Many patients ask me this question. Nonsurgical interventions include injectables such as Juvederm or Restylane or Botox to smooth out wrinkles. Also, chemical peels are helpful to provide smoother skin with smaller pores and less pigmentation irregularities. Also, I perform a lot of fat injection procedures which do not require incisions with sutures. Over time, the face loses volume, and fat is a great substance to "revolumize" the face in areas needing treatment. These procedures are usually done under sedation in an office procedural room. Having said this, many patients do require surgery to attain the desired changes, and avoiding surgery at all costs often limits the potential outcome for the patient.

Posted by William E. O'Mara Jr., M.D.