Aesthetica Cosmetic Surgery & Laser Center

Plastic Surgeon

FOLLOW

PHILOSOPHY

With an eye toward creating natural-looking results, Dr. Chang has created Aesthetica Cosmetic Surgery & Laser Center, his full-service plastic surgery practice, as well as Radiance Salon & Medi-Spa with locations in both Ashburn and Leesburg, Virginia. He offers an array of treatments from facial, breast and body-contouring procedures to nonsurgical and adjunct services, which include everything from lasers and Botox to cutting-edge hairst...

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With an eye toward creating natural-looking results, Dr. Chang has created Aesthetica Cosmetic Surgery & Laser Center, his full-service plastic surgery practice, as well as Radiance Salon & Medi-Spa with locations in both Ashburn and Leesburg, Virginia. He offers an array of treatments from facial, breast and body-contouring procedures to nonsurgical and adjunct services, which include everything from lasers and Botox to cutting-edge hairst...

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I developed an experience that caters to patients.
Dr. Phillip Chang
Plastic Surgeon
Leesburg, Virginia

Services Offered

  • Abdominoplasty
  • Breast Augmentation
  • Blepharoplasty
  • Body Contouring
  • Facelift
  • Radiesse

A Minute With

1.
THREE WORDS THAT BEST DESCRIBE ME
Quiet, kind, inquisitive
2.
THE FUTURE OF MY FIELD
It might seem counterintuitive, but improvements in technology including lasers, Botox® and longer-lasting fillers are allowing plastic surgeons to be more artistic
3.
MY MOTTO
Always do your best
4.
HOW I MAKE THE BEST FIRST IMPRESSION
It is not easy to come to a plastic surgeon’s office to show off your perceived imperfections, so we try to make the process as less medical as possible
5.
MY OPERATING ROOM PLAYLIST
Jason Mraz, Genesis, Taylor Swift
6.
MY HAPPIEST PROFESSIONAL MOMENT
I was once approached by a former patient who wanted to thank me. She had been in an accident and the facial reconstructive surgery I performed on her was so successful that I didn’t even recognize her at first; she said the surgery had changed her life, and that moment changed mine
7.
WHAT SETS MY PRACTICE APART
We invest in the best technology, not the cheapest
8.
MOST MEMORABLE THING I LEARNED THIS YEAR
I learned that when your children start going to college, you feel just a little bit older
9.
WHAT I LOVE MOST ABOUT MY PROFESSION
The idea that I can immediately change the appearance and self- esteem of my patients, and that these changes are often life-changing

Send Dr. Phillip Chang an email

Philosophy

With an eye toward creating natural-looking results, Dr. Chang has created Aesthetica Cosmetic Surgery & Laser Center, his full-service plastic surgery practice, as well as Radiance Salon & Medi-Spa with locations in both Ashburn and Leesburg, Virginia. He offers an array of treatments from facial, breast and body-contouring procedures to nonsurgical and adjunct services, which include everything from lasers and Botox to cutting-edge hairstyles and spa treatments.

About My Practice:

What is your favorite part of your job?

I really like talking with patients about their cosmetic desires and having the artistic and surgical abilities to make that change.

What one word best describes your chairside style?

Reassuring.

Why are natural-looking results so important to you?

Most of my patients are not looking for drastic changes. They want to look more youthful and refreshed, not overly altered or contrived just natural, beautiful and well rested.

What type of patients does your office attract?

With offices located in lansdowne and reston, virginia, i have established my practice as one that delivers state-of-the-art techniques to an educated patient population in the washington metropolitan area who deserve high-quality, reputable care.

What procedures are your favorites to perform?

My minimal-scar facelifts and Mommy Makeover procedures. They're very popular and are performed quite frequently here in my office. In fact, I have lectured nationally on these procedures, garnering me a reputation outside of my local domain.

About Me:

How would you like to be remembered?

I'd like to be remembered as a good dad.

