• Louis E. Costa, II, D.M.D., M.D.
  • Dana L. Heikes, M.D., F.A.C.S.
  • 843.722.5904


Face Procedures

Facelift (Rhytidectomy)

In time, gravity, sun exposure, and the stresses of daily life take their toll on our faces: deep creases appear beside the mouth, the jaw line slackens, and folds and fat deposits appear on the neck. Facelifts counteract these problems by removing fat and tightening skin and muscles, giving your face a fresher, more youthful look.

A facelift can be combined with a browlift, eyelid surgery or nose reshaping for more dramatic results, or it can be restricted to the neck (necklift) if the patient's problems center there. Incisions are made in inconspicuous places such as behind the hairline and in natural folds of the face and ears, and scars fade to near invisibility in time. Results of a facelift do not last forever, but in another sense, the effects are permanent; years later, your face will continue to look better than if you had never had the procedure.

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Forehead Lift (Browlift)

Browlifts can revitalize drooping or lined foreheads, helping you to look less angry, sad or tired. The muscles above the eyes are altered to smooth lines and raise the eyebrows for a more youthful appearance. The procedure is often combined with other operations such as blepharoplasty and facelifts to improve the look of the eyes and other areas of the face.

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Nasal Surgery (Rhinoplasty)

One of the more common plastic surgery procedures, rhinoplasty is performed to reshape, reduce or augment a person's nose, remove a hump, narrow nostril width, change the angle between the nose and the mouth, or to correct injury, birth defects, or other problems that affect breathing. Results depend on the patient's nasal bone and cartilage structure, facial shape, skin thickness and age (teenagers should have completed their growth spurt). Insurance may partially cover rhinoplasty if it is done for reconstructive or medical reason, but not for cosmetic purposes.

Rhinoplasty is usually an outpatient procedure performed under either sedation or general anesthesia and lasts one to two hours.

Surgeons use one of two techniques: incisions are either made within the nostrils, thus hiding scars after surgery, or across the columella (the vertical strip of tissue separating the nostrils) in an "open" procedure, this scar is small and hidden on the underside of the base. In both procedures the skin is lifted, the bone and cartilage sculpted, and the skin replaced and stitched closed.

For a short time after surgery you may experience puffiness, nose ache or a dull headache, some swelling and bruising, bleeding or stuffiness. Most patients feel like themselves within two days and return to work in about a week. Contact lenses can be worn immediately but glasses will have to be taped to your forehead or propped on your cheeks for up to seven weeks.

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Eyelid Surgery (Blepharoplasty)

Blepharoplasty can rejuvenate puffy, sagging or tired-looking eyes by removing excess fat, skin and muscle from the upper and lower eyelids. The procedure may be performed for cosmetic reasons or to improve sight by lifting droopy eyelids out of the patient's field of vision. The operation is usually performed in an office in as little as 45 minutes. Blepharoplasty can be combined with a facelift or BOTOX® treatments to raise the eyebrows or reduce the appearance of wrinkles, crow's feet or dark circles under the eyes.

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Chin Surgery

Chin surgery, also known as mentoplasty, is a surgical procedure to reshape the chin either by enhancement with an implant or reduction surgery on the bone. Many times a plastic surgeon may recommend chin surgery to a patient having nose surgery in order to achieve facial balance, as the size of the chin may magnify or minimize the perceived size of the nose. Chin surgery helps provide a harmonious balance to your facial features so that you feel better about the way you look.

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Body Procedures

Breast Augmentation

Breast augmentation is the second most frequently performed cosmetic surgery procedure in the U.S. It can give women with small or unevenly-sized breasts a fuller, firmer, better-proportioned look through the placement of implants in the breast. Women may elect to undergo breast augmentation for many different medical and aesthetic motivations, including balancing breast size and compensating for reduced breast mass after pregnancy, weight loss or surgery. The procedure may be combined with others such as a breast lift for more satisfying results.

The most frequently used implants are saline-filled and are placed behind each breast, underneath either breast tissue or the chest wall muscle. Saline implants are inserted into the body without fluid, and then filled during surgery through a fill tube. When the fill tube is removed, the implant automatically seals itself. Gel implants may be used in selected cases. The procedure lasts one to two hours and is typically performed with general anesthesia. After surgery the patient's bustline may be increased by one or more cup sizes.

