How to Reduce Sagging & Jowls On Your Face Non-Surgically & Surgically

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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