What is your favorite part of your job?

I really like talking with patients about their cosmetic desires and having the artistic and surgical abilities to make that change.

How would you like to be remembered?

I'd like to be remembered as a good dad.

What framed photos do you have on your desk?

I have pictures of my children.

How would you like to be remembered?

I'd like to be remembered as a good dad.

What is your favorite part of your job?

I really like talking with patients about their cosmetic desires and having the artistic and surgical abilities to make that change.

What framed photos do you have on your desk?

I have pictures of my children.

What procedures are your favorites to perform?

My minimal-scar facelifts and Mommy Makeover procedures. They're very popular and are performed quite frequently here in my office. In fact, i have lectured nationally on these procedures, garnering me a reputation outside of my local domain.

What accomplishment are you most proud of?

I was listed as one of the top plastic surgeons in Western Fairfax and Loudoun County by fellow doctors in Health & Beauty Magazine.

What framed photos do you have on your desk?

I have pictures of my children.

Testimonials

Virginia

Virginia

I am one of those people that can express myself verbally much better than in writing, but I was compelled to write about my experience having a mini face lift and upper and lower lid surgery with local anesthesia at age 68, preformed by Dr. Chang. Initially I went to see him for mini face lift, but he suggested blepharoplasty. After the surgery and during my recovery I looked at my eyes and my face everyday. The bags are gone, and I love my face. Dr. Chang, Angie, Karen and his entire staff were so kind, efficient and professional. Everything went seamlessly. He is truly an artist. Never for a moment do I doubt him. I love the way I look and my husband loves it too. I am told how good I look all the time. I highly recommend Dr. Chang. He is skillful, talented, trustworthy and a fantastic plastic surgeon. Read the reviews, schedule a consultation, talk to dr. Chang. It is easy and you will love it.

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About Me

Modern Mommy Makeover

Mommy makeover procedures make up a significant portion of Dr. Chang’s practice. These procedures often include breast surgery (augmentation, reduction, or lift), tummy tucks, liposuction, and/or facial procedures, such as mini-facelifts and eyelid surgery.

 

Mommy Makeovers

To Dr. Chang, a mommy makeover means more than just restoring the appearance of the breasts and body. It also means rejuvenating the appearance of the face. The ultimate goal is to restore and rejuvenate his patients to how they may have appeared before having children, without changing their natural beauty. These procedures often include breast surgery, tummy tucks, liposuction, and/or facial procedures, such as mini-facelifts and eyelid surgery. “In terms of facial rejuvenation, many patients simply want to look refreshed,” Dr. Chang says. “As for patients’ bodies, a breast augmentation and/or tummy tuck can help return their figures to how they may have looked prior to pregnancy. I always strive for genuine-looking results in addition to minimal recovery periods.” To round out the experience, patients can then undergo a cosmetic makeover complete with hair styling, massage, facial treatments and permanent makeup at Radiance Salon & Medi-Spa.

Natural Reflections

Dr. Chang achieves comprehensive rejuvenation on mothers by using surgical procedures, such as the mini-lift, along with nonsurgical procedures, like Botox®, IPL™ (Intense Pulsed Light) and facial fillers such as Juvéderm®, all of which were performed on the patient here and above.

Minimizing Downtime

Dr. Chang recognizes patients’ desire for subtle results that don’t disrupt their lives for lengthy periods. For this patient, Dr. Chang performed a mini-facelift in the office in less than two hours without the use of general anesthesia, as well as upper and lower blepharoplasty, IPL™ treatment and Botox®. “Using the mini-facelift technique, I was able to minimize downtime for the patient,” Dr. Chang says.

Education & Credentials

EDUCATION:

Degree:

  • University of Rochester

Residency:

  • Loma Linda University

Fellowship:

  • University of Rochester School of Medicine

BOARD-CERTIFICATION:

  • American Board of Plastic Surgery

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FAQ's

Q. My mother has the classic turkey wattle below her chin, and I can see my skin getting a little loose, so I worry that I'm going to have the same. Do I do something early or wait until it gets bad?