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Breast Lift

A breast lift, or mastopexy, is performed to return youthful shape and lift to breasts that have sagged as a result of weight loss, pregnancy, loss of the skin's natural elasticity or simply the effects of aging and gravity. The procedure can also reduce areolar size (the dark skin surrounding the nipple), and it can be combined with breast augmentation for added volume and firmness. It is usually done under general anesthesia, and lasts from one to three hours.

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Breast Reduction

Large breasts can cause pain, improper posture, rashes, breathing problems, skeletal deformities, and low self-esteem. Breast reduction surgery is usually done to provide relief from these symptoms. Performed under general anesthesia, the two- to four-hour procedure removes fat and glandular tissue and tightens skin to produce smaller, lighter breasts that are in a healthier proportion to the rest of the body. Breast reduction surgery is not recommended for women who intend to breast-feed, since some of the milk ducts leading to the nipples are included with the removed tissue.

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Gynecomastia (Male Breast Reduction)

Although rarely discussed, enlargement of the male breast is a common condition. Gynecomastia affects approximately 40 to 60 percent of men at some point in their lives. There is often no known cause for gynecomastia, although there has been some correlation with various drugs or medical conditions.

Men who feel self-conscious about their appearance are helped with breast-reduction surgery. The procedure removes fat and/or glandular tissue from the breasts, and in extreme cases removes excess skin, resulting in a contoured chest that is flatter and firmer.

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Tummy Tuck

Abdominoplasty helps to flatten and shape the abdomen and waist by removing excess fat and skin and tightening muscles. The best candidates have pockets of fat or loose skin that haven't responded well to diet and exercise. The procedure can also be useful for women with stretched skin and muscles from pregnancy.

The procedure takes approximately two hours and is performed under general anesthesia. Recovery time ranges from 1-3 weeks. With a balanced diet and regular exercise, results are long-lasting. Abdominoplasty will likely leave a permanent scar stretching between the hips, although it should be low enough for even a bikini to conceal it.

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The most popular cosmetic surgery procedure, liposuction sculpts the body by removing undesirable fat from areas such as the abdomen, waist, hips, buttocks, thighs, knees, chin, cheeks, neck and upper arms. Local anesthesia or general anesthesia may be used depending on the extent of the procedure and the operation lasts from one to two hours depending on the amount of fat being removed.

There are several different methods surgeons use when performing liposuction, including tumescent liposuction, the super-wet technique, and ultrasound-assisted liposuction (UAL). In all types a tiny incision is made in as inconspicuous a place as possible; a cannula (small tube) then breaks up the fat layer and suctions it out.

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Non-Surgical Procedures


BOTOX® Cosmetic and DYSPORT® are commonly used to reduce or eliminate the appearance of facial wrinkles. The products are injected under the skin into areas surrounding the eyes and forehead to smooth crow's feet and frown and worry lines. Made from a purified protein, BOTOX® and DYSPORT® injections block nerve impulses, weakening muscles to relax wrinkles and give the face a rejuvenated look. BOTOX® may also be useful for migraine headaches and eye and muscle spasms.

The effect of each treatment can last up to four months before results diminish.

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Restylane® and Perlane®

Restylane® and Perlane® are a safe and natural cosmetic dermal filler that restore volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as nasolabial folds. They are also used to sculpt lips and shape facial contours.

Restylane® and Perlane® are cosmetic dermal fillers made of non-animal-based hyaluronic acid. This virtually eliminates any risk of animal-based disease or allergic reaction. Hyaluronic acid is a natural substance that already exists in the human body and is used to provide volume and fullness to the skin.

Studies have shown that the average treatment results last six months or even longer. Restylane® and Perlane® last twice as long as collagen, so treatments are typically scheduled twice a year.

JUVEDERM® Injectable Gel

Juvederm® dermal filler works to instantly fill in facial lines and smooth out wrinkles and folds that look like the parentheses along the side of your nose and mouth, creating a smooth, natural look and feel.


Radiesse® provides immediate wrinkle correction that smoothes out lines and wrinkles. This dermal filler also stimulates collagen production, which restores facial volume to give you natural and beautiful results that last. In many patients, these results may last up to one year or more.

Skin Care Products



LATISSE® solution is a prescription treatment for hypotrichosis used to grow eyelashes, making them longer, thicker, and darker. This eyelash treatment is produced by Allergan, a multi-specialty healthcare company focused on developing innovative pharmaceuticals. Only LATISSE® has been approved by the FDA as a prescription treatment for hypotrichosis used to grow eyelashes. It also has been studied in clinical trial to demonstrate its safety and effectiveness.