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Category: Facelift

How Does Fractionated Laser Skin Resurfacing Work?

Colored drawing of the four steps of how fractional laser skin resurfacing worksLaser skin resurfacing targets aged and damaged skin to produce smoother and firmer skin with a more youthful complexion. The fractionated CO₂ laser skin resurfacing procedure works by removing damage on the outer layer of skin (epidermis) while stimulating the body’s natural production of collagen deeper in the skin. The powerful laser ablates the flaws on the skin’s surface and penetrates the deeper layers to vaporize microscopic areas of damage. This actives the regeneration process, in which the body grows new, healthy tissue. The laser leaves fractions of healthy skin, which also aids in the healing process.

The Benefits

Fractionated CO₂ laser skin resurfacing can improve the following signs of aging around the eyes and mouth, in the cheek area, and on the forehead, neck, and chest:

  • Fine lines
  • Wrinkles
  • Pigmented lesions (sun spots, liver spots, birthmarks)
  • Warts
  • Scars
  • Blotchiness
  • Yellowish or grayish skin tone
  • Large oil glands

The Healing Process

After the procedure, the healing process may require one to two weeks of downtime. The skin may be red, swollen, and have some crusting for the first week, and during the second week pink, youthful skin will emerge. Patients should avoid direct sunlight until the skin is fully healed. Dr. Wise will then create a customized skin care regimen to ensure a proper recovery and help maintain results.

Combination Procedures

The Erbium-Yag Laser Peel, which targets more superficial layers of the skin, is sometimes combined with fractionated CO₂ laser skin resurfacing to provide more comprehensive rejuvenation. Surgical procedures, such as a facelift, also often combine a laser skin resurfacing treatment to achieve skin that is as youthful as the lifted tissues.

At the Wise Center for Plastic Surgery, we evaluate each patient’s unique circumstances to determine the best procedure to meet his or her needs. If you are interested in improving signs of aging and achieving youthful, radiant skin, please call (888) 295-6933 or fill out our online contact form today. Dr. Jeffrey Wise is ABPS Board Certified in Plastic Surgery as well as board certified by the American Board of Otolaryngology – Head and Neck Surgery.


Why Do Most People Opt to Have Laser Skin Resurfacing at the Same Time as a Facelift?

In 2013, Americans spent more than $12 billion on plastic surgery and other cosmetic procedures. For thousands of people, the idea of receiving a facelift is an exciting adventure, but many fail to take the opportunity to have multiple cosmetic procedures performed at the same time. People choosing to have a facelift, termed a Rhytidectomy in medicine, are demonstrating an increasing desire to also have laser skin resurfacing performed at the same time. Let’s take a look at both of these procedures and how they benefit patients when completed simultaneously.


The facelift gives people a boost in confidence and self-esteem. When your surgeon begins the procedure, he will use either general or local anesthesia. The majority of people choose to undergo the procedure will be able to relax and not have any adverse effects when given general anesthesia or oral sedation. Depending on the quantity of incisions needed and types of work performed during the procedure, the physician may choose to make incisions around the creases and folds of the ears and hairline behind the ears. If eyelid procedures are performed, small access points are created in the creases near the eyelashes. . This procedure will allow the physician to remove excess wrinkles and folds in your skin of the face and neck; however, it will not affect the youthful and stereotypical glow wanted in younger skin, which is why many choose to take the next step: laser skin resurfacing.*****

Laser Skin Resurfacing

Laser skin resurfacing removes the outermost layers of your dermis and stimulates the production and proliferation of collagen in your tissues, which is what gives your skin a more youthful appearance. In addition, collagen growth will help to keep your face looking younger for a longer time.

If you choose to have laser skin resurfacing at the same time as your facelift, the results will last longer and your recovery time will be reduced. If you have these procedures completed separately, you will face weeks of bruising and swelling at different times.

Following your facelift, do not expect to experience immediate results as you will experience significant swelling the first 3-days and bruising over the first 2-weeks. It may take up to one-month for the bruising to subside and up to 3-months to notice permanent results in your face’s appearance.. However, you will notice the results of the laser skin resurfacing within a few weeks. The laser skin resurfacing can also reduce any negative appearance of scar tissue.

As society moves in the direction of improving self-confidence, the statistics of plastic surgery will continue to rise. In order to save time in your physician’s office and in recovery, you should consider having multiple procedures completed at the same time. Besides, you will look even more radiant once your wrinkles are removed and your skin glows with youth.

What Is the Appropriate Age to Consider a Mini-facelift and Full Facelift?