What our experts say:

It's like anything in cosmetic surgery. You do something when it begins to bother you. So you don't necessarily look at the mother but you look at your situation now and if it bothers you then this is the time to treat it. A neck wattle is usually just a little bit of fat so you can do a necklift and liposuction to remove that, which is a 15 minute procedure, very easy. Or if there's a lot of skin now you can do a neck liposuction and a mini facelift with touchups over time.

Q. Can a patient choose where they have fat taken from for a facelift with fat transfer?

What our experts say:

Yes. But generally they'll choose where I suggest. In general I don't like taking it from the lower belly because the fat doesn't seem to be similar to the fat of the face. The globules are bigger and I don't think it takes as well.

Q. How can I tell if I have abdominal muscle separation?

What our experts say:

Almost anyone who has ever had children has some form of diastasis. Diastasis is very different from a hernia which is a hole in the abdominal lining whereas diastasis is a loose abdominal lining. Any woman who has ever had a baby has had her abdominal wall expand and it just never comes back to normal. It's just a matter of how much. A normal part of any tummy tuck procedure is tightening that up. You can tell because you don't have the figure that you had before children. So when you put your belly out you can see that roundness whereas if you ask a 16 year old to put their belly out it doesn't go out as far.

Q. How do you reduce scars for breast augmentation?

What our experts say:

With the advent of silicone filled breast implants the scars for breast augmentation are significantly longer than we used to make with saline implants. With the saline implants our typical incision was only about 2 centimeters. With the silicone implants at 300-350ccs, which is average, the incision for most people has to be about 4 to 5 centimeters. But now there's a device called a Keller Funnel, which is relatively expensive for doctors to purchase, that has reduced incisions back to about 2 centimeters. In my practice I do it for everybody.

Q. How does a woman who doesn't have any downtime get a tummy tuck?

What our experts say:

She doesn't really. Mainly because part of what you want to do in a tummy tuck is tighten up the lax abdominal wall and that is what hurts. If you just do a mini tummy tuck and not a tightening of the abdominal wall then that surgery barely hurts at all. The reason why a tummy tuck and C-section both hurt is because you're manipulating the abdominal wall. But with a mini tummy tuck you're not doing the tightening of the abdominal wall so the procedure actually barely hurts.

Q. Is there a way to minimize the breast lift scar?

What our experts say:

There are three ways to do a breast lift: a donut is a circle around the areola; a lollipop is the circle around the areola that then comes down; for large lifts or reductions we do something called the anchor, which is the circle around the areola that comes down with another one across the bottom. Depending on the size lift that you need, we do one of these three types of procedures. Traditionally what we did just ten years ago, was the anchor. In order to minimize the scar we've gone to either the donut or the lollipop so the techniques have changed to accommodate.

Q. Is there an age when you can preventatively stave off the need for a facelift and other procedures?

What our experts say:

Cosmetic surgery has taken a huge leap in the last ten years because we have all sorts of nonsurgical options. Ten years ago the average person for facial cosmetics was probably 45 years old. Now we're seeing patients in their early 30s and we can just treat the forehead lines with Botox or if they have a deep nasolabial fold we would treat that with facial filler. To some extent all of these things are preventative. So for Botox the more the muscles animate over time the deeper your lines will get and if you prevent that at an earlier age those lines will probably never develop, or not significantly.

Q. What kind of pain will I experience after a mommy makeover?

What our experts say:

A lot. Most women equate the pain associated with a tummy tuck to that of a C-section. That's how a lot of patients describe it. In my practice I use a Q pain pump which is a pain catheter filled with a numbing medicine that goes directly into the muscles of your belly and if you have that you have zero pain for three to four days so it's made a significant impact on my practice. Most of my patients have no pain initially and after that they're just sore.

