonly for reduction of the appearance of frown lines between the brows, forehead furrows, and lines at the outer edge of the eye, commonly referred to as “crow’s feet”. Botox can also be used for lines and wrinkles of the lower face, and even to decrease nostril flaring, although these practices are controversial due to risk of damaging important facial nerves. Who Is a Good Candidate: patients who are showing early signs of aging patients whose frown lines give them a tired, sad, or angry appearance those who may not be suitable candidates for more invasive facial cosmetic procedures

BROW LIFT

The brow should be located 2-3mm above the superior orbital rim. Excessive elevation will result in a surprised look. – Dr. Reagan

Procedure:	Elevation of the ptotic brow, incisions behind hairline (endoscopic) or along anterior hairline.
Length:	1 hours.
Anesthesia:	General.
In/Outpatient:	Outpatient.
Side Effects:	Bruising/swelling around eyes, numbness.
Risks:	Recurrence of brow ptosis, permanent numbness, poor scarring.
Recovery:	2-3 weeks
Results:	Click here to view photos

CHIN IMPLANTS

Procedure:	Enhancement of the chin using silicone implant placed through the mouth.
Length:	1 hour.
Anesthesia:	General.
In/Outpatient:	Outpatient.
Side Effects:	Swelling, bruising.
Risks:	Chin numbness, infection, movement of implant.
Recovery:	2 weeks. Soft diet for 2 weeks.

EYELID SURGERY

Procedure:	Correct drooping upper eyelids and puffy bags below the eyes by removing excess fat, skin, and muscle. (Upper-eyelid surgery may be covered by insurance if used to correct visual field defects)
Length:	1 to 3 hours.
Anesthesia:	Local for upper bleph only, general for lower lids.
In/Outpatient:	Usually outpatient.
Side Effects:	Temporary discomfort, tightness of lids, swelling, bruising. Temporary dryness, burning, itching of eyes. Excessive tearing, sensitivity to light for first few weeks.
Recovery:	Bruising/swelling for 2 weeks.
Duration of Results:	Several years. Sometimes permanent.

EAR

Procedure:	Set prominent ears back closer to the head, or reduce the size of large ears. Most often done on children between the ages of 4 and 14 years. (Occasionally covered by insurance.)
Length:	2 to 3 hours.
Anesthesia:	Young children: usually general. Older children or adults: general or local, with sedation.
In/Outpatient:	Usually outpatient.
Side Effects:	Temporary throbbing, aching, swelling, redness, numbness.
Risks:	Infection of cartilage. Excessive scarring. Blood clot that may need to be drained. Mismatched or artificial- looking ears. Recurrence of the protrusion, requiring repeat surgery.
Recovery:	Back to work or school: 5 to 7 days. Strenuous activity, contact sports: 1 to 2 months.
Duration of Results:	Usually permanent.