Facelift

A face-lift is a procedure designed to improve the appearance of the face by removing excess skin and restoring the correct positioning of the cheek fat pads. This procedure can be combined with other procedures, including brow lift, upper and lower blepharoplasty, neck lift and liposuction/fat grafting.

How long will the procedure take?

Face-lift is a procedure done under general anesthesia and typically takes three to four hours. It is a surgery performed on an outpatient basis.

Where will the incisions be?

Face-lift incisions are typically hidden in the hair of the scalp and behind the ears.

What will recovery be like?

Typically, the immediate recovery is about two weeks. This can vary from person-to-person and depends on the extent of your procedure. You should be able to shower about two to three days after the procedure. A follow-up appointment will be scheduled for you about two days later to evaluate bruising and possibly remove a drain. Dr. Aboutanos will give you instructions on when you are safe to wear make-up. Initially, you should plan to avoid strenuous exercise, heavy lifting, and housework. You will need to walk and keep your legs moving after surgery to avoid complications.

What else should I know about face-lift?

Long-acting pain medication is placed throughout the surgical sites to help with post-operative pain. You will have better results if you keep your head elevated during this time. You will need a responsible adult to drive you home and stay with you for at least 24 hours after the surgery. Dr. Aboutanos and her staff will review all of these instructions with you. Dr. Aboutanos will be there every step of the way to ensure the best results.

Brow Lift

A brow lift is a procedure designed to improve the appearance of and restore the correct positioning of the brows. This procedure can improve the appearance of heavy or droopy brows. It can be combined with upper and lower blepharoplasty.

How long will the procedure take?

Brow lift is a procedure done under general anesthesia and typically takes two hours. It is usually performed on an outpatient basis.

Where will the incisions be?

Brow lift incisions are typically hidden in the hair of the scalp.

What will recovery be like?

Typically, the immediate recovery is about two weeks. This can vary from person-to-person and depends on the extent of your procedure. You should be able to shower about two to three days after the procedure. A follow-up appointment will be scheduled for you about one week later. Initially, you should plan to avoid strenuous exercise, heavy lifting, and housework. You will need to walk and keep your legs moving after surgery to avoid complications.

What else should I know about brow lift?

Long-acting pain medication is placed throughout the surgical sites to help with post-operative pain. You will have better results if you keep your head elevated during this time. You will need a responsible adult to drive you home and stay with you for at least 24 hours after the surgery. Dr. Aboutanos and her staff will review all of these instructions with you. Dr. Aboutanos will be there every step of the way to ensure the best results.

Eyelid (Blepharoplasty)

Blepharoplasty is a procedure designed to improve the appearance of the upper and lower eyelids. This procedure can address many features of the eyelids, including extra skin and puffiness.

How long will the procedure take?

Blepharoplasty is a procedure done under general anesthesia and typically takes two hours. It is performed on an outpatient basis.

Where will the incisions be?

Blepharoplasty incisions are typically hidden along the skin creases of the upper and lower lids.

What will recovery be like?

Typically, the immediate recovery is about two weeks. This can vary from person-to-person and depends on the extent of your procedure. You should be able to shower about two to three days after the procedure. A follow-up appointment will be scheduled for you about one week later. Initially, you should plan to avoid strenuous exercise, heavy lifting, and housework. You will need to walk and keep your legs moving after surgery to avoid complications.

What else should I know about blepharoplasty?

Long-acting pain medication is placed throughout the surgical sites to help with post-operative pain. You will have better results if you keep your head elevated during this time. You will need a responsible adult to drive you home and stay with you for at least 24 hours after the surgery. Dr. Aboutanos and her staff will review all of these instructions with you. Dr. Aboutanos will be there every step of the way to ensure the best results.

Nose (Rhinoplasty)

Rhinoplasty is a procedure designed to improve the appearance of the nose. This procedure can address many features of the nose, including the width, the appearance of the tip, and how straight the nose is.

How long will the procedure take?

Rhinoplasty is a procedure done under general anesthesia. It is a procedure that typically takes two hours and is done on an outpatient basis.

Where will the incisions be?

Rhinoplasty incisions are typically hidden along the inner part of the nose and along the columella (the thin part of the nose that meets the upper lip).

What will recovery be like?

Typically, the immediate recovery is about two weeks. This can vary from person-to-person and depends on the extent of your procedure. You should be able to shower about two to three days after the procedure. A follow-up appointment will be scheduled for you in about one week. Initially, you should plan to avoid strenuous exercise, heavy lifting, and housework. You will need to walk and keep your legs moving after surgery to avoid complications.

What else should I know about rhinoplasty?

Long-acting pain medication is placed throughout the surgical sites to help with post-operative pain. You may go home with a nasal splint and packing to help prevent injury and ensure better long-term results. This will be removed by your surgeon in about one week. You will need a responsible adult to drive you home and stay with you for at least 24 hours after the surgery. Dr. Aboutanos and her staff will review all of these instructions with you. Dr. Aboutanos will be there every step of the way to ensure the best results.

