Rhinoplasty vs. Non-Surgical Nose Job: What Are the Differences?

The nose is one of the most prominent features of the human body, because it is positioned in the center of the face and contributes to its overall symmetry and aesthetics. Unfortunately, not everyone is naturally blessed with an attractive nose. In addition, trauma, genetics, and the effects of aging may distort its shape. Dr. Timothy Greco, a double board-certified facial plastic surgeon, specializes exclusively in procedures for the face, head, and neck. With such a focus, he often hears from patients wondering whether a “non-surgical” nose job can be an effective solution for their problem. Some offer fillers as an alternative to surgical rhinoplasty, or to enhance the results of a previous rhinoplasty. Dr. Greco has a specific preference for performing “liquid” nose jobs at our Philadelphia-area practice: using Restylane Lyft® to give patients a better idea of what their final results from a surgical rhinoplasty would look like. The following is a basic rundown of what’s involved in the procedures:

Surgical Rhinoplasty

The classic rhinoplasty can be used for functional and/or aesthetic purposes. It can be beneficial for improving breathing issues due to internal blockages or misalignments, but is most frequently chosen for purely aesthetic reasons to alter almost any aspect of the nose resulting in accentuating a patient’s favorite individual features. Patients are sedated with conscious anesthesia, after which Dr. Greco makes strategic incisions that allow him to modify the bone and cartilage structure. Patients should expect one to two weeks of recovery time, as well as six months to a year for the nose to fully heal and settle into its new shape and size.

Non-Surgical Rhinoplasty

A non-surgical nose job, also referred to as nose filler or a liquid rhinoplasty, involves changing the shape of the nose and correcting imperfections by the injection of hyaluronic acid fillers instead of surgery. Unlike rhinoplasties, this strategy only temporarily changes the look of the nose. With that in mind, some patients opt for the treatment because it requires virtually no downtime. Fillers also cause less discomfort and can be dissolved if desired. This technique most often corrects a dorsal hump and can improve asymmetry as well as tip projection. It cannot reduce the size of a large nose.

Both cosmetic treatments for the nose are designed to provide a more aesthetically pleasing, harmonious appearance. Coming to a decision requires extensively discussing your goals with Dr. Greco, being clear about what aspects of your nose bother you, and learning to set realistic expectations. By working together, you can achieve visible changes that improve symmetry, proportion, and balance. Video- imaging is an invaluable tool used during consultation that allows you to see how changes to your nose will affect your facial aesthetics.

Discover more about the benefits of nose jobs and other forms of facial plastic surgery available from Timothy M. Greco, MD, FACS, and our staff serving the Philadelphia area. Set up an appointment today by calling us at (610) 664-8830 or send us a message to get started.

Are You Asleep During Blepharoplasty Surgery?

Planning to have a blepharoplasty procedure in the near future? One of the main questions that patients have prior to their eyelid surgery with the Philadelphia area’s Timothy M. Greco, MD, PC, is whether they will be awake during surgery. If not, they want to know what kind anesthesia or sedation will be used.

If, like many others, you’re having pre-surgery jitters about what anesthesia might entail, Dr. Timothy Greco and his team will be happy to put your fears to rest and fully clarify all the details of the procedure.

Droopy eyelids are a common cosmetic issue that many patients experience due to aging as skin stretches and surrounding muscles can no longer support the eyelids. A blepharoplasty (eyelid surgery) is a popular way of reducing bags and heaviness around the lower and upper eyelids that contributes to hooded eyes and a look of sagging eyebrows. The procedure “opens up” the eyes to make patients look fresh, rested, and more alert.

For a typical upper eyelid surgery procedure, the surgeon makes a strategic incision in the upper eyelid creases, easily concealing the eventual scar. Redundant tissues are removed, and lax tissues are tightened. For this reason, local anesthetic with conscious sedation is necessary.

It’s best to talk to your surgeon beforehand to understand your anesthesia options and discuss any preferences. In the majority of cases, blepharoplasty patients can expect to be given local anesthesia and conscious sedation to ensure their comfort and safety.

The local option creates numbing of the eyelid tissues only. Patients using this technique will still be able to talk, move, and feel sensations on the rest of the body throughout the procedure.

When twilight anesthesia is used, the patient will be completely conscious but asleep and unaware of what is happening. It’s a safe option, but takes a little longer to recover.

Timothy M. Greco, MD, FACS, welcomes questions or comments from patients interested in blepharoplasty surgery or other procedures available from his Philadelphia-area practice. Get in touch with double-board certified facial plastic surgeon Dr. Timothy M. Greco and his staff today by calling (610) 664-8830 or messaging his office directly.

How Much Do Dermal Fillers Cost in Philadelphia?