Q. When is a liquid facelift better suited for the patient than a surgical facelift?

What our experts say:

Liquid facelift is just a term that has been adopted because of the different gel- or liquid-based fillers that we use. Instead of a surgical facelift we inject different fillers to basically plump up the tissue in the face, which takes up the slack in the skin. A lot of people need facial volume anyway so when they receive the volume they look better, so if you only need minimal elevation it's an excellent way to do it.

Q. Where does the fat come from when you do a facelift with fat transfer?

What our experts say:

I like using the fat from the inner knee. A lot of women don't like that area and it's really easy to get to and it's really similar to facial fat. If the patient is really thin and doesn't have fat there I'll get it from the saddlebag area or the waist.

Q. Which fillers or injectables should be used in which part of the face and are they used in conjunction with a surgical facelift?

What our experts say:

I use Juvederm, Radiesse, Sculptra and fat. In general I'll use Radiesse in the upper cheek and mala region or you have a deep nasolabial fold, mainly because it tends to last longer and you can put right onto the bone so the patient can't feel it. You get a lot more bulk for your money as well as more longevity. I'll use Juvederm in the nasolabial fold and the lips because it's much softer material and is more kissable. Sculptra I'll put in patients who need a lot of generalized filling. So if a patient has an overall gaunt face, Sculptra is an excellent way to go and has tremendous longevity, it lasts for about two years. Fat I generally do if a patient needs a lot of general filling and or if they need a surgery. Probably about 50 percent of my patients receive a fat injection in addition to their facelift because there are certain things that a facelift can't do, whether it's a mini facelift or a full facelift.

Q. Can you do a tummy tuck through a C-section scar?

What our experts say:

A lot can be done through a C-section scar because typically what I'll do is cut out a C-section scar and make a new one right below it or at the same level so you'll wind up with just one scar, which is the tummy tuck scar.

Q. Should I get a mini facelift or a full facelift? Which is a better procedure and how can I tell which I need?

What our experts say:

The majority of my patients between the age of 40 and 55 need a mini facelift. The biggest determination is the amount of laxity in the neck skin. If you just have laxity in the upper neck you're very appropriate just to do a mini facelift. If you have a lot of laxity all the way down to the base of your neck, the only way you can pull all that up is with a full facelift.

Q. Can a facelift remove or reduce neck fat that might be otherwise removed in a necklift?

What our experts say:

Not by itself but in a lot of patients we'll combine the actual surgical facelift with neck liposuction. Once the fat is removed from the neck, if they have a lot of fat they'll have a lot of looseness, you almost need to do a facelift to get that skin elevated.

Q. How can I keep a natural looking brow as I age? And prevent the need for other types of face procedures?

What our experts say:

With Botox you can stave off the need for a browlift. The glabellar lines people talk about, 'the elevens, those muscles actually bring down the brow. So if you treat those areas with Botox the brow doesn't fall as fast. For skin care we have access to IPL lasers and Fraxel-type lasers, which are now building up collagen and reducing UV damage. I think that slows down the aging process and prevents the skin from losing its elasticity.

Q. I have sagging skin after I had my baby, do I need a tummy tuck or a different procedure?

What our experts say:

It has to be a tummy tuck. There's mini tummy tucks, modified tummy tucks, full tummy tucks and total body lifts so it runs the gamut. If you have a lot of extra skin or stretchmarks or a big fat pad that's kind of right below the belly button, you are a more appropriate candidate for a full tummy tuck. If you have a lot of extra fat in your flank and lower back region with some looseness you might be better candidate for a total body lift.

Q. Is it possible to take out too much fat in liposuction?

What our experts say:

Absolutely. I treat a lot of patients who have had botched liposuction experiences in which too much fat was removed. Liposuction is not just done by board-certified surgeons anymore. Family doctors and some dermatologists are doing it and very often it's done inappropriately. If you remove too much fat the skin becomes very ripply, especially if you're removing the fat that's very superficial to the skin. That's a big problem because it scars down to the abdominal wall and the only way to treat that is to do something like a tummy tuck in which you're actually just removing that tissue.