There is no magical age that qualifies a person for a mini or full facelift. Each person is unique, and his or her rate of aging will largely influence at what age is best to consider undergoing a procedure. As with any type of cosmetic surgical procedure, an assessment by a plastic surgeon is necessary. And even more important is that the assessment be conducted by a facial plastic surgeon who has many years of experience completing facelift surgeries. It’s also imperative that the doctor be extremely reputable.

Dr. Wise is a double board certified, facial plastic surgeon operating in Wayne, New Jersey. He focuses exclusively on plastic surgery of the face, head and neck. He has performed thousands of facelifts and mini-facelifts and his experience is invaluable in helping his patients determine which procedure best meets their goals.

Appropriate Age for a Mini-Facelift

Mini-facelifts tend to be most suited for people who are at least 30 to 40 years-old. The procedure itself is not as invasive as a full facelift, with the ultimate goal being to provide a more youthful appearance.

Most plastic surgeons will agree that treating the early signs of aging can be accomplished through a mini-facelift. The overall results tend to be slightly limited, especially when compared to a full facelift. For those who have endured a minimal loss of elasticity in facial skin and/or a minimal loss of fatty issue, they will likely be good candidates for a mini-facelift. Since everyone is different, some people find getting a mini-facelift to be advantageous during their younger years (30s or 40s); however, this isn’t to imply that a person in their late 20s who has more extreme signs of aging won’t benefit from a mini-facelift.

Appropriate Age for a Full Facelift

According to the American Society of Plastic Surgeons, a study published in its official medical journal found that younger patients were more likely to achieve better results from a full facelift. This type of facelift tends to provide more dramatic and long-lasting results in people who receive the procedure before they are 50-years-old.

To determine how satisfied patients are with their facelift procedures, the study compared those who were “younger than 50, 50 to 60 years, and over 60 years old at the time of facelift surgery.” It was discovered that during short- and long-term follow up appointments, people who underwent the procedure at a younger age were more satisfied. In fact, those who were younger than 50-years-old generally had a higher rate of satisfaction. This supports the fact younger patients tend to be better candidates.

The Takeaway

It should be noted that even though younger patients have higher rates of satisfaction, a facelift procedure — whether it be a mini-facelift or full facelift — can still be immensely valuable to patients who are older. When considering a facelift procedure, age should definitely be taken into consideration as well as the rate of aging that a person is experiencing. Strong signs of aging will definitely benefit the most from a full facelift; however, it needs to be remembered that a full facelift is more invasive than a mini–facelift. As noted above, those who receive a mini or full facelift are usually more satisfied if they have the surgical procedure performed before reaching 50-years-old.

What Are the Telltale Signs of a Bad Facelift?

A facelift can rejuvenate your facial features, but only if the procedure is performed correctly. This makes it important to consider the benefits and risks associated with getting a facelift carefully, before you undergo surgery. Fortunately, there are telltale signs associated with bad and good facelifts, which will help you select a plastic surgeon that is right for you.

Signs of a Bad Facelift

Bad facelifts are sometimes very obvious. For instance, a patient’s skin may appear to be stretched too tightly over their face, drastically altering their appearance. Re-occurring pain, medical complications and facial distortions are also red flags. Skin irritation and folds around the outer portions of a patient’s face are giveaways of a bad facelift, as well. These telltale signs are just a few of the things you should look for when assessing a plastic surgeon.

Other risks and red flags are noted by major medical associations. According to the American Society of Plastic Surgeons, some of the risks associated with facelifts include:

  • Fluid accumulation and prolonged swelling
  • Infection
  • Noticeable scarring
  • Facial nerve injury
  • Skin discoloration

Signs of a Natural Facelift

Natural looking facelifts are achieved through precise adjustments that don’t drastically alter the contours of your face. Rather, they tone your skin and facial features in a complementary way. With a good facelift, you’re still going to look like you just younger.

Dr. Wise customizes his facelift with different techniques to improve the signs of an aging neck, jowls and lower face, ensuring you get the best results possible. Dr. Wise also uses other procedures, such as laser skin resurfacing, fat transfer and eyelid surgery, in tandem with a facelift to create natural looking results that will impress you and your friends and family. Although results vary between patients, Dr. Wise’s skill is evident in his patients’ before and after photos.

If you desire a facelift, you want to work with an experienced, facial plastic surgeon. By recognizing the signs associated with bad and good results, you can enjoy a facelift that meets your goals and makes you look younger and more vibrant.

New Jersey Liquid Facelift

Woman receiving cosmetic treatment of injectables for problem areas on her forehead, crowsfeet, and nasolabial foldsThe face is a common area where aging is first apparent. Over time, environmental elements combined with normal facial expressions cause fine lines, wrinkles, and a loss of facial volume. These conditions continue to worsen and develop into deep creases, loose folds, and sunken features, causing people to appear older than they actually are. While many individuals desire surgical procedures, such as facelifts and eyelid lifts, others are opting for cosmetic treatments through a liquid facelift.