One of the most commonly asked questions when it comes to cosmetic treatments available from Timothy M. Greco, MD, FACS’s practice, is how much dermal fillers, such as JUVEDERM®, cost. Philadelphia-area patients often choose the injectable for reducing wrinkles and facial re-volumizing, but since it provides aesthetic results, it is not typically covered by many health insurance plans.

Generally, if you’re choosing any kind of injectable treatment from a reputable provider and want excellent results, you can expect to spend anywhere from several hundred to a couple thousand dollars, on average.

At a reputable practice staffed with licensed and experienced providers, the total cost of a treatment is commonly based on several factors, including the amount of product used for a given patient, the type of filler chosen, the area or areas injections are located, and more. Other variables include the geographic area where the treatments are being provided.

Patients will want to consider how to budget for injectables, especially if they plan to undergo regular sessions for upkeep each year. Some prefer to pay upfront, while others use a credit card or patient financing plans.

No matter what, it is important to ask about cost during an initial consultation, and to work with injectors—such as Dr. Greco’s team—who are upfront about the process and have the credentials to back up their use of the genuine product.

Learn more about JUVEDERM®, Restylane®, and other dermal fillers offered by Timothy M. Greco, MD, FACS’s practice for patients in the Philadelphia area and beyond. Call (610) 664-8830 or send a direct message.

What Does Facial Cosmetic Surgery Focus On?

We tend to think of the face as a single organ. Yes, we generally acknowledge that it is made up of two eyes, a nose, a mouth, etc., but they all typically get lumped into one unit. While “the face” is definitely a specific part of the body, it is also a complex area made up of multiple zones and features that interconnect and play off of each other in unique ways.

When it comes to facial cosmetic surgery, the Philadelphia area’s Dr. Timothy Greco emphasizes that a dual understanding of the face—that it is a unified and cohesive collection of multiple elements—is vital. This is because procedures may focus on altering a single aspect, such as a drooping eyelid or poorly defined jawline, but each change must be made with all of the other elements of the face taken into account.

The chin, for example, is half a face away from the nose. Yet a weak chin can create the impression that the nose is overly long or large—even if it is of perfectly average size and shape. A patient unhappy with a perceived large nose, then, would not benefit (at least not ideally) from a rhinoplasty that reduced the size of the nose. The chin problem would remain.

Similarly, sagging on the lower face may actually be attributed to volume changes in the midface. The look of the ears can influence the overall look of the shape of the head. Whether it’s the forehead and cheeks, how a smile crinkles the sides of the eyes, or how a lax neck can reveal a person’s age even as the features above appear more youthful, everything is connected.

For this reason, Dr. Greco may not recommend a single, standalone treatment as the be-all, end-all solution to a patient’s cosmetic problems. Women and men seeking to address a specific feature should be prepared to discuss more than their solitary concern during an initial consultation. This is not an attempt to “upsell” someone, but an opportunity to learn and understand the scope of what facial cosmetic surgery can and can’t do.

Correcting skin laxity in one area may then draw more attention to other areas that continue to look creased and loose, making them more obvious in comparison—and causing the exact opposite of the intended effect.

Dr. Greco also cautions patients not to worry: The face, while connected, is not a chain of dominos ready to topple. Changes can be minimal, gradual, and always tailored to the patient to ensure the most naturally revitalized look possible.

Learn more about the facial cosmetic surgery options available from Dr. Timothy Greco by calling (610) 664-8830 or submitting information online to arrange a consultation.

Get a Glimpse of the Future of Your Eyelid Surgery

Eyelid surgery from the Philadelphia area’s Dr. Timothy Greco is an ideal way to rejuvenate an aging look. Lifting sagging and drooping upper lids can create a more awake and alert appearance, while removing sagging pouches below the eye can give the face a more youthful and rejuvenated look.

Patients who want to envision what a blepharoplasty can do for them—before deciding on the surgery—have two options at Dr. Greco’s practice.

First, Dr. Greco maintains an extensive photo gallery, available online, revealing the results of dozens of eyelid surgery patients. Men and women considering blepharoplasty can browse the images of real patients to get a general idea of what Dr. Greco can accomplish. This can give people an even better idea of how the results of the surgery may generally look on their own eyelids.

The before-and-after photos also show the results of eyelid surgery combined with other procedures and treatments, such as a facelift or laser skin resurfacing.

Second, Dr. Greco can use video imaging to create a realistic portrayal of what a specific patient could look like after the procedure. It can give patients the most definitive “preview” possible of what a lifted eyelid or reduce bags would do for the look of someone’s face.

In some cases, Dr. Greco and a blepharoplasty candidate decide to move forward with the surgery after a video imaging session. In other cases, they decide to explore a different approach in order to better deliver the results a patient is seeking.

