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Facial Surgery in Fredericksburg, VA

Dr. R. Shane Palmer offers facial surgery for men and women in Washington DC, Fredericksburg, Stafford, Richmond, Charlottesville, and the nearby communities in Virginia. Facial surgery and facial rejuvenation help with common problems related to aging, anatomy, and other concerns.

What is Facial Surgery?

Facial surgery includes procedures that improve the features of the face, as well as facial rejuvenation for age-related problems, such as sagging skin, wrinkles, and lines.

View Facial Surgery Before and After Pictures

What is the Cost of Facial Surgery in Fredericksburg, VA?

The cost of facial surgery at Surgical Arts of Virginia is based on the specific procedure, individual anatomy, aesthetic goals, and other considerations. We discuss your pricing after the consultation with Dr. Palmer. Payment can be made by cash, personal check, money order, or credit card. We also work with financing through CareCredit®, United Medical Credit and Prosper™ Healthcare Lending.

A Modern Approach to the Aging Face

New techniques and advanced research have shown that the antiquated “skin only” approach to facial rejuvenation is severely flawed. In this older paradigm, facial aging was viewed simply as sagging skin and muscle and was almost always treated with a facelift.

Unfortunately, a facelift only addresses the loose skin and muscle overlooking the greater source of aging—volume loss. Ignoring volume loss leaves many facelift patients with a gaunt, overstretched appearance, as well as obvious signs of having “gone under the knife.” In addition, the tight appearance of the skin is short-lived; sagging skin can return in only a few short years following the procedure.

In retrospect, it is surprising that it has taken cosmetic surgeons so long to recognize the importance of volume loss in facial rejuvenation. Volume loss arguably contributes more to an aged look than the loss of skin and muscle tone. Repositioning fat to compensate for volume loss has been attempted with variable results. However, fat transfer to the face from another part of the body has proved to be the most successful in restoring volume loss.

This process, known as fat grafting, can result in an astounding transformation when performed correctly. In fact, when the volume is replaced in the face, we often see that skin no longer sags and a facelift may be avoided altogether. Consider how a sack, such as a balloon, distends when filled. In a similar manner, wrinkles on the face are erased as the skin is filled by the additional volume. Another potential benefit of fat grafting to the face is the direct rejuvenating effects awarded the skin from the stem cells present in the fat.

If significant skin laxity is present despite fat grafting, then a more conservative facelift can augment the volume replacement. Mild skin laxity can often be addressed with minimally invasive procedures, such as ThermiTight® or non-invasive procedures like ThermiSmooth®. These are radio-frequency devices that use heat to produce a contracting effect, which leads to skin tightening.

To complete the facial rejuvenation treatment, laser skin resurfacing may be added to help remove damaged skin and to efface lines around the eyes and mouth. At Surgical Arts of Virginia, Dr. Palmer prefers the CO2 laser for resurfacing the face because of its versatility and unparalleled efficacy. To enhance the incorporation of the new fat and to speed the recovery of the resurfaced skin, Dr. Palmer routinely uses platelet-rich plasma, which is mixed with the fat and incorporated into the skin with microneedling.

Other related procedures can be added as needed, such as eyelid lifting and neck rejuvenation. These are considered on an individual basis.

If you are considering facial surgery or facial rejuvenation, entrust your care to Dr. Palmer and the staff of Surgical Arts of Virginia. We serve residents of Washington DC, Fredericksburg, Stafford, Richmond, Charlottesville and the nearby communities in Virginia, as well as out-of-town patients. Contact us to schedule a complimentary consultation.

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