Aging, sun exposure, and genetic influences can create undesired aesthetic facial features. The facial enhancement options offered by Dr. Scott Barttelbort include both surgical and non-surgical. Surgical solutions include facelift, necklift, rhinoplasty, brow-lift, and eyelid surgery. He also offers a full range of minimally invasive facelift options such as a mid-facelift with the Endotine Midface™ device. Non-surgical solutions include Botox™ and Dysport™ to temporarily reduce wrinkles around the eyes and brow region. Fillers, such as Juvederm™ and Restylane™ can be creatively employed to soften the nasal-labial creases, add volume to the face, and enhance the lips. Dr. Barttelbort has personally trained his certified nurse injector, Donna Eldredge, BSN, RN. For patients seeking facial enhancement without surgery, injectables provide a reliable solution that not only reduce signs of aging but can overall make the face more beautiful. Click to learn more about each of the facial sculpting and rejuvenation options available at our practice:
Deep creases, loose facial skin, jowls, and slacking neck muscles can be corrected by Dr. Barttelbort through facelift. For patients with diminished skin elasticity due to environmental factors or aging, facelift provides significant aesthetic improvement by surgically lifting, smoothing and tightening both skin and the underlying musculature to achieve a more youthful appearance.
At a fully accredited surgical facility, the facelift procedure begins with carefully placed incisions along the hairline. Next, Dr. Barttelbort tightens and secures the facial and neck muscles with fine sutures, then lifts and removes excess skin. The remaining skin is then smoothed, redraped, and secured with sutures or small surgical clips. If necessary, neck lift can be performed in conjunction with facelift to provide additional rejuvenation of the chin and neck. Neck lift requires only a small incision under the chin through which Dr. Barttelbort removes excess fat and skin, and tightens the neck muscles, effectively eliminating the appearance of jowls, neck bands and sagging.
The condition of your skin and the supporting tissues will determine the degree of rejuvenation that can be accomplished through facelift. Generally, our patients are very satisfied with their facelift results, emerging from the procedure looking years younger. We invite you to view before and after photos of our facelift patients in our plastic surgery gallery.
Contact our office for further information about facelift or to schedule your cosmetic consultation with Dr. Barttelbort.
Dr. Barttelbort offers rhinoplasty, which can improve the overall appearance of the face by reshaping the nose to make it more proportionate with surrounding facial features. Whether rhinoplasty patients desire to reduce the size of their nose, alter its shape, or refine the tip, bridge or other defining characteristics, Dr. Barttelbort can customize the rhinoplasty procedure to accomplish their cosmetic goals.
For rhinoplasty procedures, Dr. Barttelbort will choose the surgical technique that will best allow him to achieve ideal results in each individual case. At a fully accredited surgical center, rhinoplasty is completed by resculpting the cartilage of the nose and revising the shape of the soft tissue structures, including the nostrils and tip. Dr. Barttelbort is careful to keep rhinoplasty scars well hidden on the inside or along the underside of the nose, and in most cases scars are undetectable after healing.
If you are interested in enhancing the appearance of your nose through rhinoplasty, please contact our practice today.
Eyelid surgery, which is also called blepharoplasty, can reduce the appearance of puffiness and drooping eyelid skin, as well as diminish bags and wrinkles around the eye area. Eyelid surgery effectively rejuvenates the eye area, giving the patient a more revitalized appearance.
During eyelid surgery, Dr. Barttelbort will make incisions as inconspicuously as possible and remove excess skin, muscle, and fat to smooth and tighten the skin of the eyes. Eyelid surgery can be performed to enhance the upper eyelids, the lower eyelids, or both, and several techniques can be used. At your consultation with Dr. Barttelbort, he will discuss your options with you and create a surgical plan that will give you optimal results that look extremely natural.
Contact our office for more information about eyelid surgery or to schedule your consultation.
Horizontal lines on the forehead and creases above the nose can make you look tired, sad, angry, or older than you are. Dr. Barttelbort can make the face appear years younger by tightening and lifting forehead skin to create a more refreshed, youthful look.
During a brow lift procedure, an endoscope, which is a specialized surgical tool with a small video camera attached, is inserted below the skin through a few small incisions along the hairline. Using the images from the scope as his guide, Dr. Barttelbort then separates the skin from the underlying bone and reduces the muscle bulk between the brows that causes deep furrows. Next, he lifts and tightens the skin and carefully removes the excess. The incision is then closed with sutures. To provide additional enhancement, brow lift is often combined with other facial procedures, including facelift and eyelid surgery (blepharoplasty).
