A facelift performed by a skilled board-certified plastic surgeon can be the pinnacle of facial rejuvenation for men and women bothered by sagging skin, nasolabial folds, marionette lines, and other hallmark signs of facial aging. The improvement achieved with a facelift is often seen for decades after a patient’s procedure, and yet there are still so many ways to prolong your results. Complementary treatments and…

A broken nose is one of the most common facial injuries experienced by men and women of every age. Nasal fractures can be caused by sports, recreational activities, a sudden blow to the face, or a bad fall, among other unfortunate mishaps. While immediate surgical intervention is not necessary to treat all nose injuries, it may be in certain cases. If a fracture is diagnosed…

The primary difference between rhytidectomy and non-surgical approaches to facial rejuvenation is that the results of a facelift are ultimately more powerful, allowing a wider range of concerns to be addressed and corrected. While anti-aging injectables can help plump thinning features and fill creases, they are not capable of restoring underlying support for the face or removing jowls, which refer to loose, sagging facial skin…

Blepharoplasty and ptosis repair are both surgeries designed to improve the upper eyelids, but the similarities between the two procedures generally end there. The chief difference between upper eyelid surgery and ptosis repair is that blepharoplasty addresses cosmetic concerns, while the latter procedure treats a medical issue. Ptosis is a condition in which the levator muscles — which allow you to lift your upper lids…

The endoscopic procedure is at the forefront of today’s modern brow lift techniques. Compared to more traditional approaches, an endoscopic brow lift can be the least invasive technique to raise the brows and improve signs of aging on the forehead with less bruising, swelling, and recovery time than ever before. This is possible through use of an endoscope — a narrow telescope with a light…

A broken nose is an exceedingly common facial injury that can be caused by anything from a sudden fall to a sports-related accident. While we certainly understand the initial panic that often accompanies a nose injury, it’s important to stay calm if you suspect a broken nose. Nasal fractures very rarely cause permanent damage, and having your nose quickly evaluated by a doctor can make…

In general, the most effective and long-lasting way to reduce the appearance of jowls — which refers to lax or drooping skin along the jawline — is through facelift surgery, an outpatient procedure designed to minimize aging in the lower face and neck. Jowls usually develop due to the skin and facial tissue growing thinner and less elastic over time. This not only causes the…

Dr. David A. Bottger, based in the Newtown Square region of Philadelphia, performs a multitude of facial plastic surgery procedures to reverse signs of aging, enhance facial balance, and improve the profile of the face and neck. Unlike aesthetic providers that seek to produce a dramatic and potentially unnatural change, Dr. Bottger aims to rejuvenate while preserving the natural characteristics of each patient’s facial features….

Under-eye bags often convey a look of tiredness or exhaustion, but puffiness in the lower eyelids can form regardless of how much sleep is achieved. The main causes of lower eyelid bags are aging and genetics, meaning even the most well-rested patients may still be susceptible to puffy eyes. Some patients with genetic predisposition may exhibit prominent lower lid bags, even at a very young…

An eyelid lift, or blepharoplasty, is a common plastic surgery procedure in Philadelphia. However, there are actually two different procedures under the “eyelid lift” or “blepharoplasty” umbrella: upper and lower. These procedures accomplish different goals, and one or the other (or both) may be appropriate for you depending on your concerns. Philadelphia plastic surgeon Dr. David Bottger has years of experience performing upper and lower…