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Face, Neck & Eyes Rejuvenation

Facelift

Reveal a youthful, revitalized you with our advanced face, neck, and eye procedures at Blackhawk Plastic Surgery & MedSpa. Achieve natural, stunning results through expert care. Conveniently located to serve Danville, San Ramon, Dublin, Walnut Creek, and the entire San Francisco Bay Area.

Face, Neck & Eyes Rejuvenation

FACELIFT

Reveal a youthful, revitalized you with our advanced face, neck, and eye procedures at Blackhawk Plastic Surgery & MedSpa. Achieve natural, stunning results through expert care. Serving Danville, San Ramon, Dublin, Walnut Creek, and the entire San Francisco Bay Area.

What really happens to your face as you age?

What really happens to your face as you age?

Skin: The sun, aging and  genetics contribute to sun damage, brown spots, wrinkles, and other skin damage on the surface of the skin.

Forehead/Eyelids: Some patients (and many surgeons) erroneously believe that the bulging fat in the lower eyelid is extra fat that should be removed. It’s not. This fat was just uncovered by fat loss in the cheek (like when low tide reveals things hiding in shallow water). Youthful brows start low medially and end high laterally (look at young models in magazines). Over time, the lateral portion of the brow rotates downward. As our brow descends, our eyelids send signals to our forehead and stimulate our forehead to raise our brow, which in turns leads to more wrinkles. This interaction is automatic and many times a low brow cannot be appreciated until the eyes are closed, which allows the forehead to relax.

Mid-face: Young faces aren’t tight. They have fullness  and curves (curves and tension are enemies). As we age, we lose facial fat, especially below the eyes in the mid-face area. The lid-cheek junction, which is about 5-6 mm below the lashes when young, moves downward so that it appears 15-20 mm below the lashes and forms a “bag”. The cheek deflates and falls, creating a jowl and disrupting the smooth contour of a youthful jawline.

Neck: The neck skin loses elasticity and the thin neck muscles (platysma) develop banding.

What do I do to create a more youthful face?

What do I do to create a more youthful face?

When I think of facial  rejuvenation, I think about the whole face and work backwards. A complete face at my practice involves doing the face, neck, upper and lower lids, brow, fat grafting and laser. I evaluate and consult with the patient for each procedure and eliminate what is unnecessary or undesired and together we create a plan to achieve your desired results. Some patients move forward with the complete face package and others get portions of it.
Many patients come to me with concerns about facial aging, but when I bring up surgery, they become hesitant towards discussing it. Common worries they express are:

Do I really need a face-lift?
Will my face look pulled?
Is a facelift a big, scary procedure?
What if it looks unnatural or something goes wrong?

The reality is if you want a more youthful looking face and to get rid of a saggy neck, jowls, fat loss, excess lid skin, droopy brows and wrinkles, surgery is your best option. There is no needle or laser that will fix those issues. But…there is hope for natural, beautiful results that you will love.

How is a facial surgery at BPS different from other traditional facial surgeries?

Traditional facelifts have unacceptably long scars and remove too much skin, which makes people look unnatural and too tight. Brow-lifts can unnaturally elevate the entire brow, which makes people look surprised. Fat is too often removed from the lower-lids, which makes them look even more sunken. Skin is pulled tight in an attempt to counter deflation rather than filling the lost volume. Lasers are used improperly and change the basic color of the skin and create scarring, leaving a look that is too white and waxy.

Here is how I approach each area of the face:

Face & Neck: On face and neck lifts, I use a short scar that starts in the sideburn area and ends up a short distance behind the ear lobe. I do not create a “hairline” scar, as that scar is a visible sign of surgery, which we are trying to avoid. (we need a photo of incision. The yellow incision represents a “short scar, the red represents the additional component of a “long scar”.) I often replace lost volume in the face with fat grafting and I rotate the cheek upwards rather than pull it backwards, for a more natural look. This restores the cheekbone and improves the lower lid areas while narrowing the jowl area (young face = apple, old face = pear)

The neck has fat removed both on top of and below the muscles. The muscles are repaired in the midline and advanced on the sides (as the cheek is elevated) to create a tighter neck (tension is OK on the neck, a cylinder). The end result is a youthful, beautiful and natural appearance with minimal visible scaring.

