A Beginner’s Guide to Thread Lifts

Many patients are ready for something that gives a more dramatic result for sagging skin than injectable facial fillers, but still aren’t ready for a complete facelift or other facial surgery as yet. Our specialists in minimally invasive procedures from the Philadelphia area office of Dr. Timothy Greco use Silhouette InstaLift to give patients a more youthful and energized appearance without surgery. The results are visible right away, and the new contours last for up to two years. Continue reading to learn about how thread lifts work!

Once we lose collagen, fat, and bone from the face, we often discover that our facial contours no longer look as sharp as they once did. Thinning skin may begin to sag around the lower face area. Injectable wrinkle treatments can only do so much for loose skin when we reach this stage, and fillers are mainly designed to address moderate to severe wrinkles as opposed to more advanced sagging and skin folds.

Silhouette InstaLift repositions and lifts lax skin around the central and lower part of the face by introducing absorbable threads below the surface of the skin. These threads are lined with tiny, barb-like cones that attach to the under surface of the skin and pull it upward, supporting its structure. This treatment gives an additional lift to the jawline and cheek areas as the threads continue to stimulate collagen production in the underlying layers of skin to give it a tighter appearance over the following months.

Some of the major advantages associated with having a thread lift are that as it is minimally invasive, only local anesthesia is used, there is very little recovery time needed, and side effects are minimal. The results will be noticeable as soon as the treatment is over, and they will progressively improve for up to 12 months as your skin builds more collagen.

If you’re interested in having a facial rejuvenation treatment for the New Year, check out our special on thread lifts: Enjoy $400 per thread (originally valued at $600) when you book a consultation for a thread lift before Jan. 31, 2021!

Want to learn more about what to expect from minimally invasive procedures? Our Philadelphia-area team can answer any questions you might have about a thread lift or other cosmetic treatments. Call (610) 664-8830, or submit a contact form to request an appointment with us.

How to Reduce Scarring After a Facelift

Nonsurgical treatments are convenient and can improve your appearance, but the results from injectables and light therapies can’t compare to the more dramatic, comprehensive, and long-lasting results you can attain with facial plastic surgery. In the Philadelphia area, Dr. Timothy M. Greco explains that a facelift is the best way to significantly improve severely sagging jowls and skin in the neck area, as well as elevate the cheeks to improve facial contours.

Even with the benefits of surgery in mind, patients who visit our practice are sometimes worried about having visible scars after a facelift. However, this doesn’t need to be the case. During your consultation, Dr. Greco will explain what to expect with your procedure, including a basic outline of what to expect with scarring.

Right after having facelift surgery, some of the most common but temporary side effects patients can experience are swelling, bruising, numbness, and mild pain. Scarring is also one of the risks associated with this surgery, as well as most other plastic surgery procedures.

To minimize the visibility of scars, Dr. Greco makes incisions in places that are easily concealed, such as the hairline and in front of or behind the ear, so they can be hidden by the natural contours of the face and hair. Dr. Greco also painstakingly re-approximates the incisions so the scars heal as meticulously as possible.

Yes, these scars will be with you for life, but they typically fade in a few months to become barely visible white lines. Scars can be minimized with injections of corticosteroid solution. Subsequent skin treatments, such as pulsed-dye lasers, can also improve a scar’s appearance.

The way you heal and the type of scarring you will ultimately see on your face is influenced by your age, skin elasticity, genetics, race, and ethnicity, as well as the size and tension of the scar.

There are many steps you can take to keep scars from becoming more pronounced. Mainly, you should:

  • avoid smoking several weeks before and after surgery
  • lower your consumption of alcohol and caffeine after surgery
  • get lots of rest during your recovery phase
  • drink plenty of water to stay hydrated
  • increase your protein intake
  • follow the instructions from Dr. Greco and his team for proper wound care
  • wear sunscreen and avoid exposing the skin on your incisions to sunlight
  • refrain from placing excessive tension on or around incisions

Want more advice on facial plastic surgery in the Philadelphia area? Call Dr. Timothy Greco’s plastic surgery office at (610) 664-8830 or send a message to request a free consultation if you’re planning to have a facelift or another procedure.

6 Fascinating Facts About Nose Jobs

When it comes to facial symmetry and beauty, nasal shape, size, and proportions play an important role. Having a nose that is obviously larger and not matching the rest of the face makes many people unhappy—especially when they see themselves in selfies or catch a glimpse of their profile in the mirror. So what can you do if you don’t like your nose? In Philadelphia, a nose job (technically known as a rhinoplasty) is frequently chosen by patients who are hoping to change the size, projection, or other aspects of this feature to achieve their desired look. While just about everyone knows that the surgery can make a large nose smaller, here are some lesser-known facts about rhinoplasty:

1. It Takes Time to See the Final Results

Many patients will notice some changes right away after their surgery—but don’t be dismayed if your nose is swollen for quite a while as it continues to heal following the procedure. Swelling and bruising can persist for six months to a year after, so patience is key.

