Facial Aging

Facial Aging Concern

There are many wonderful surgical and non-surgical options to take you from softening the signs of aging to complete facial rejuvenation. During your consultation with Dr. Pearlman, together you will determine the best products and/or procedures to meet your unique needs. In Dr. Pearlman's professional point of view, less is more. Gradual and steady improvements are preferable to stark and obvious immediate changes.

Loss of Elasticity

(Sagging & Drooping)

• Excess skin in the upper eyelids
• Bags and drooping under the eyes
• Jowls along the jawline/lower cheeks
• "Turkey neck"
• Drooping or flattened eyebrows
• Receding chin
• Flattened cheekbones

Loss of Elasticity

(Sagging & Drooping)

Surgical Treatment Options

Surgical options can correct the following:

• Excess skin in the upper eyelids
• Bags and drooping below the eyes
• Jowls/laxity along the jawline/lower cheeks
• “Turkey neck”
• Drooping or flattened eyebrows
• Receding chin

There are a number of surgical procedures to lift and reposition sagging tissues and eliminate excess skin. We can help determine which are best for you. These include:

Facelift

Facelift surgery repositions the underlying structures of the face, called the SMAS, to provide a youthful lift. Excess skin is removed to eliminate fine lines and wrinkles. Depending on the degree of correction needed, one of the following facelift techniques will be used:

• Mini-facelift
• Deep-plane lift
• Mid-face lift (for cheeks)

Neck Liposuction, "Neck-plasty"

Patients with excess neck fat and good skin elasticity can greatly benefit from neck liposuction for a slenderizing and confidence-building result. This procedure eliminates hanging fat in the neck and improves a double chin by removing unwanted fat through a small hollow needle (cannula). Some patients also need tightening of the muscle under the neck called the Platysma; this is called a neck-plasty or submentoplasty.

Eyelid Lift (Upper and/or Lower), "Blepharoplasty"

Eyelid lift surgery removes excess skin and repositions or removes displaced fat around the eyes to improve bags, puffiness, fine wrinkles, and folds of skin that may impair vision around the eyes.

Loss of Elasticity

(Sagging & Drooping)

Non-Surgical Treatment Options

Ultherapy^®

Ultherapy^® is the only FDA-approved noninvasive treatment to tighten sagging skin in the eyebrow, neck, jawline, under-chin, and décolleté areas. Ultrasound energy is safely delivered to the skin’s foundational layer to stimulate the natural regenerative process and production of collagen, and no downtime is needed.

Ultherapy^® can improve the following:

• Jowls along the jawline/lower cheeks
• "Turkey neck"
• Drooping or flattened eyebrows
• Wrinkled décolleté

Pearl Lift^®

The Pearl Lift^® is one of our most popular lifting techniques that heightens, tightens, and brightens the skin. This procedure combines Ultherapy^® to tighten jawline and neck, Deka Dot^™ fractionated CO₂ laser to resurface the skin, and JUVÉDERM VOLUMA^® XC to restore cheek and facial volume.

The Pearl Lift^® can improve the following:

• Facial wrinkles
• Loss of elasticity
• Sagging
• Loss of mid-face volume

Facial Fillers for Facial Volume & Contour (an alternative to facial implants)

Injectable facial fillers add volume to the face to create definition and restore more prominent facial features. Fillers can provide more youthful and attractive facial contours by creating angled features and augmenting the facial skeleton. Fillers are the “immediate fix” for restoring volume loss and looking younger.

Facial fillers can improve the following:

• Receding chin
• Flattened cheekbones
• Narrow jawline
• Hollow temples
• Nasolabial folds ("parentheses")

Dynamic Lines

(Fine Lines, Wrinkles & Creases)

Structural proteins such as collagen and elastin that keep our skin looking smooth and youthful begin to deteriorate as early as our 20s. The skin becomes thin and is unable to stretch and bounce back as it once did, which causes signs of aging to develop.