Lower Lids: When it comes to lower lids, one procedure doesn’t fit all. The aging in the lower lid can be due to fat loss, skin laxity, wrinkles, texture, spots, etc. I tailor the lower-lid procedure to the identified problems. Sometimes fat grafting and laser is enough. I may remove some excess skin or rearrange fat so it doesn’t look like it’s bulging. Often times I use a combination of procedures (lift cheek, fat graft, remove skin excess and laser) to achieve our desired results.

Upper Lids & Brows: Upper lids and brows are evaluated together. For the brow, I use a small incision about 1-2 cm behind the hairline (hidden) to elevate the lateral part of the brow, giving it a natural and youthful appearance. The upper lid skin excess is removed with an incision in the eyelid crease (I will also remove that bulging fat medially if present). To create the most natural looking results, I leave the inner part of the brow alone and just lift the outer part enough to get over the bony edge. In most people, the brow does most of the work to improve the upper lids.

A good way to look at examples of youthful looking brows is to browse images in fashion magazines. You will notice that the inner brow starts low (compared to the bone edge) and tracks well above the edge as it moves outward. This is normal and natural. A brow that is high all the way across is unnatural, which is the results people receive from a traditional facelift.

Fat Grafting: Fat grafting is a wonderful way to restore volume to the face. I typically graft about 30-45 cc of fat into the face when doing this procedure (as compared to 1-3 cc of injectables in the office). When done properly, fat grating does not create the puffy, over-done look, which I despise. Fat can be grafted into the chin, marionettes, lips, nasolabial folds, mid-face, lower lids, cheekbones, submalar areas, temples, upper lid, etc. Little bits here and there add up to a nice overall improvement. About half of the fat survives and is permanent. We don’t know exactly how, but fat is able to meld with the skin and enhance the skin’s appearance. The loss of fat probably contributes to the aging process of skin.

Laser: The laser procedure we do with facial surgery is called the Pearl Fusion. According the Pearl Fusion laser manufacturer, we perform the most Pearl Fusion procedures in the country. The Pearl Fusion is a combination of the Pearl and the Pearl Fractional lasers, done together serially. The Pearl treats 100% of the surface area of the skin very superficially. It causes the skin to peel improving sun damage, browns, and texture. The Pearl Fractional drills small holes into the skin, similar to aerating a lawn, causing significant improvement of wrinkles and texture. The combination of the two lasers brings a nice overall improvement to the skin without harming the skin’s natural pigmentation or leaving a waxy appearance.

REAL PATIENT TESTIMONIAL

REAL PATIENT TESTIMONIAL

REAL PATIENT TESTIMONIAL

REAL PATIENT TESTIMONIAL

REAL PATIENT TESTIMONIAL

REAL PATIENT TESTIMONIAL

REAL PATIENT TESTIMONIAL

REAL PATIENT TESTIMONIAL

What is the ideal age for this procedure?

Because my facial surgery results are so natural looking, I have found that I can apply the surgery to younger and older faces, without the fear of making them look surgical. Because the trade-off starts at a much younger age, I can help more people. Age is much less relevant since my patients will look natural. It becomes a question of whether we can achieve enough improvement to make surgery worthwhile. I am less concerned about the actual age of a patient and more about the health of the patient.

Where do the procedures take place?

All of our surgical procedures are performed at our state-of-the-art, on-site surgery center. Blackhawk Surgery Center is an accredited OR (AAAASF and Medicare) with an anesthesiologist present. Patients are not awake during the procedure, feel no pain and do not remember anything about the surgery. A complete face takes about 3.5 hours and then the patient goes home afterwards. My anesthesiologist, William Kemerer MD, has been with me since I started my practice. I am fortunate to have the best of everything and this undoubtedly includes Dr. Kemerer. Private nursing is available but not required.
Facial rejuvenation at Blackhawk Plastic Surgery & MedSpa - featured image
Rhinoplasty at Blackhawk Plastic Surgery & MedSpa

Is surgery worth it?