2. Nose Surgery Can Also Address Medical Problems

Rhinoplasty isn’t just for aesthetic concerns. Nasal surgery can also improve the function of the nose. A procedure to change the appearance of the nose can also correct related nasal obstructions such as a deviated septum or nasal valve collapse.

3. No, Your Voice Won’t Change

Some people believe that changes to the nasal cavity will affect their voice. This was the reason that Barbra Streisand opted not to get a rhinoplasty—because of a concern of a change in her singing voice. Certain patients may have increased resonance and improved breathing after surgery. However, most people won’t notice or be bothered by any very minor vocal changes.

4. The First Nose Jobs Happened Thousands of Years Ago

An ancient Indian physician known as Sushruta is believed to have pioneered this procedure during the sixth century B.C.

5. Techniques Have Evolved

While earlier techniques involved sometimes involve significant removal of tissue, many surgeons now take a structural rather than reductive approach, which can create a more predictable outcome. Remember: Nose surgery is about creating a nose that better fits your own facial proportions, not merely reducing its size.

6. Trends Are Changing

Today’s nose job patients are frequently more open to embracing their natural features and unique qualities. Refinement, as opposed to more dramatic alteration is the goal.

Talk to the team at Dr. Timothy Greco’s plastic surgery practice serving Philadelphia and the surrounding areas to discover more about what’s possible with a nose job. We provide facial cosmetic surgery, minimally invasive procedures, and more. Call us at (610) 664-8830 to get started or write to request for a free consultation.

5 Ways to Protect Your Eyes After Blepharoplasty

During a blepharoplasty (eyelid surgery), Dr. Timothy Greco will get rid of unwanted tissue—including excess fat and loose skin—from around the eyes to correct the damaging effects of aging. This opens them up by removing any puffiness, making the eyes look younger, refreshed, and brighter. If you’ve decided that this surgery is the right choice for you, the staff at the office of Dr. Timothy M. Greco in the Philadelphia area advises that eyelid surgery will require you to take special care of your eyes as you recover from surgery.

Here are five important recovery tips from Dr. Timothy Greco and staff that anyone having eyelid surgery will benefit from knowing. Note that you will also get specific post-operative instructions to help prevent any complications.

During the first few days after blepharoplasty, it’s common to experience discomfort, which will gradually improve with time. Patients also frequently experience eyelid swelling, tightness, bruising, and itching. Blurred vision, excessive tearing, numb eyelids, and sensitivity to light are normal during the first few weeks. To help treat these side effects of eyelid surgery:

1. Use the prescribed eye drops or ointments—such as antibiotics, steroids, and artificial tears—to ward off infections and stop inflammation. You may also need to take pain medication to reduce any discomfort.

2. Prevent damage to your eyes from exposure to sunlight or wind during your ride home from surgery or anytime you go outside afterward by wearing dark-tinted sunglasses. Sunscreen is beneficial after the eyelid skin has healed from surgery.

3.  Take time to rest and limit your activity. Don’t do any heavy lifting, bending, or physical exercise during the first two weeks. This can cause excess bruising and swelling and adversely affect the result of your surgery.

4. To help with post-procedure swelling and bruising, frequently ice the eye area throughout the day with cold compresses. This will provide soothing relief to the eyes and help with decreasing bruising and swelling.

5. Be careful about your sleep position. It is recommended to sleep with your head elevated on pillows and in a semi-upright position after surgery so that you keep your head higher than your heart to decrease swelling.

Planning your eyelid surgery and want more information about what to expect? Let us help make sure your procedure goes as smoothly as possible. Learn more about what’s involved in blepharoplasty recovery by calling the office of Timothy M. Greco, MD, FACS in the Philadelphia area at (610) 664-8830 or fill out a contact form to get started today.

Facial Liposuction vs. Kybella®: What’s the Difference?

Many people who are otherwise happy with their bodies look in the mirror and are disappointed by an extra layer of fat in the chin area, which makes them appear older and overweight. There are some surgical and non-surgical options to help you get rid of that double chin for a more sculpted, slimmer, and youthful face. Fat reduction with Kybella® is one option for tackling this common trouble zone. Dr. Timothy Greco’s office offers the popular injectable, as well as facial liposuction in the Philadelphia area.

Many patients are uncertain as to which option will be right for them. It’s best to discuss any cosmetic goals with Dr. Greco in order to help determine the ideal treatment.

Facial Liposuction

In addition to its applications for body contouring, liposuction is also useful for surgically removing the resistant fat that can build up in the submental area and be difficult to reduce through conventional weight loss efforts. For this procedure, fat cells are dislodged and suctioned with a cannula. Facial liposuction offers more dramatic rejuvenation of the face than Kybella®. In addition to the chin area, liposuction can also take fat off the cheeks and improve contours along the jawline. Recovery lasts around two weeks.

A neck lift will remove unwanted fat and tighten the muscles in the neck while removing sagging skin. The results of facial liposuction and neck lifting can be enhanced with chin augmentation.