Q. What is a mommy makeover? Is there a typical menu of procedures for a mommy makeover?

What our experts say:

Patients say, 'Make me what I was before. They are relatively happy with who they were before children. But they say, 'My boobs are droopy when they weren't before. My belly is sticking out when it wasn't before, and they just want to be sexy and beautiful again. The menu of procedures is relatively typical. It's usually a breast augmentation and/or a breast lift, liposuction of the belly or a tummy tuck and it's usually a tummy tuck if they're stretched. Breasts and tummy are usually the two things, along with liposuction of the saddle bag area.

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About Dr. Phillip Chang
About Me

How would you like to be remembered?

I'd like to be remembered as a good dad.

What is your favorite part of your job?

I really like talking with patients about their cosmetic desires and having the artistic and surgical abilities to make that change.

How would you like to be remembered?

I'd like to be remembered as a good dad.

What framed photos do you have on your desk?

I have pictures of my children.

How would you like to be remembered?

I'd like to be remembered as a good dad.

What is your favorite part of your job?

I really like talking with patients about their cosmetic desires and having the artistic and surgical abilities to make that change.

What framed photos do you have on your desk?

I have pictures of my children.

What procedures are your favorites to perform?

My minimal-scar facelifts and Mommy Makeover procedures. They're very popular and are performed quite frequently here in my office. In fact, i have lectured nationally on these procedures, garnering me a reputation outside of my local domain.

What accomplishment are you most proud of?

I was listed as one of the top plastic surgeons in Western Fairfax and Loudoun County by fellow doctors in Health & Beauty Magazine.

What framed photos do you have on your desk?

I have pictures of my children.

About My Practice

What is your favorite part of your job?

I really like talking with patients about their cosmetic desires and having the artistic and surgical abilities to make that change.

What one word best describes your chairside style?

Reassuring.

Why are natural-looking results so important to you?

Most of my patients are not looking for drastic changes. They want to look more youthful and refreshed, not overly altered or contrived just natural, beautiful and well rested.

What type of patients does your office attract?

With offices located in lansdowne and reston, virginia, i have established my practice as one that delivers state-of-the-art techniques to an educated patient population in the washington metropolitan area who deserve high-quality, reputable care.

What procedures are your favorites to perform?

My minimal-scar facelifts and Mommy Makeover procedures. They're very popular and are performed quite frequently here in my office. In fact, I have lectured nationally on these procedures, garnering me a reputation outside of my local domain.

Education & Credentials

EDUCATION:

Degree:

  • University of Rochester

Residency:

  • Loma Linda University

Fellowship:

  • University of Rochester School of Medicine

BOARD-CERTIFICATION:

  • American Board of Plastic Surgery
A Minute With

THREE WORDS THAT BEST DESCRIBE ME

Quiet, kind, inquisitive

THE FUTURE OF MY FIELD

It might seem counterintuitive, but improvements in technology including lasers, Botox® and longer-lasting fillers are allowing plastic surgeons to be more artistic

MY MOTTO

Always do your best

HOW I MAKE THE BEST FIRST IMPRESSION

It is not easy to come to a plastic surgeon’s office to show off your perceived imperfections, so we try to make the process as less medical as possible

MY OPERATING ROOM PLAYLIST

Jason Mraz, Genesis, Taylor Swift

MY HAPPIEST PROFESSIONAL MOMENT

I was once approached by a former patient who wanted to thank me. She had been in an accident and the facial reconstructive surgery I performed on her was so successful that I didn’t even recognize her at first; she said the surgery had changed her life, and that moment changed mine

WHAT SETS MY PRACTICE APART

We invest in the best technology, not the cheapest

MOST MEMORABLE THING I LEARNED THIS YEAR

I learned that when your children start going to college, you feel just a little bit older

WHAT I LOVE MOST ABOUT MY PROFESSION

The idea that I can immediately change the appearance and self- esteem of my patients, and that these changes are often life-changing

Insights

Modern Mommy Makeover

Mommy makeover procedures make up a significant portion of Dr. Chang’s practice. These procedures often include breast surgery (augmentation, reduction, or lift), tummy tucks, liposuction, and/or facial procedures, such as mini-facelifts and eyelid surgery.

