standard-title Face


Is your face aging faster than you are? Effects of sun, weight loss and activities of daily living can loosen and wrinkle the skin of the face, giving an impression of premature aging.

You only get one chance to make a first impression. A healthy, youthful face is the impression you want to make. Dr. Apesos employs a variety of techniques to lift, tighten and smooth your forehead, eyes, cheeks, chin and neck, so that the outer image you project reflects your inner vitality.

Click through to find your feature challenges, or call for an appointment today for a complete professional evaluation. Dr. Apesos has the training and experience to know which procedure or combination of procedures will give you the best results.

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Facelifts and Cheek Lifts

As part of the natural aging process, the skin and muscles of the lower face and neck lose elasticity, resulting in jowls and a poor neck contour. Facelifts restore a more youthful appearance to the lower two-thirds of the face, from below the eyes down to the upper part of the neck. Facelifts work by removing the excess skin and tightening the underlying neck and facial muscles. Excess fat and skin are removed through inconspicuous incisions placed behind the hairline and within the natural curves of the ears. Usually performed on an outpatient basis, facelifts are performed under local anesthesia with twilight sedation, and healing occurs in about two weeks.

We are very pleased to provide our patients with access to the following facial surgery procedures:

MEDITHREAD is a powerful synthetic fiber that has a lifting effect on the face, neck, and body. The MEDITHREAD sutures consist of a mono-filament that eventually hydrolyzes after a given time in the tissues. Learn more about MEDITHREAD here:

NOVATHREADS is a thread lift procedure that uses absorbent surgical threads (PDO threads) to gently lift and tighten skin in the lower facial region, including the neck. These threads are inserted under the skin via injections. They immediately get to work lifting the skin, as well as triggering excessive collagen production. Results can become visible within a day or two and can last for up to six months. Learn more about NOVATHREAD here:

Why does it work?
Based on the implant of mini threads, creating a net to sustain the cutaneous tissue is a rejuvenation technique that results in an immediate lifting effect and stimulates the natural production of collagen. This stimulation causes skin rejuvenation, making your skin younger, more elastic, and brighter.

Visually, the human face is divided into two ovals. The inner oval, involves the central cheeks, mouth and lines around the nose. The outer oval involves the neck, outer cheeks and areas in front of the ears. Surgeons must address both of these areas to give the best result. The skin and outer muscles may need tightening or additional midface cheek endoscopic lifting may be required to thoroughly rejuvenate the appearance. Facelift and endoscopic mid facelift are often performed together or each procedure can be performed in a sequence separated by months to years.

After surgery, some swelling and bruising can be expected. This swelling normally subsides within several weeks. Most sutures are removed after seven to ten days, and residual bruising can be covered by makeup. There may be some discomfort after the surgery, which is usually controlled by medications prescribed by Dr. Apesos.

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