Kybella® is an injectable containing a synthetic version of the same deoxycholic acid the body uses to break down fat during digestion. As a cosmetic treatment, it is used to decrease small to medium double chins. One of its main benefits is how convenient it can be for patients. There is minimal preparation required. The treatment process, which involves a series of injections, only takes 15 to 20 minutes to perform. You won’t have to go under anesthesia or expect much recuperation time.

The fat that is eliminated with either of these methods is gone for good. But remember, fat removal does not directly improve skin laxity, so if you have a lot of excess, droopy skin around the chin—especially after removing volume—a tightening treatment or procedure would be required.

Considering facial liposuction or other contouring options? We offer Kybella®, surgical fat reduction, and other procedures designed to give you the facial shape you want. Schedule a consultation with our Philadelphia-area team at Timothy M. Greco, MD, PC, by calling (610) 664-8830, or write to us to get started.

5 Makeup Tricks to Enhance Your Post-Facelift Appearance

Injectables are useful tools for temporarily minimizing some of the signs of premature aging, but when it comes to addressing loose jowls and sagging skin around the cheek areas long term, there’s no better way to make your face look dramatically younger than a facelift. Patients who have had a facelift, otherwise known as a rhytidectomy, in the Philadelphia area from Timothy M. Greco, MD, FACS, can feel more self-confident afterward and are often ready to flaunt their new look. At the same time, patients often want to keep the fact that they’ve had facial plastic surgery performed discreet.

It’s common to experience some bruising, swelling, and numbness before peak results are eventually visible. During this time, keep your head elevated and avoid certain medications that may worsen common side effects of surgery, such as bruising. Dr. Greco and the team will advise you on when it will be okay to start wearing makeup again.

With that in mind, here are a few pointers on accentuating your natural beauty with cosmetics after having a few surgical “tweaks.”

1. Use Lightweight Foundation

It’s important not to irritate the skin if you’ve recently had cosmetic surgery. Look for lighter products that won’t clog the pores and are designed for sensitive skin. Avoid caking the face in too much makeup, as the thick layer may look unnatural and draw more attention.

2. Hydrate the Skin

Using a good moisturizer is essential after your procedure, as a facelift may result in the skin physiology changing and becoming very dry and flaky.

3. Camouflage with Concealers

Makeup is great for covering up visible, post-operative bruising and scarring. Some brands offer kits with colors designed specifically for reducing the appearance of discoloration on the face.

4. Find the Right Blush

A dash of blush that fits your skin tone will brighten and refresh your face while accentuating your cheekbones.

5. Bring Attention to Your Lips

If you’re proud of your lip shape, emphasize their beauty by lining them, choosing a bold color, and adding some shiny gloss.

Get started on a new facial plastic surgery treatment from the office of double board-certified physician Dr. Timothy Greco in the Philadelphia area. If you’d like to start planning your rhytidectomy, talk to us today by calling (610) 664-8830 or write to us directly.

Thread Lifts vs. Facelifts: Which is the Better Choice for You?

When you stand in front of the mirror, do you notice major changes happening to your face—like sagging, lax skin around the cheeks and jaw, deep creases, and hollowed cheeks? It may be time to try a cosmetic treatment or procedure. But which should you pick?

A facelift is the ultimate surgical solution for rejuvenating a face marked by sagging jowls and neck laxity. This procedure offers dramatic and long-lasting results, but it isn’t the only way to lift aging skin. For patients not ready for surgery, thread lifting bridges the gap between injectables and surgical procedures, providing an alternative for patients who need more drastic improvement but do not want facelift surgery. At our Philadelphia area practice, Dr. Timothy Greco often receives questions from patients who are unsure as to which treatment will accomplish more for them. During your initial consultation, he can assess your face and help you determine the best course of action.

Aging causes the contours of the face to change. What starts off in your youth as a more heart-shaped face with high, round cheeks leading down to a clean, firm jawline often turns into what is sometimes referred to as a “pyramid of age.” Skin and fat slide downward, forming a heavier jaw, while the cheeks and temples may appear sunken in. To make matters worse, your skin produces less collagen over time. Collagen, along with elastin and hyaluronic acid, is responsible for keeping skin supple and strong.

When your face gets to this stage, lifting the tissues is an important strategy for anyone who wants to reclaim youthful contours. A facelift involves the removal of excess skin and fat, allowing the remaining skin to sit more tightly against the underlying structures. A thread thrift, on the other hand, helps to re-structure your face and restore its contours to a more youthful position by elevating the skin with small, internal sutures. Thread lifts also have the benefit of stimulating the production of collagen in the treatment site, continuing to enhance the tone and texture of the skin over time. The recovery time is much shorter than it would be for a facelift. and side effects are minimal in comparison, though the results are not as dramatic as with a facelift.

If you’d like to know more about the benefits of thread lifts, facelifts, or other facial procedures, get in touch with our team at Timothy M. Greco, MD, PC‘s office in the Philadelphia area. To set up an appointment with Dr. Timothy Greco, call us at (610) 664-8830 or write to us directly.

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.

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.