At the Wise Center for Plastic Surgery, we offer the liquid facelift procedure for patients who wish to restore a revitalized appearance to their face without the recovery time that invasive surgery requires.

What is the Liquid Facelift?

The liquid facelift is a cosmetic treatment that uses a combination of injectables and fillers to smooth out skin and add fullness to the face. The result is a noticeably younger looking face.

Muscle Relaxers 

As perhaps the most popular injectable in the world, BOTOX® Cosmetic treats wrinkles on the forehead, and around the eyes and lips. Derived from the protein, botulinum toxin A, BOTOX® provides a smoother appearance to the face by relaxing the facial muscles over a long period of time. Dysport® and XEOMIN® are other neurotoxin injectables that, like BOTOX®, eliminate wrinkles caused by facial contractions.

Dermal Fillers

Fillers are used to soften wrinkles, reduce smile lines, and diminish nasolabial folds by literally “filling in” wrinkles and creases. Of the wide-range of fillers that are available, we carry the following:

  • Restylane®
  • Perlane®
  • Sculptra® Aesthetic

The fillers that we use are made out of natural substances like hyaluronic acid and calcium hydroxylapatite, so patients do not have to worry about allergic reactions occurring after treatment.

How is a Liquid Facelift Performed?

A personalized consultation will determine which areas of the face need improvement. A local anesthetic is applied to numb the targeted areas of the face, and the injectables and fillers are then strategically injected. This procedure usually takes less than an hour to complete, and most patients are able to return to work immediately afterwards.

The Wise Center for Plastic Surgery, in New Jersey, also offers Fat Transfer. This procedure effectively removes excess fat cells from one or more areas of the body (e.g., abdomen, hips, thighs) using liposuction. The fat cells are purified and then strategically injected into different areas of the face to add fullness and provide a younger-looking appearance.

To schedule a consultation with our New Jersey practice, call (973) 305-1400 or feel free to fill out our online contact form today. Dr. Jeffrey Wise is a double-board certified facial plastic surgeon, and he has helped many women and men of all ages achieve a more attractive and youthful-looking appearance. Dr. Wise and his friendly staff look forward to helping you look as young as you feel.

See Your Surgery Results BEFORE Surgery!

Many people are interested in undergoing facial plastic surgery, such as a facelift, laser skin resurfacing, fat transfer, and eyelid rejuvenation, but are hesitant because they are unsure of how they will look after the procedure. Imagine if you could know how the results of your surgical procedure would look before you ever enter the operating room. At Wise Center For Plastic Surgery, we offer imaging with an advanced system that allows patients to more effectively communicate their desires to Dr. Wise and determine if a particular procedure will achieve results that meet their aesthetic goals.

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Three-Dimensional Imaging System

With Canfield’s VECTRA M3 Imaging System, Dr. Wise can simulate proposed before and after images of your desired surgery. Three high-resolution 36-megapixel color cameras capture detailed photographs of you from different angles, and then the VECTRA system quickly combines the images of you to create a fully rotatable 3-D image of your face and neck. Advanced computer software is used to analyze the images and simulate the corrections that can be made with facial plastic surgery.

A More Comprehensive Beauty Plan

Our state-of-the-art imaging system allows you and Dr. Wise to have a shared visual understanding of your beauty goals in order to develop a comprehensive plan to achieve these specific goals. The VECTRA M3 System will display a visual image of the desired changes you describe to the doctor, and this image will let you confirm that the result of those changes align with your aesthetic goals. This also grants Dr. Wise the ability to provide specific recommendations for your individual circumstances to achieve the particular appearance you desire. Since each person ages differently and has distinct physical structures, Dr. Wise uses an individualized approach to correct signs of aging, and the VECTRA M3 provides a visual aid to demonstrate the possible results of what can be achieved with your surgery.

Benefits of the VECTRA M3

  • Demonstrates proposed results of facial surgeries that are:The before and after pictures of a women who had a facial rejuvenation procedure

    • Three dimensional

    • Detailed

    • Realistic

  • 3-D simulations can be viewed:

    • From any angle

    • At any distance

To schedule a consultation with our board-certified facial plastic surgeon, Dr. Jeffrey Wise, and see the visual results of your enhanced appearance that can be achieved with plastic surgery, please call (888) 295-6933 or fill out our online contact form today.