Ear Pinning (Otoplasty)

Ear pinning, also known as otoplasty, is a procedure designed to treat prominent ears by improving their appearance. This procedure is done by addressing the skin and cartilage of the ear. Otoplasty can be done for one or both ears. It is a procedure that can be done for children and adults.

How long will the procedure take?

Ear pinning, or otoplasty, is a procedure done under general anesthesia. Otoplasty typically takes two hours and is done on an outpatient basis.

Where will the incisions be?

Otoplasty incisions are typically hidden along the back of the ear so that they are not visible.

What will recovery be like?

Typically, the immediate recovery is about two weeks. This can vary from person-to-person and depends on the extent of the repair. You will go home in a head wrap dressing. This will be removed in the office in the next two days. You will receive instructions on the type of dressing to be used afterwards. You should be able to shower about two to three days after the procedure.


Initially, you should plan to avoid strenuous exercise, contact sports, heavy lifting, and housework. You will need to walk and keep your legs moving after surgery to avoid complications.

What else should I know about otoplasty?

Long-acting pain medication is placed throughout the surgical sites to help with post-operative pain. You will need a responsible adult to drive you home and stay with you for at least 24 hours after the surgery. Dr. Aboutanos and her staff will review all of these instructions with you. Dr. Aboutanos will be there every step of the way to ensure the best results.

Microneedling

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Microneedling (also called collagen induction therapy) is an in-office procedure that involves the use of fine needles to make tiny punctures in the skin. These tiny punctures stimulate collagen and elastin, which are important factors for youthful, healthy skin.

What does microneedling do?

Microneedling improves skin blood flow and reduces the appearance of aging and scarring. This treatment can help tighten the skin in the lower lid/upper cheek area and reduce the appearance of crow’s feet and forehead wrinkles. Improvement in the appearance of acne scarring has also been shown with microneedling. After completing a series of microneedling treatments, your skin will appear brighter and healthier with less areas of irregularity and discoloration.

What can I expect from treatment?

Microneedling is performed under local anesthesia using a topical numbing cream. Typically, three treatments spaced three to four weeks apart will help bring out your skin’s special glow. Each treatment typically takes about 30-45 minutes. There is minimal downtime, and most patients heal within just two days. For a consultation with Dr. Aboutanos in Richmond, VA, please call (804) 355-3410.

Neck Lift

A neck lift is a procedure designed to improve the appearance of the neck. This procedure can address many features of the neck, including the excess skin and fat. It can be combined with other procedures such as a face-lift and liposuction.

How long will the procedure take?

A neck lift is a procedure done under general anesthesia. It is a procedure that typically takes two hours and is done on an outpatient basis.

Where will the incisions be?

Neck lift incisions are typically hidden behind the ears and possibly behind the chin.

What will recovery be like?

Typically, the immediate recovery is about two weeks. This can vary from person-to-person and depends on the extent of your procedure. You should be able to shower about two to three days after the procedure. A follow-up appointment will be scheduled for you in about one week. Initially, you should plan to avoid strenuous exercise, heavy lifting, and housework. You will need to walk and keep your legs moving after surgery to avoid complications.

What else should I know about a neck lift?

Long-acting pain medication is placed throughout the surgical sites to help with post-operative pain. You will need a responsible adult to drive you home and stay with you for at least 24 hours after the surgery. Dr. Aboutanos and her staff will review all of these instructions with you. Dr. Aboutanos will be there every step of the way to ensure the best results.

Botox®

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Treatment with Botox injections can help improve the appearance of forehead lines, brow lines, and lines around the eyes (also called crow’s feet). Results may not take effect until five to seven days after the procedure and can last as long as three to four months. Dr. Aboutanos personally injects Botox according to your facial anatomy and strives to give you the look you are ready for.

How long will the procedure take?

Injection with Botox can take about 15-20 minutes and can be done in the office.

What will recovery be like?

You should be able to return to your daily activities after the procedure. You should avoid physical exercise and working out for at least 24 hours after Botox injections.

What else should I know about Botox?

Patients with neuromuscular disorders and pregnant patients are not candidates for Botox treatments. Dr. Aboutanos will make sure that Botox is right for you.

Fillers

Treatment with wrinkle fillers can help restore volume to areas of your face that need extra volume. Areas of the face that can be treated include nasolabial folds, cheeks, upper and lower lips, the corners of the mouth, and creases around the chin. Topical numbing cream can be applied to help relieve discomfort around the injection process. Results can last as long as three to six months or longer. Dr. Aboutanos personally injects dermal fillers according to your facial anatomy and strives to give you the look you are ready for.

How long will the procedure take?