No matter the ultimate decision, the goal is for every patient to approach their procedure or treatment with confidence. Feeling better about a decision prior to the surgery can actually lead to a better outcome, as patients know what to expect from their results and are less stressed. A more relaxed recovery can lead to shorter down time and improved healing.

Talk to Dr. Timothy Greco about eyelid surgery—for upper lids, lower lids, or both—and find out more about seeing his previous surgical results by scheduling an appointment with him at his Bala Cynwyd practice. Call (610) 664-8830 or reach out online.

Comparing Four Cosmetic Neuromodulators

Winter is the season associated with colder weather, and—perhaps surprisingly—plastic surgery! Philadelphia’s Dr. Timothy Greco and his team often field questions from patients who are unsure of what to do for an aging face. More specifically, while facelifts handle lower-face contours, it may be more desirable to select a nonsurgical injectable to best meet needs higher on the face.

Many people believe that the later months of the year are ideal for cosmetic treatments, since the weather sends everyone indoors, where it’s easier to conceal cosmetic “tweaks” under heavier layers of clothing.

This past November, patients and practitioners around the country celebrated Allergan’s first ever National BOTOX® Day. Even as physicians around the country highlighted the effects and benefits of this powerful neuromodulator, it’s important to acknowledge three other highly effective alternatives to choose from. These are very similar (though there are some notable differences between them), and the choice largely depends on individual preference.

Originally only known for its medical applications for muscle spasms, BOTOX® is now the world’s most famous wrinkle-reducing injectable. The first, original product of its kind, BOTOX®, has given rise to a series of successors and competitors, including Dysport®, XEOMIN®, and, most recently, Jeuveau (Newtox). All of these injectables contain botulinum toxin type A as their key ingredient, used to minimize or prevent dynamic wrinkles by relaxing muscles. There are minor differences in how each of these products has been manufactured and how they are used in clinical settings.

Dysport® is very similar to BOTOX®, specifically designed for treating glabellar lines and approved by the FDA for that purpose. As opposed to its counterparts, XEOMIN®, the “naked injectable,” contains no accessory proteins. Its only ingredient is botulinum toxin type A. This purer variation is a popular alternative for those who have developed a resistance to other types of neuromodulators. However, the tradeoff may be that it takes a longer time to work compared to the other injectables.

Finally, unlike the other three options, Jeuveau was recently designed from the start to be used purely for aesthetic treatments. Dr. Greco also had a hand in its development with their manufacturer, Evolus, Inc.

Start planning your next procedure or treatment with the experienced team at Timothy M. Greco, MD, PC. To get in touch with double board-certified Dr. Timothy Greco and his staff, call (610) 664-8830 or schedule a consultation online.

Post-Eyelid Surgery Care: What to Expect After Blepharoplasty

Most people have at least one feature they’re self-conscious about. For many people, that feature is their eyes. More specifically, it’s the drooping lids above them and puffy bags below them that occur due to aging, genetics, skin damage, or a combination of all of the above. Eyelid surgery is an ideal way of restoring more youthful-looking eyes by excising, repositioning, or tightening the fat, muscle, and skin that cause the problem.

After you’ve had a blepharoplasty surgery, Philadelphia’s Timothy M. Greco, MD, PC, recommends following specific post-operative instructions to ensure your recovery is as quick and smooth as possible while avoiding complications.

For prolonged patient comfort, local anesthesia and conscious sedation may be applied before the eye enhancement surgery begins. Because of this, some patients may experience dryness or sensitivity to light immediately after surgery. The exact recovery timeline varies depending on the patient and the extent of the surgery.

In most cases, you can expect to be able to return to work and similar activities around 10 days to two weeks after a procedure. You’re advised to wait for at least 10 days before applying makeup. There is generally minimal discomfort involved in blepharoplasty recovery, but some bruising and swelling should be expected within the first week. You can apply cold compresses to reduce the swelling. Dr. Greco can prescribe pain medication to help with comfort.

Scars are generally easily concealed in the natural creases of the eyelids, and they heal well. That said, try to refrain from applying pressure to the treatment area and keep it clean throughout the healing process.

While it’s impossible to prevent facial aging or fully predict how it will impact any given individual, eyelid surgery yields natural-looking, long-lasting results. The effects of upper eyelid surgery generally last for around five to seven years, while lower eyelid surgery results often last significantly longer. Sometimes eyelid surgery patients may also try additional treatments or combined treatments involving BOTOX®, brow lifts, or facelifts to optimize results.

To best maintain results, protect the treated skin from harmful sun exposure by always wearing darkly tinted sunglasses and a suitable sunscreen when going outside.

Timothy M. Greco, MD, PC, in Philadelphia can help any patient decide whether blepharoplasty is the right fit. Learn more about the benefits, risks, and costs of eyelid surgery by calling double board-certified facial plastic surgeon Dr. Timothy Greco and staff at (610) 664-8830 or filling out a contact form to set up an appointment.