Tips for Improving Wrinkles

It’s a given that time will take a toll on our skin, and no one can escape this unfortunate reality. We are constantly making facial expressions, and these contractions of the facial muscles stretch the skin. The middle layer of the skin, called the dermis, contains elastin fibers that give it the ability to return to its original form after being stretched. Over time, the dermis naturally loses elastin, and fine lines and wrinkles develop. These signs of aging are especially noticeable on people who smoke cigarettes and sun bathe often, as these habits drastically damage the skin’s resilience. For those who are already noticing signs of aging on their skin, try these tips for improving the appearance of existing wrinkles and keeping future ones at bay.

Renew With Retinoids

Topical retinoids, such as the Tri-Retinol Complex™, work by penetrating the skin’s surface and rejuvenating it from the deep layers upward. Retinoids stimulate your skin’s natural production of collagen and promote cell turnover to fight wrinkles and produce beautiful, radiant skin.

Volumize With MoisturizerA girl applying skin care cream to her face

When the skin is dry, wrinkles are more pronounced, and our skin retains less moisture as we age. Moisturizers, such as SkinMedica® Ultra Sheer Moisturizer and NEOCUTIS LUMIÈRE Bio-restorative Eye Cream with PSP®, hydrate and plump the skin to reduce wrinkles.

Protect With Sunscreen

To prevent existing wrinkles from worsening and future wrinkles from developing, use a broad-spectrum sunscreen with an SPF of at least 30 every day. The JOURNÉE Bio-restorative Day Cream with PSP® Broad-Spectrum Sunscreen SPF 30 and Daily Physical Defense™ SPF 30+ Sunscreen are great products for moisturizing the skin and protecting it from the sun’s harmful ultraviolet rays.

Prepare With Primer

After moisturizing your skin but before applying foundation, use a makeup primer as a base to fill in wrinkles and fine lines. This base will soften the appearance of wrinkles and keep your makeup looking fresh longer.

Here at the Wise Center for Plastic Surgery, we offer a variety of skin care products and aesthetic treatments to drastically reduce the appearance of dark spots and wrinkles. Fillers and injectables are also safe and effective ways to treat early to moderate signs of aging without surgery. If you have significant wrinkles and sagging skin, Dr. Wise offers the Wise Revitalize Lift and the Wise Signature Lift for complete facial rejuvenation.

Dr. Jeffrey B. Wise is one of the few surgeons in the country who is a double board-certified facial plastic surgeon. His extensive education, training, and experience in facial plastic surgery have given him comprehensive knowledge of the structures of the face and how to improve them. If you are interested in improving the signs of aging in your skin, please call (888) 295-6933 or fill out our online contact form today to schedule your consultation with Dr. Wise.

Am I too Old for a Facelift?

Old woman with gray hair

Those considering a facelift in their golden years are often concerned that their older age increases the likelihood of complications with the procedure. While there are several factors that determine the most successful surgical outcome, studies have shown that age is not the most prevalent.

In fact, one study published in the journal of Plastic and Reconstructive Surgery examined women of various ages who received facelifts. Results showed that facelift complication rates for the group of women over 65 were actually very similar to complication rates for the group of younger women.

The facelift procedure is becoming increasingly popular among older generations, with over 82,000 procedures performed on patients over the age of 55 last year, according to statistics from the American Society of Plastic Surgeons.


What influences surgical success?

  • The expertise of the surgeon
  • The patient’s postoperative care
  • The patient’s overall health

The patient’s overall health is actually one of the most important components to a quick recovery and a successful result. Poor health can influence a patient’s ability to withstand the trauma of the procedure and the effects of anesthesia, as well as the healing process. Since patients who are older often have more health concerns than younger people, certain tests may be recommended in order to determine candidacy.

Stamina is usually a good general indicator of cardiovascular health, which is a primary concern with older patients. If you can walk a mile at average pace without shortness of breath or pain, your heart will probably tolerate most cosmetic procedures. If there is any doubt, you should get a stress test. If you have recently had a heart attack or you have experienced chest pain due to heart disease, is not likely that you will qualify for the facelift procedure.

Smoking is also a major inhibitor to surgical success. Invasive procedures such as the facelift should not be performed if the patient has recently smoked.

Smoking increases the likelihood that you will:

  • Stifle the flow of oxygen to the heart
  • Form blood clots
  • Have difficulty breathing during and after surgery
  • Develop infection
  • Have impaired wound healing
  • Change the breakdown of drugs in your body

For the best result, you must quit smoking several weeks before surgery and abstain from smoking several weeks after surgery.

Don’t let your age deter you from getting the procedure you desire. During a consultation, Dr. Jeffrey B. Wise will thoroughly evaluate your health history to determine if the facelift procedure is right for you. Please fill out our online contact form or call 973-658-4019 today to schedule an appointment. We look forward to hearing from you!