Injection with fillers, such as Juvederm and Restylane, can take about 15-20 minutes and can be done in the office.

What will recovery be like?

You should be able to return to your daily activities after the procedure. You should avoid physical exercise and working out for at least 24 hours after filler injection. You may have swelling that can last about two days.

What else should I know about Fillers?

Patients with allergies to any component of fillers are not candidates for treatment. Dr. Aboutanos will make sure that dermal fillers are right for you.

Cosmedics

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Dr. Aboutanos can discuss the best skin care products for your skin type to help eliminate fine lines, age spots and blemishes. Dr. Aboutanos works closely with a licensed master aesthetician to improve your appearance. Skin care is important at any age. Ask Dr. Aboutanos to discuss skin care on your next visit.

CO2RE Laser

The CO2RE laser is a new technology offered by Dr. Aboutanos at Richmond Plastic Surgeons, which improves the appearance of fine lines, deep wrinkles, scars, large pores, age spots and acne scars. This fractionated CO2 laser is the next generation in laser resurfacing technology, encouraging the production of collagen and healthy new skin cells. Not only does this laser treat different skin types, it also allows precise control over the depth of treatment to prevent prolonged wound healing and scarring, which may occur with other types of lasers.

CO2RE laser treatment can be done in the office without the need for anesthesia. A topical numbing cream is applied before the procedure. Generally, there is little discomfort during the treatment process. The total treatment time is about 1-2 hours.

Afterward treatment, a thick layer of a petroleum-based ointment (Aquaphor) is applied to help with healing. Hydration is important to keep the treatment areas from drying and cracking. Sunscreen and avoidance of sun exposure is crucial to prevent scarring and discomfort in the post-treatment period. Swelling and peeling may occur for about 5 - 7 days. CO2RE laser treatment can be performed alone or in combination with other procedures.

To learn more about CO2RE laser, please call (804) 355-3410 to schedule your complimentary consultation with Dr. Aboutanos

Profound Skin Tightening

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Profound™ is a new facial treatment that increases elastin, collagen, and hyaluronic acid, all important components of youthful skin. This treatment delivers radiofrequency energy into the deeper levels of the skin with multiple tiny needles (microneedles), resulting in the improved appearance of nasolabial folds, sagging jowls, marionette lines, lines around the upper and lower lips, and loose skin under the neck. By tightening the skin of the lower face, the cheeks will also look fuller and more youthful.

How long will the procedure take?

Profound is a procedure that is done by Dr. Aboutanos in the office with use of a topical numbing cream and injection of local anesthesia. The procedure can take 60-90 minutes, depending on the size of the treatment area.

Where will the incisions be?

There are no incisions! Profound is a cutting-edge anti-aging treatment that can provide facelift-type results without the scars, anesthesia or down-time.

What will recovery be like?

Swelling and bruising will be present for about 1 week. It is important to keep the skin moisturized and to avoid sun exposure during the healing period. Improved skin appearance can be seen as early as 1 month but final results may not be visible until 10-12 months after the procedure. These results last for years as long as a healthy lifestyle is maintained.

If you are interested in looking younger without having surgery and anesthesia, please call Dr. Aboutanos in Richmond, VA at 804-355-3410 to see if you are a candidate for Profound.

Earlobe Surgery

Earlobe surgery is a procedure designed to treat earlobes with torn piercings or widened piercings. This procedure is done by addressing the skin of the earlobe. Earlobe surgery can be done for one or both ears. It is a procedure that can be done for children and adults. Ears repaired with earlobe surgery an be re-pierced after healing, if desired. Dr. Aboutanos offers ear piercing and can take special care to ensure you have a symmetrical result that camouflages any residual scarring.

How long will the procedure take?

Earlobe surgery typically takes about 30 minutes. In some cases it can be done in the office under local anesthesia.

Where will the incisions be?

The incisions will be along the front and back of the earlobe.

What will recovery be like?

Typically, the immediate recovery is about one to two days. You will receive instructions on how to care for the repair afterwards. You should be able to shower the day after the procedure. The stitches will be removed in 10 to 14 days.

Initially, you should plan to avoid strenuous exercise, contact sports, swimming, heavy lifting, and housework.

What else should I know about earlobe procedures?

Dr. Aboutanos can discuss re-piercing the earlobe after the repair has healed completely.

Ear Piercing

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Ear piercing is a simple procedure done in the office to let you wear your special earrings. Dr. Aboutanos can pierce your earlobes in a safe and efficient manner, without the risks associated with ear piercing guns or unsanitary piercing stalls at the mall.

Dr. Aboutanos can provide this service for babies, young children, and adults for the first time or after earlobe repair. Ear piercing services include a pair of earrings, one bottle of antiseptic solution, and instructions for after-care. To schedule a consultation for ear piercing with Dr. Aboutanos in Richmond, VA, please call 355-3410.