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As of March, 2016 Dr. Bharti joins Hunstad Kortesis Plastic Surgery + MedSpa in Charlotte, NC. New and existing patients are welcome to call 704-659-9000 to set up consultations with Dr. Bharti's new office.

Viewing entries tagged facelift

Turn Back the Clock with Facelift Surgery

Facelift Surgery Johnson City TN

Those deeper lines, wrinkles, and sagging skin may be adding years to your appearance and can be what’s making you feel self-conscious. If you are ready to transform your look and make some permanent changes, talk to Dr. Bharti about the benefits of facelift surgery. A facelift is an advanced surgical procedure that can tighten up loose skin, eliminate excess facial fat when performed in combination with liposuction, and smooth away lines and wrinkles. You can restore those youthful contours and maintain that fresh-faced appearance for years to come after face lift surgery without looking operated on.

Facial Rejuvenation Case Study

This patient was a 51-year-old 5’7’’162lb female who presented to Dr. Bharti with a desire to rejuvenate her face to look more youthful.  Her areas of concern were her drooping eyebrows, her lower lids, as well as her lower third of her face and neck.

After several consultation visits and preoperative screening, she was taken to the operating room as an outpatient for a full face & neck lift (rhytidectomy), lower eyelid lift (blepharoplasty) and an endoscopic brow lift (foreheadplasty).  These procedures were performed in the operating room under general anesthesia. 
The first procedure that Dr. Bharti performed was her endoscopic brow lift in a minimally invasive pattern to avoid a large scalp incision line.  She had already had an upper lid lift in the past. 

Next, Dr. Bharti then performed liposuction of her neck and then performed the full face & neck lift using preauricular/retrotragal skin incisions.  The deep muscle layer (SMAS) was then resuspended using plication and purse string sutures.  This deep layer tightening is critical as this provides the patient with a durable lift.  The skin tightening is secondary, and if too much tension is placed on skin closure then this will result in poor scarring and unnatural appearance.  After the deep muscle layer was tightened the skin was then tightened and closed. 
The last part of the procedure was the lower lid lift (blepharoplasty) procedure.  This was performed to remove the excess skin and smooth the junction between the lower lids and the cheeks.  A drain was left in place in her neck that was removed in 5 days.  The patient was admitted for observation and pain control overnight and discharge home the following day. 

She was placed in a compression garmet immediately after the surgery.  This was changed by Dr. Bharti the morning after surgery and then replaced prior to her going home.  She returned to clinic 5 days after surgery to have her sutures removed and to remove her drain.  She was allowed to wear makeup on her incisions after 2 weeks. 

She is very is pleased with her results greater than one year out from her rejuvenation.  She has a natural and very refreshed look. 

Facial Rejuvenation

Woman s_Face We all age.  It starts the day that we are born.  It is a life process that does not discriminate and affects everyone.  Certain behaviors and environmental exposures can speed up the aging process.  Smoking and sun exposure are the main offending agents that will make you age at a faster rate.  It is never too late to stop smoking and to limit your sun exposure.

The question remains: What can I do to erase the signs of facial aging?  To attain a youthful face you must plan your attack using many tools and you must target all portions of your face including your forehead, eyes, cheeks, lips, neck, and the actual skin.  Using these tools you can slow the process of aging, and with surgery you can set the clock back many years.  Below is a list of options that can be utilized to keep your face looking youthful and surgical methods to turn back the clock.   These options are often combined to get the best result.  Each person is unique and will have different goals.  Therefore facial rejuvenation should be customized to each individual patient. 

Nonsurgical Management

1. Meticulous skin care regimen (Example: Obagi NuDerm system)

2. Avoid excess sun exposure

3. Wear sunscreen (most make-up has sunblock in it)

4. Moisturize  (even men need to think about this)

5. Bleaching agent (facial skin darkens as it ages)


Kojic Acid

6. Injectable fillers to fill erase shadows and fill in wrinkles



7. Neurotoxin to stop wrinkles from forming



8. Stimulate new  skin to form

Retinoic Acid

Chemical peels

Surgical Management

1. Skin Resurfacing

Laser Resurfacing


High Strength Chemical Peels

2. Facelift


Full face & neck lift

3. Blepharoplasty (eyelid lift)

Upper Lid

Lower Lid

4. Browlift


Open Approach

5. Rhinoplasty

6. Lip Augmentation


Fat Injection


7. Facial Implants