Dynamic Lines

(Fine Lines, Wrinkles & Creases)

Dynamic Lines (Expression Lines)

Gravity and aging have adverse effects on our appearance, causing loose, sagging skin. The facial bones can also recede over time and lose their prominence, which detracts from the youthful structure they once gave the face. These changes may appear in the form of:

• Vertical furrows between the brows (glabellar lines, "11s")
• Bags and drooping under the eyes
• Fine lines at the corners of the eyes ("crow's feet")

Treatment Options

BOTOX^® & Dysport^®

BOTOX^® Cosmetic and Dysport^® are injectables formulated from a neurotoxin, which safely and temporarily weakens the muscles that cause dynamic lines. This treatment improves the look of moderate to severe crow's feet and frown lines between the brows, forehead lines, as well as numerous other facial applications.

Dynamic Lines

(Fine Lines, Wrinkles & Creases)

Wrinkles & Sun Damage

Treatment Options

Skincare Products

We offer a variety of at-home skincare product, including our own specially formulated MDFace skincare line to effectively lighten dark spots and correct other skin discolorations. Retinoid creams and products containing vitamins A, C, and E, hyaluronic acid, authentic pearl powder, and bio peptides can improve your overall complexion and produce even, radiant skin.

The three most important parts of any skincare plan are:

• Anti-aging cream (an antioxidant topical treatment)
• Moisturizer (retinol)
• SPF sun protector (broad-spectrum SPF)

Chemical Peels

Chemical peels target the superficial layers of skin to improve its texture and appearance. Light (Vitalize Peel^®), medium (TCA and/or Jessner's solution), and deep (phenol-based) peel intensities are available to treat moderate to severe lines and wrinkles and discoloration.

MicroPen^™

MicroPen^™ treatment improves skin tone and texture by safely and precisely creating micro-injuries in the skin with tiny, hair-thin sterile needles. This stimulates your skin's cellular production of collagen and can correct pigmentation, scars, fine lines, wrinkles, and even acne scarring. Results can be detected in as little as one treatment. This is our most popular and effective non-surgical treatment for these facial concerns.

Deka Dot^™ Fractionated CO₂ Laser

The Deka Dot^™ fractionated CO₂ laser effectively corrects fine to deep lines and wrinkles while also improving your overall complexion. This laser ablates microscopic areas of damaged skin between bridges of healthy skin and stimulates collagen production to achieve beautiful, clear-complexion results with a shorter healing time compared to traditional resurfacing procedures.

Dynamic Lines

(Fine Lines, Wrinkles & Creases)

Deep Facial Lines (Nasolabial & Marionette Lines)

• Lines from the nostrils to the corners of the lips (nasolabial or smile lines)
• Lines from the corners of the lips downward (marionette lines)
• Nasal scrunch or "bunny" lines

Treatment Options

Fillers

The depth of the facial crease or issue will determine the thickness of the corresponding filler used to improve it.

Loss of Facial Volume

Aging causes the thin layer of fat beneath the skin to shrink and the skin to become thin, which leads to a loss of the plumpness associated with a youthful-looking face. This reality can result in the following deficiencies:

• Flattened cheeks, loss of curvature or prominence
• Dark circles under the eyes
• Thin lips
• Hollow temples
• Other depressions in the skin

Treatment Options

Facial Fillers

The depth of the facial crease or issue will determine the thickness of the corresponding filler used to improve it.

Fat Lipo-Transfer

Fat transfer is an effective treatment for patients who require a large quantity of facial volume enhancement. This procedure removes unwanted fat from certain areas of the body, purifies it, and then strategically injects it into areas of the face that need volume for long-lasting results. Fat transfer is a natural alternative to facial fillers and can be used to improve signs of aging in all areas of the face except the lips. The drawback is that fat lipo-transfer is a surgical procedure with post-treatment swelling and downtime.

Changes in the color of our skin often result from sun damage, inflammation, or other skin injuries. These changes may appear in the form of:

• Sun spots
• Acne scars
• Blotchiness
• Age spots
• Melasma
• Spider veins

Treatment Options

Skin Care Products

We offer a variety of at-home skincare product, including our own specially formulated MDFace skincare line to effectively lighten dark spots and correct other skin discolorations. Retinoid creams and products containing vitamins A, C, and E, hyaluronic acid, authentic pearl powder, and bio peptides can improve your overall complexion and produce even, radiant skin.