 

Mommy Makeovers

To Dr. Chang, a mommy makeover means more than just restoring the appearance of the breasts and body. It also means rejuvenating the appearance of the face. The ultimate goal is to restore and rejuvenate his patients to how they may have appeared before having children, without changing their natural beauty. These procedures often include breast surgery, tummy tucks, liposuction, and/or facial procedures, such as mini-facelifts and eyelid surgery. “In terms of facial rejuvenation, many patients simply want to look refreshed,” Dr. Chang says. “As for patients’ bodies, a breast augmentation and/or tummy tuck can help return their figures to how they may have looked prior to pregnancy. I always strive for genuine-looking results in addition to minimal recovery periods.” To round out the experience, patients can then undergo a cosmetic makeover complete with hair styling, massage, facial treatments and permanent makeup at Radiance Salon & Medi-Spa.

Natural Reflections

Dr. Chang achieves comprehensive rejuvenation on mothers by using surgical procedures, such as the mini-lift, along with nonsurgical procedures, like Botox®, IPL™ (Intense Pulsed Light) and facial fillers such as Juvéderm®, all of which were performed on the patient here and above.

Minimizing Downtime

Dr. Chang recognizes patients’ desire for subtle results that don’t disrupt their lives for lengthy periods. For this patient, Dr. Chang performed a mini-facelift in the office in less than two hours without the use of general anesthesia, as well as upper and lower blepharoplasty, IPL™ treatment and Botox®. “Using the mini-facelift technique, I was able to minimize downtime for the patient,” Dr. Chang says.

FAQ

Q. My mother has the classic turkey wattle below her chin, and I can see my skin getting a little loose, so I worry that I'm going to have the same. Do I do something early or wait until it gets bad?

What our experts say:

It's like anything in cosmetic surgery. You do something when it begins to bother you. So you don't necessarily look at the mother but you look at your situation now and if it bothers you then this is the time to treat it. A neck wattle is usually just a little bit of fat so you can do a necklift and liposuction to remove that, which is a 15 minute procedure, very easy. Or if there's a lot of skin now you can do a neck liposuction and a mini facelift with touchups over time.

Q. Can a patient choose where they have fat taken from for a facelift with fat transfer?

What our experts say:

Yes. But generally they'll choose where I suggest. In general I don't like taking it from the lower belly because the fat doesn't seem to be similar to the fat of the face. The globules are bigger and I don't think it takes as well.

Q. How can I tell if I have abdominal muscle separation?

What our experts say:

Almost anyone who has ever had children has some form of diastasis. Diastasis is very different from a hernia which is a hole in the abdominal lining whereas diastasis is a loose abdominal lining. Any woman who has ever had a baby has had her abdominal wall expand and it just never comes back to normal. It's just a matter of how much. A normal part of any tummy tuck procedure is tightening that up. You can tell because you don't have the figure that you had before children. So when you put your belly out you can see that roundness whereas if you ask a 16 year old to put their belly out it doesn't go out as far.

Q. How do you reduce scars for breast augmentation?

What our experts say:

With the advent of silicone filled breast implants the scars for breast augmentation are significantly longer than we used to make with saline implants. With the saline implants our typical incision was only about 2 centimeters. With the silicone implants at 300-350ccs, which is average, the incision for most people has to be about 4 to 5 centimeters. But now there's a device called a Keller Funnel, which is relatively expensive for doctors to purchase, that has reduced incisions back to about 2 centimeters. In my practice I do it for everybody.

