The Gift of Confidence: Which Facial Procedure Is Right for You?

The holidays fill your calendar with gatherings where you want to look your best. Rather than scrolling through filters or adjusting angles in photos, you could address the features that bother you most.

At his office in San Mateo, California, R. James Koch, MD, offers surgical procedures that target specific facial concerns. Choose the treatment that fits your goals and timeline.

Understanding your options

Each facial procedure addresses different concerns. Dr. Koch evaluates your features and explains which approach makes sense for what you want to improve.

Facelift for lower face and neck aging

A facelift targets the lower third of your face and neck, where aging shows up most. The procedure improves:

• Jowls and jawline definition
• Loose neck skin and turkey neck
• Marionette lines at the corners of your mouth
• Nasolabial folds alongside your nose

Dr. Koch performs facelifts in the office using twilight sedation rather than general anesthesia. The Vertical SMAS Imbrication technique addresses deeper tissue layers for natural-looking results. Incisions hide in the natural creases around your ears and in your hairline.

Some people benefit from a mini-facelift if they have mild jowling and fairly tight neck skin. This option offers less downtime while still improving your lower face contours.

Rhinoplasty for nose reshaping

Your nose anchors your facial balance. Rhinoplasty adjusts your nose size, removes humps or depressions from the bridge, narrows wide nostrils, or corrects breathing problems from a deviated septum.

Dr. Koch makes incisions inside your nose to minimize visible scarring. He may need to remove portions of cartilage or bone, or move tissue from one area to another. The procedure reshapes your nose while maintaining natural proportions.

If you had rhinoplasty elsewhere and weren’t happy with the outcome, Dr. Koch also performs revision procedures to correct issues from previous surgery.

Brow lift for forehead rejuvenation

Lines across your forehead, frown lines between your eyebrows, and sagging brows all age your appearance. A brow lift addresses these concerns with long-lasting results.

Dr. Koch performs several different types of browlifts depending upon the existing eyebrow position, hair pattern, and patient preference. This includes an endoscopic technique that requires only small incisions beneath your hair. He lifts and repositions the skin and tissues on your forehead to flatten wrinkles. This minimally invasive approach reduces scarring and speeds recovery.

Chin augmentation for facial balance

Your chin affects how you perceive other features, including your nose. Chin augmentation improves proportions and defines an undefined or small chin.

Dr. Koch typically uses silicone implants passed through a small incision inside your mouth or beneath your chin. He places the implant against the bone for a natural contour. 

Facial fat transfer offers another option. Recovery takes about a week for most patients, with mild swelling for a few days as the area heals.

Blepharoplasty (eyelid lift) for tired-looking eyes

Drooping eyelids and bags under the eyes create a tired appearance. Blepharoplasty removes excess skin and fat from your upper or lower eyelids to refresh your look. The procedure opens up your eyes and reduces the heaviness that makes you appear older or exhausted.

Combining procedures for better results

Some people choose to combine procedures during the same surgery. You might pair a facelift with a brow lift to address both lower and upper face aging, or rhinoplasty with chin augmentation to improve your overall proportions.

Dr. Koch assesses your anatomy and goals to determine the optimal combination for you. One surgery means one recovery period rather than healing from separate procedures months apart.

What to expect during your consultation

Dr. Koch examines your face and discusses which features concern you most. He explains how procedures work and what results you can realistically expect from each option.

During the visit, you discuss:

• Your timeline for recovery and upcoming events
• Budget considerations for your chosen procedure
• Anesthesia options and surgical setting
• Before and after photos from similar cases

Your consultation gives you the information to make an informed decision. Dr. Koch answers your questions about the procedures and what recovery involves.

Starting your treatment plan

Give yourself the confidence that comes from looking the way you feel. The right facial procedure can refresh your appearance and help you face the holidays.

Contact us for an appointment today at 669-279-3663, text us, or schedule online at drkochfacialplasticsurgery.com to discuss which facial procedure fits your goals.