Exploring the Causes and Types of Skin Aging

Are unwanted wrinkles and lines bringing you down? There are a wide variety of cosmetic solutions at your disposal, but it can be difficult knowing which one is most suitable for your specific needs. The range of possibilities is a common source of confusion, especially for those who may be new to the aesthetics industry.

One of the main things to know is that BOTOX® and fillers are not the same and are not used interchangeably. BOTOX® targets one form of skin aging, while dermal fillers address another. If you’re interested in getting started with wrinkle treatments or other forms of plastic surgery in the Philadelphia area, Dr. Timothy Greco, a double board-certified facial plastic surgeon, can explain the basics.

The cause of the wrinkles being treated will determine which treatments to pursue. There are two basic wrinkle groups: dynamic and static.

Dynamic wrinkles are related to muscle activity and are most visible when people make facial expressions. Picture forehead lines appearing when someone raises their eyebrows. Static wrinkles develop in the skin due to the effects of aging, sun exposure, gravity, other environmental factors, and lifestyle habits.

Within these two groups, wrinkles can be further classified into four subtypes: expression wrinkles, elastic wrinkles, compression wrinkles, and gravitational folds.

Expression wrinkles appear from repeated facial expressions, while elastic wrinkles are caused by excess sun exposure. Compression wrinkles come from pressure on the face as we sleep. Gravitational folds, such as severe creases like nasolabial folds and saggy skin, are formed due to the combined influence of time, gravity, and other damage.

To put it simply, if your wrinkles are caused by muscle action, your go-to would be a neuromodulator, while wrinkles associated with other types of damage are best addressed with other treatments, such as fillers.

BOTOX® is a neuromodulator, meaning it influences the activity of nerves. Once injected, it has a relaxing effect on wrinkle-causing facial muscles. Hyaluronic acid-based soft tissue fillers like JUVEDERM®, on the other hand, replenish essential volume in the skin to temporarily smooth our indentations. More severe aging may require a facelift or other surgery for complete rejuvenation.

Curious about the benefits of available skin treatments? Get more details on neuromodulators, fillers, skin rejuvenation, and more from Timothy M. Greco, MD, PC’s Philadelphia-based plastic surgery practice. Call today at (610) 664-8830 or submit a contact form to tell more about yourself.

BOTOX®, Fillers, or Blepharoplasty: Which is Better for Achieving Younger-Looking Eyes?

Many people are insecure about the eyelid droopiness, wrinkles, dark circles, and sunken eyes that tend to come with age. Baggy, hooded eye areas may make you look old before your time, or tired and angry even when you don’t feel that way. Cosmetic eyelid surgery, otherwise known by the medical term “blepharoplasty,” is one way of refreshing your face and taking years off of your appearance. In addition to blepharoplasty, Philadelphia’s Timothy M. Greco, MD, PC, provides other treatments for the eye area, such as BOTOX®, dermal fillers, and microneedling.

Is having big, bright doe eyes that “pop” one of your beauty goals? Wondering which procedure or treatment is right for you? Each patient has different needs, and the choice for each person will depend on the type of deficiency they’re hoping to correct, as well as their age, skin condition, and goals.

The thin, fragile skin around the eye areas is particularly vulnerable to stress, aging, and damage from smoking, sun exposure, or other factors. Makeup and topical products can help, but if you’re concerned about more moderate to severe symptoms of aging or skin damage, cosmetic treatments may be the more effective option.

In eyelid surgery, excess tissue is trimmed away, with the remaining tissue tightened to correct sagging, drooping eyelids. Additionally, the surgery can improve asymmetry and provide a lift for heavy eyelids. The procedure may be used on the lower and/or upper eyelids depending on what is needed.

When it comes to addressing eye-related wrinkles like crow’s feet, elevens, and forehead lines, BOTOX® is the gold standard. It works by relaxing wrinkle-revealing muscles. Hyaluronic acid-based JUVEDERM® filler adds subtle volume under the eyes for more youthful contours, while chemical peels and laser techniques work to reduce the severity of dark circles.

Another treatment for the eye area is microneedling. This is designed to improve overall skin quality from the inside out and can make a difference for dark patches, dryness, fine lines or wrinkles, and dullness. The treatment leads to skin that gradually grows clearer and develops a softer, more even texture. Although tiny needles puncture microscopic channels into the skin to spark collagen regeneration, microneedling is gentle enough for the thin skin around the eyes.

Want to learn more about blepharoplasty and other eye procedures available at the Philadelphia practice of  Timothy M. Greco, MD, PC? For questions, comments, or to request an appointment write a message or call (610) 664-8830.