The three most important parts of any skincare plan are:

• Anti-aging cream (an antioxidant topical treatment)
• Moisturizer (retinol)
• SPF sun protector (broad-spectrum SPF)

Treatment Options

Chemical Peels

Chemical peels target the superficial layers of skin to improve its texture and appearance. Light (Vitalize Peel^®), medium (TCA and/or Jessner’s solution), and deep (phenol-based) peel intensities are available to treat moderate to severe lines and wrinkles and discoloration.

Treatment Options

Deka Dot^™ Fractionated CO₂ Laser

The Deka Dot^™ fractionated CO₂ laser effectively corrects fine to deep lines and wrinkles while also improving your overall complexion. This laser ablates microscopic areas of damaged skin between bridges of healthy skin and stimulates collagen production to achieve beautiful, clear-complexion results with a shorter healing time compared to traditional resurfacing procedures.

Age Range: 20s & 30s

Skincare for the 20s & 30s

20s

This is the time to begin using sunblock on your face, neck, and chest and good moisturizers. The first anti-aging product to start this early is vitamin C. Proactive thinking is key!

30s

Skincare products

We offer a variety of at-home skincare product, including our own specially formulated MDFace skincare line to effectively lighten dark spots and correct other skin discolorations. Retinoid creams and products containing vitamins A, C, and E, hyaluronic acid, authentic pearl powder, and bio peptides can improve your overall complexion and produce even, radiant skin.

The three most important parts of any skincare plan are:

• Anti-aging cream (an antioxidant topical treatment)
• Moisturizer (retinol)
• SPF sun protector (broad-spectrum SPF)

Chemical Peels

Chemical peels target the superficial layers of skin to improve its texture and appearance. Light (Vitalize Peel^®), medium (TCA and/or Jessner's solution), and deep (phenol-based) peel intensities are available to treat moderate to severe lines and wrinkles and discoloration.

MicroPen^™

MicroPen^™ treatment improves skin tone and texture by safely and precisely creating micro-injuries in the skin with tiny, hair-thin sterile needles. This stimulates your skin's cellular production of collagen and can correct pigmentation, scars, fine lines, wrinkles, and even acne scarring. Results can be detected in as little as one treatment. This is our most popular and effective non-surgical treatment for these facial concerns.

Platelet-Rich Plasma (PRP)

Platelet-rich plasma (PRP) is blood plasma that has been enriched with platelets. It's your blood, your plasma. Plasma is the internal essence of your blood, containing life-giving proteins with eight essential growth factors. PRP can be applied (massaged into the skin) following Micropen^™ treatments, Dot^™ fractionated CO₂ laser treatments, or injected for an enhanced anti-aging effect.

Anti-aging facial rejuvenation for the 20s & 30s

The depth of the facial crease or issue will determine the thickness of the corresponding filler used to improve it.

Age Range: 40s

Skincare for the 40s

Skincare Products

In your 40s, it’s time to get more aggressive with anti-aging skincare. You can graduate from simple two products to up to three products twice a day. We offer a variety of at-home skincare products to effectively lighten dark spots and correct other discolorations in the skin. Retinoid creams and products containing vitamins A, C, and E, hyaluronic acid, authentic pearl powder, and bio peptides can improve your overall complexion and produce even, radiant skin.

The three most important parts of any skincare plan are:

• Anti-aging cream (an antioxidant topical treatment)
• Moisturizer (retinol)
• SPF sun protector (broad-spectrum SPF)

Deka Dot^™ Fractionated CO₂ Laser

The Deka Dot^™ fractionated CO₂ laser effectively corrects fine to deep lines and wrinkles while also improving your overall complexion. This laser ablates microscopic areas of damaged skin between bridges of healthy skin and stimulates collagen production to achieve beautiful, clear-complexion results with a shorter healing time compared to traditional resurfacing procedures.

