Fall Skincare Tips: 4 Aesthetic Treatments to Rejuvenate Damaged Skin

Sometimes your skin simply looks dull and lackluster when the seasons change. As the year transitions from summer to fall, you may be in need of a complete refresher. Along with the changes in temperature and humidity that can cause your skin to dry out, our patients are often bothered by actinic (sun) damage sustained from spending time outdoors during the warmer months. Common cosmetic problems include wrinkles, fine lines, sunspots, hyperpigmentation and rough patches. At-home skin care routines might not be sufficient enough to address these concerns. Aesthetic treatments such as laser skin resurfacing, chemical peels, microneedling, and HydraFacial®, which our Philadelphia area office offers, will all help to breathe new life into the skin while giving it a more polished and even appearance to your skin in time for the holidays. The options listed below do not require much down time either.

1. Laser Skin Resurfacing

Although you can schedule laser treatments for any month of the year, patients and physicians alike usually refer to the autumn and winter months as “laser season,” because it’s much more convenient to receive light ablative services done when the weather is cooler and the sun is less intense.

When you’re taking shelter indoors more often and wearing heavier layers of clothing against the cold and wet, there’s less of a chance of permanent pigment changes due to sun exposure and damage after laser treatments, such as Pixel® for stimulating new collagen production and improving acne scars, enlarged pores, age spots, wrinkles, and uneven tone and texture.

2. Chemical Peels

The skin’s surface is covered with pores, which are often blocked by debris and dead skin cells that make it difficult for topical products to penetrate and work effectively. With a chemical peel, a solution is applied to the outer, damaged layer of skin, which causes the dead later to gradually peel away revealing a youthful glow to your skin and allowing more effective use of your home skincare regimen.  

3. Microneedling

Microneedling is a treatment uses tiny pinpricks to stimulate collagen production in the skin, with each small “wound” triggering the skin’s organic healing process. Eventually, new, healthier skin is revealed at the surface so acne scars and wrinkles are less prominent.

4. HydraFacial®

HydraFacial® deeply cleanses the skin and is suitable for most skin types. This three-step procedure involves exfoliating, extracting impurities, and nourishing the skin with serums.

Get more info on these options, including HydraFacial®, available from Dr. Timothy Greco’s practice. Want to learn more about the treatments that can help you to restore a more radiant complexion? Call us at (610) 664-8830 to talk about your plans or submit a contact form.

Facial Implants, Fillers, or BOTOX®: Which is the Better Choice for Addressing Facial Asymmetry?

Beauty treatments are often focused on enhancing the skin and individual features, but patients should remember that overall facial harmony is critically important. Faces that are symmetrical are usually deemed to be more attractive and beautiful. A perfectly symmetrical face would have identical sides that match if you were to draw a line down the center. Each side of the face is considered a sibling as opposed to an identical twin. While most faces appear to have a symmetric shape, we all have some mild asymmetry to our features—such as a slightly crooked nose, one eye that looks different from the other, or a misaligned chin. Genetics, aging, injury, and dental work are some of the common causes of asymmetry, but there are also several options for addressing it: Dr. Timothy Greco, a double board-certified facial plastic surgeon near Philadelphia, provides facial implants, fillers, and BOTOX® to correct irregularities and help patients achieve a more balanced appearance.

Facial Implants

If you’re looking for a long-term solution for asymmetry caused by your natural bone structure—such as a weak or recessed chin that you want to improve—implants might be something to consider. This is surgical procedure with lasting results. Implants are made from synthetic materials like silicone and plastic. Implants can be added to the cheeks and chin and further enhanced with autologous fat grafts for a fuller, more natural look.

Soft Tissue Fillers

Soft gel dermal fillers can improve contours that have changed over time. Having a youthful, v-shaped face with high, rounded cheekbones, a slim jawline, and defined chin is a common beauty goal.

Hyaluronic acid-based fillers like JUVÉDERM® Voluma improve facial structure by lifting and volumizing the cheeks, which also makes the jawline look sharper. JUVÉDERM® Ultra, another HA filler, plumps lips that are too small for the face due to genetics, aging, or both. Additionally, these fillers can be used to add volume to hollowed temples and to fix stretched earlobes. You can also straighten, refine, or thin the nose or elevate the nasal tip with fillers.


Neuromodulators relax active muscles in select areas of the face to make eyebrows more even, slim only one side of an enlarged jaw to match the other, or correct wrinkles in the forehead. Injectable treatment sessions are quick, with minimal side effects and recovery time—but keep in mind that the results are temporary. Fortunately, repeat maintenance treatments are possible.

Searching for a skilled facial plastic surgeon near Philadelphia? Talk to the office of Dr. Timothy Greco about our surgical and non-surgical options. Call (610) 664-8830 or request a free consultation.

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 Major Benefits of Laser Skin Rejuvenation

If you want youthful-looking skin, there are various resurfacing options that can help you achieve that appearance. Laser skin resurfacing is often the treatment of choice for patients with irregularities such as wrinkles, fine lines, uneven tone, and mild laxity. Dr. Timothy M. Greco’s practice provides a range of skin resurfacing treatments, including laser skin rejuvenation, to complement plastic surgery for the Bryn Mawr area. Here are five reasons why we think you should consider laser options—with or without surgery:

1. Lasers Treat a Variety of Skin Types

The best laser for you depends on your specific concerns and the condition of your skin. Our practice offers ablative laser skin resurfacing, fractional CO2 laser treatments, and Vbeam® pulsed dye laser treatments, as well as IPL treatments, which are not lasers, but make use of intense pulsed light to clear redness and spots. Ablative treatments, which remove a layer of skin, are better for more severe sun damaged skin and for patients who are hoping for more dramatic improvements. Non-ablative treatments are gentler, provide more subtle, gradual results, and require less recovery time.

2. Lasers Can Promote Creation of New Skin

Some laser treatments, such as ablative and fractional CO2, revitalize the skin from the inside out by kickstarting the production of new skin cells and collagen to repair and remodel its structure. They do this by using energy to cause a controlled injury and trigger the skin’s natural healing processes.

3. Lasers Can Fade Visible Scars

Due to their ability to form new, healthy skin and slough away damaged outer layers, laser treatments are an effective way to reduce the visibility of deep or raised scars on the face caused by injury, surgery, or acne. The new skin that forms in the place of the scar will feel smoother and appear more even. The treatment may also make scars less painful or itchy.

4. Lasers Reduce Vascular Lesions

Some lasers are designed to treat diffuse redness or red blotches on the skin from vascular lesions such as rosacea, spider veins, cherry angiomas, port wine stains, and bruises. A pulsed dye laser (PDL) will target the hemoglobin that gives blood its red color. This causes redness to fade and visible vessels to collapse, while leaving the surrounding skin and tissues intact.

5. Lasers Tighten Sagging Facial Skin

Laser skin rejuvenation helps to reverse the effects of aging by improving skin laxity. The heat energy from a treatment causes existing collagen to coagulate and contract, as well as prompts the creation of new collagen to provide structure for improved tone.

For more information on laser skin rejuvenation, reach out to Dr. Timothy M. Greco’s Bryn Mawr-area practice. To schedule a consultation in the Philadelphia area, call (610) 664-8830, or request a consultation online.

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.

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.

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.

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.