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Aging of the face manifests in 3 ways: 1) sagging, 2) wrinkling, and 3) gaunting. Gaunting is a sinking of the skin due to natural fat loss in certain areas as we age, such as beneath the eyes. A facelift helps sag, but does not improve the shadows cast by sunken areas. In some patients, for the first few months after facelift, swelling fills in some of these sunken areas, temporarily producing the effect normally achieved through fat injections. However, that swelling always goes away, leaving only the lifting effect of the facelift. Long term, the vast majority of patients will get a better overall result with fat injections done at the same time as the facelift. Occasionally, an individual does not need the lift of a facelift, but only fat injections. This woman chose to include fat injections with her facelift. Looking at the before picture, I have labeled the areas chosen to inject: A) the “dark circle” area beneath the eye, B) the sunken cheek area, and C) the nasolabial fold. Consistent lighting in before and after pictures is very important to demonstrate the result. We can clearly see the benefit in the after picture, almost a year later. Volume has been added to her face to create a very natural, more youthful appearance.


Surgeon: Dr. Thomas Hubbard
Patient Age: 51
Patient Gender: Female

Case Number: 178

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*The persons shown in photographs on this website are stock photography models and are not actual patients of Hubbard Plastic Surgery & Skin Enhancement. Photos in our online gallery are of actual patients of our practice, unless otherwise noted, who have provided consent to display their pictures online.

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Practice Policy Update Regarding COVID-19 View Update Online Consultation

Practice Policy Update Regarding COVID-19

We are excited to announce our reopening as of May 1st. While many things have changed, one thing has remained the same: Our commitment to your safety.

Consultations are available in our office and we will continue to offer Virtual Consultations as well. You will be asked to complete your registration paperwork in our secure patient portal prior to your appointment and your consultation fee will be collected by phone to minimize contact.

Here are a few changes we have made as we transition to this new era:

  • Please reschedule your appointment if you are not feeling well, have a fever, have been exposed to anyone with Covid-19 or travelled internationally within the last month.
  • We will limit the number of people in the building and waiting area to maintain social distancing and our staff will be wearing masks until restrictions are eased.
  • Please wear a mask during your visit but do not wear gloves. You will be given hand sanitizer.

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