Intense Pulsed Light (IPL) Treatment

Minimally invasive skin resurfacing can be achieved with intense pulse light (IPL) technology. This treatment targets specific structures in the skin to reduce redness and dark spots from photoaging to reveal bright, even skin.

Nécolleté^™

Using only FDA-approved technologies, this innovative therapy tightens, lightens, brightens, and restores your glow. Nécolleté^™ restores a firmed up jawline, a smooth, sun-damage-free sexy décolleté, and a neck that’s more toned and taut, creating an elongated swan-like appearance.

Anti-aging facial rejuvenation for the 40s

Age Range: 50s

Skincare for the 50s

Skincare Products

In your 50s, you graduate from skin maintenance to more aggressive skin rejuvenation with physician-grade skincare. It is imperative at this age to get aggressive with top quality skincare. We offer a variety of at-home skincare products to effectively lighten dark spots and correct other discolorations in the skin. Retinoid creams and products containing vitamins A, C, and E, hyaluronic acid, authentic pearl powder, and bio peptides can improve your overall complexion and produce even, radiant skin.

The three most important parts of any skincare plan are:

• Anti-aging cream (an antioxidant topical treatment)
• Moisturizer (retinol)
• SPF sun protector (broad-spectrum SPF)

Deka Dot^™ Fractionated CO₂ Laser

The Deka Dot^™ fractionated CO₂ laser effectively corrects fine to deep lines and wrinkles while also improving your overall complexion. This laser ablates microscopic areas of damaged skin between bridges of healthy skin and stimulates collagen production to achieve beautiful, clear-complexion results with a shorter healing time compared to traditional resurfacing procedures.

Chemical Peels

Chemical peels target the superficial layers of skin to improve its texture and appearance. Light (Vitalize Peel^®), medium (TCA and/or Jessner’s solution), and deep (phenol-based) peel intensities are available to treat moderate to severe lines and wrinkles and discoloration.

Anti-aging facial rejuvenation for the 50s

Age Range: 60s

Skincare for the 60s

Skincare Products

In your 60s, you graduate from skin maintenance to more aggressive skin rejuvenation with physician-grade skincare. It is imperative at this age to get aggressive with top quality skincare. We offer a variety of at-home skincare products to effectively lighten dark spots and correct other discolorations in the skin. Retinoid creams and products containing vitamins A, C, and E, hyaluronic acid, authentic pearl powder, and bio peptides can improve your overall complexion and produce even, radiant skin.

The three most important parts of any skincare plan are:

• Anti-aging cream (an antioxidant topical treatment)
• Moisturizer (retinol)
• SPF sun protector (broad-spectrum SPF)

Anti-aging facial rejuvenation for the 60s

In your 60s, the skin is thinner and more delicate. It's important to find a good balance between anti-aging products and topical treatments to keep the skin looking refreshed and not parched.

In addition to preventing further damage from the sun's UV rays with the daily use of a broad-spectrum SPF, a topical retinol cream should be used about three times per week, depending on skin type.

Retinol is only recommended for use at nighttime, and it helps to speed up skin cell turnover. Prevention and restoration are the two key goals for a comprehensive skincare plan to address this age group.

Age Range: 70s & up

Skincare for the 70s

Skincare Products

In your 70s, you graduate from skin maintenance to more aggressive skin rejuvenation with physician-grade skincare. It is imperative at this age to get aggressive with top quality skincare. We offer a variety of at-home skincare products to effectively lighten dark spots and correct other discolorations in the skin. Retinoid creams and products containing vitamins A, C, and E, hyaluronic acid, authentic pearl powder, and bio peptides can improve your overall complexion and produce even, radiant skin.

The three most important parts of any skincare plan are:

• Anti-aging cream (an antioxidant topical treatment)
• Moisturizer (retinol)
• SPF sun protector (broad-spectrum SPF)

Anti-aging facial rejuvenation for the 70s

In your 70s, the face has undergone bone mass degeneration and has lost volume from fat degeneration. The skin's collagen has broken down considerably and requires a more aggressive approach in order to stimulate collagen and elastin fibers.