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On this interview, Faraz Khan talks to board-certified plastic surgeon Dr. George Bitar on how to lift and tighten your face with and without surgery.

George Bitar, MD, FACS is an award-winning, fellowship-trained, board-certified plastic surgeon who has performed over 10,000 cosmetic facial and body procedures. He is the founder and Medical Director of the Bitar Cosmetic Surgery Institute with offices in Fairfax, VA that serves a sophisticated national and international patient base. offering state-of-the-art skin care, injectables and cosmetic surgery.

Dr. Bitar obtained his medical degree from the George Washington University School of Medicine in Washington, DC, where he now serves as an Assistant Clinical Professor. He then finished a general surgery residency at the Albert Einstein Medical Center in Philadelphia. His plastic surgery residency was completed at the University of Virginia Plastic Surgery Program, which provided him with a strong foundation in reconstructive surgery, for people injured in accidents or who have facial deformities or severe burns, and in hand surgery and microsurgery

Dr. George Bitar Background

  • Medical care skin care line
  • Lots of injectables
  • Trains board eligible plastic surgeons

Is His Clientele More Male or Female?

  • Typically, its 90% female and 10% male
  • Dr Bitar has 20% male patients
  • Does gynocomastea, six-pack ab liposuction, rhinoplasties, plastic surgery after weight loss, neck and eyelid lifts

Most Requested Procedures

  • Men high definition liposuction and gynecomastia
  • Women like rhinoplasticies, and especially ethnic women come to him

As We Get Older, What Happens To Face?

  • Underluing effect is thinning of collagen in dermis
  • Visible changes are decrease of fat in face – for lush cheeks, neck and jawline
  • Loss of elasticity causes the fat moves down from the cheeks and into the jowls

What Are The Overall Approaches To Maintaining A Youthful Face?

  • Have a good diet
  • Don’t smoke
  • Hydrate yourself
  • Avoid sun for too long
  • Get 6-8 hours of sleep every night
  • Do things that make you relax
  • Avoid alcohol in excess

Non-Surgical Options

  • Injectables, lasers, skin tightening devices, medical grade skincare
  • Lasers can target red pigment, spider veins, hair removal lasers, remove wrinkles

How Does Radiofrequency Microneedling Work?

  • Radiofrequency uses a current to heat up dermis and stimulate cells to create more collagen
  • Takes a while to work
  • RF is creates a heat injury in the underlying layer, so it creates new collagen and thickens the collagen
  • It is 1-3 mm’ deep
  • Requires 3-5 treatments

How Does Ultrasound Work?

  • You can go between 1-4.5 mm
  • Creates a small pinpoint burn at the correct depth
  • This tightens the connective tissue
  • Could last for 2-7 years

Microneedling w Radio-Frequency

  • Microneedling burns the skin on the superficial layer
  • Radiofrequency heats the dermis at a deeper level, so this provides a 2-for-1 treatment
  • Morpheus is one such machine

How To Keep The Fat In The Cheeks & Remove It From Jowls

  • Short answer is a facelift which is the most effective procedure
  • Dr Bitar thinks ultherapy is the most effective…it helps coutour the face as well
  • Fillers in cheeks are used to create an effect of fuller rounded cheeks
  • Fillers behind the jowls and in the chin create a more youthful skin
  • Dr Bitar does fillers and ultherapy

Different Types of Fillers

  • Hyaluronic acid for areas that are softer such as lips, under eyes and smile lines – lasts 9-12 months
  • Radiesse (calcium based) – cheeks, nose, jawline and chin. lasts 1-2 years
  • Sculptera and Bellafill 3-5 year

Are all these fillers safe?

  • Dr Bitar believes that the fillers are safe

What is the best filler?

  • A person’s own fat is the best filler
  • Fat grafting is more long lasting, and it’s most safe and natural
  • Can remove fat from other areas of your body and graft it into the face
  • Sometimes the fat may not stick, but there are ways to improve the outcome
  • Takes a year to see how much survives, but then behaves naturally

Where You Can Find Dr Bitar?

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