Contact us today for further information about endoscopic brow lift or to schedule a consultation with Dr. Barttelbort.
For patients who do not require a full facelift, but have begun to notice drooping of the cheeks and mid-face, Dr. Barttelbort offers mid-facelift using the Endotine Midface™ device. With this device, Dr. Barttelbort can quickly complete the lift procedure and ensure secure results. Unlike a traditional facelift surgery, there are two small incisions hidden behind the hairline and two in the mouth with no incisions placed in front of the ear. Dr. Barttelbort slips the device through the incision and down along the side of the face until he reaches the cheek. He then secures the sagging cheek tissue to the small projections at the end of the device and then gently lifts the mid-face area to its youthful position. When the procedure is complete, Dr. Barttelbort closes the incision leaving the Endotine Midface™ device intact to hold the tissue in place as it heals. When healing is complete, the device is broken down and reabsorbed by the body. Results achieved with the Endotine Midface™ device are impressive; patients emerge from the procedure looking years younger without extensive surgery.
For further information about mid-facelift with the Endotine Midface™ device, please contact us today.
BOTOX® Cosmetic can be used to reduce the appearance of fine to deep wrinkles found between the brows and around the eyes. When injected with a small micro-needle, BOTOX® Cosmetic relaxes targeted muscle groups to smooth wrinkles and diminish their appearance over time. Results achieved with BOTOX® Cosmetic are temporary, lasting up to six months before repeat treatment at our La Jolla office is necessary. Often, facelift and eyelid surgery patients undergo BOTOX® Cosmetic treatment to enhance their results.
Eliminate your prominent wrinkles and fine lines for smooth, youthful skin without surgery by contacting us today to speak to our Certified Nurse Injector, Donna Eldredge, BSN, RN. Donna is available Monday through Friday for consultations or treatments.
Dermal fillers can smooth moderate to severe facial wrinkles and folds. Temporary dermal fillers such as Restylane® and the Juvederm® family are stabilized hyaluronic acid gels and have been FDA approved for the cosmetic treatment of moderate to severe facial wrinkles and soft tissue depressions. Dermal fillers can also be applied to the lips to restore youthful volume or to simply create better proportion to naturally thin lips. Voluma® is the first FDA-approved injectable gel for the cheek area. Voluma® can be used to add volume to the face creating aesthetically pleasing contours and dimensions. The fillers used at our office are composed mainly of hyaluronic acid, a volume-maintaining substance found naturally in the human body; Restylane® and the Juvederm® Family rarely cause allergic reactions and are extremely safe.
If you would like to smooth wrinkles, restore facial volume and angles, or contour your lips, contact our office today to speak to our Certified Nurse Injector, Donna Eldredge, BSN, RN. Donna is available Monday through Friday for consultations or treatments.
Our state-of-the-art Palomar Icon laser and pulsed light systems help clear many undesirable skin imperfections on your face and body. By targeting sun damage, brown spots, red spots, and wrinkles this technology provides you with clearer rejuvenated skin. This non-ablative equipment allows skin rejuvenation with minimal to no downtime. Signs of dull, damaged, and aging skin are decreased, resulting in a smoother more even skin tone and texture. Laser and pulsed light treatments can be performed by themselves or in combination with surgical or nonsurgical procedures. Our office creates a tailored treatment plan to fit each patient’s goals and lifestyles. Contact us today to speak to our Laser Specialist, Donna Eldredge, BSN, RN. Donna is available Monday through Friday for consultations and treatments.
Kybella® is a prescription medicine used in adults to improve the appearance and profile of moderate to severe fat below the chin (submental fat), commonly referred to as a “double chin.” Recently approved, Kybella™ is the first and only FDA-approved injectable drug that contours and improves the appearance of submental fullness. When injected into subcutaneous fat, Kybella™ causes destruction of fat cells; once destroyed, those cells cannot store or accumulate fat.
If you would like to treat your submental fullness and help create a better defined jawline, contact our office today to speak to our Certified Nurse Injector, Donna Eldredge, BSN, RN. Donna is available Monday through Friday for consultations or treatments.