Having surgery is a trade-off. You have to weigh the positive: a youthful and natural looking face, confidence in your daily interactions, appearing years younger, etc., to the negative: procedure recovery time, scarring and cost, etc. If I don’t think that the trade off is worth it for you, I won’t recommend the treatment. In other words, if I don’t think you will get enough improvement to warrant a particular procedure, then I’ll tell you that and possibly suggest an alternative or tell you to save your money. But if I do make the recommendation, it is because I believe that I can make enough improvement for you that it is worth the risk, recovery, scars, etc. My beliefs come from having done this many, many times and observing patients reactions, level of satisfaction and feedback from all the different procedures I have done over the years.

The Recovery

When I discuss recovery time, I typically give the time it takes for most patients to feel comfortable returning to work in an office type situation. Whether you do the entire face or half of the procedures, the recovery is about two weeks. A good number of patients return even sooner.

The recovery in my practice has reduced over the last decade due to two major advancements:

1.The change from the traditional or mainstream long-scar facelift to my version of the short scar facelift.

2.The use of activated PRP/Thrombin. During surgery we draw your blood, process it and combine it with Thrombin, which we then spray into the surgery sites. The spray turns into a gel of your own body’s glue. This seals off the capillaries and lymphatics, which dramatically reduces bruising and swelling. With these advancements, the recovery time is less than half of what it used to be.

Your Hydrafacial Location

Your Hydrafacial Location

Conveniently located in the heart of Danville, Blackhawk Plastic Surgery is easily accessible to San Francisco Bay Area residents. Our state-of-the-art facility offers innovative HydraFacial treatments, tailored to meet your unique skin needs. Whether you’re a local or coming from neighboring cities in the Tri-Valley or beyond, our dedicated team is committed to enhancing your health and beauty.

At Blackhawk Plastic Surgery, we proudly serve the residents of San Ramon, Pleasanton, Livermore, Dublin, Alamo, Danville, and Walnut Creek. Offering advanced medical technology and personalized care, we’re committed to your health and beauty. Whether you’re right here in Danville or coming from the neighboring cities, we’re here to meet your unique needs.

Contact us at (925) 736-5757 to schedule a consultation today!

Why chose Blackhawk Plastic Surgery for your facial surgery?

Faces are complex and not for the neophyte or the non-expert surgeon. You only have one face so you want to make sure you do it right. Certainly don’t trust your face to a non-plastic surgeon or a discount doctor. My practice performs an extremely high amount revisional plastic surgery, repairing the mistakes of previous surgeons.

Your Facelift will be performed in Dr. Ronan’s surgery center located in Danville.

STEPHEN J. RONAN, MD FACS

An award-winning plastic surgeon performing thousands of surgery procedures every year in the Blackhawk Surgery Center, Stephen J. Ronan MD FACS, has been named one of the Top Plastic Surgeons in America by the nation’s leading providers of information on doctors. He was also voted Best in The Bay, and one of the Top 3 Hair Restoration Surgeons in America 2015, by Aesthetic Everything Beauty Network, a panel of industry leaders and fellow surgeons.

Frequently Asked Questions: Facelift

How long will my facelift last?

The good news is that your facelift will not fall down at the stroke of midnight on the tenth year! Actually, a facelift (and other procedures) will turn back the clock. You will start aging again from that point forward. You will always look better than if you did not have the procedure in the first place.

What can be done for “frown lines” and “crow’s feet”?

We use our facial muscles for smiling, frowning and other expressions and, over time, prominent lines may be formed in the outer layers of skin. A substance called Botox can be injected into these overactive muscles to cause temporary paralysis (3-4 months) and smooth these problem areas. Botox or Dysport works best for dynamic wrinkles or those wrinkles that are caused be expression or muscle contraction.

Am I ready for a face-lift?

Skin and facial tissue that sag along with aging can give you an appearance of tiredness or anger even when you are feeling happy and energetic. A facelift procedure primarily addresses jowling and neck laxity. With facial rejuvenation, you appear rested, healthy and more youthful. The idea is to look better and/or younger, not different.

If your concern is less about jowling and neck and more about the cheekbone area, then you may be appropriate for a short scar facelift. This is a newer procedure that involves incisions in the hairline and in the mouth which are not typically visible.

Will I look natural after my surgery?

I choose the techniques that I use to create a natural, non-surgical appearance. Every effort is made to improve your appearance in the most natural view.

Our FinancingPartners

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