Q. How does a woman who doesn't have any downtime get a tummy tuck?

What our experts say:

She doesn't really. Mainly because part of what you want to do in a tummy tuck is tighten up the lax abdominal wall and that is what hurts. If you just do a mini tummy tuck and not a tightening of the abdominal wall then that surgery barely hurts at all. The reason why a tummy tuck and C-section both hurt is because you're manipulating the abdominal wall. But with a mini tummy tuck you're not doing the tightening of the abdominal wall so the procedure actually barely hurts.

Q. Is there a way to minimize the breast lift scar?

What our experts say:

There are three ways to do a breast lift: a donut is a circle around the areola; a lollipop is the circle around the areola that then comes down; for large lifts or reductions we do something called the anchor, which is the circle around the areola that comes down with another one across the bottom. Depending on the size lift that you need, we do one of these three types of procedures. Traditionally what we did just ten years ago, was the anchor. In order to minimize the scar we've gone to either the donut or the lollipop so the techniques have changed to accommodate.

Q. Is there an age when you can preventatively stave off the need for a facelift and other procedures?

What our experts say:

Cosmetic surgery has taken a huge leap in the last ten years because we have all sorts of nonsurgical options. Ten years ago the average person for facial cosmetics was probably 45 years old. Now we're seeing patients in their early 30s and we can just treat the forehead lines with Botox or if they have a deep nasolabial fold we would treat that with facial filler. To some extent all of these things are preventative. So for Botox the more the muscles animate over time the deeper your lines will get and if you prevent that at an earlier age those lines will probably never develop, or not significantly.

Q. What kind of pain will I experience after a mommy makeover?

What our experts say:

A lot. Most women equate the pain associated with a tummy tuck to that of a C-section. That's how a lot of patients describe it. In my practice I use a Q pain pump which is a pain catheter filled with a numbing medicine that goes directly into the muscles of your belly and if you have that you have zero pain for three to four days so it's made a significant impact on my practice. Most of my patients have no pain initially and after that they're just sore.

Q. When is a liquid facelift better suited for the patient than a surgical facelift?

What our experts say:

Liquid facelift is just a term that has been adopted because of the different gel- or liquid-based fillers that we use. Instead of a surgical facelift we inject different fillers to basically plump up the tissue in the face, which takes up the slack in the skin. A lot of people need facial volume anyway so when they receive the volume they look better, so if you only need minimal elevation it's an excellent way to do it.

Q. Where does the fat come from when you do a facelift with fat transfer?

What our experts say:

I like using the fat from the inner knee. A lot of women don't like that area and it's really easy to get to and it's really similar to facial fat. If the patient is really thin and doesn't have fat there I'll get it from the saddlebag area or the waist.

Q. Which fillers or injectables should be used in which part of the face and are they used in conjunction with a surgical facelift?

What our experts say:

I use Juvederm, Radiesse, Sculptra and fat. In general I'll use Radiesse in the upper cheek and mala region or you have a deep nasolabial fold, mainly because it tends to last longer and you can put right onto the bone so the patient can't feel it. You get a lot more bulk for your money as well as more longevity. I'll use Juvederm in the nasolabial fold and the lips because it's much softer material and is more kissable. Sculptra I'll put in patients who need a lot of generalized filling. So if a patient has an overall gaunt face, Sculptra is an excellent way to go and has tremendous longevity, it lasts for about two years. Fat I generally do if a patient needs a lot of general filling and or if they need a surgery. Probably about 50 percent of my patients receive a fat injection in addition to their facelift because there are certain things that a facelift can't do, whether it's a mini facelift or a full facelift.

Q. Can you do a tummy tuck through a C-section scar?

What our experts say:

A lot can be done through a C-section scar because typically what I'll do is cut out a C-section scar and make a new one right below it or at the same level so you'll wind up with just one scar, which is the tummy tuck scar.

Q. Should I get a mini facelift or a full facelift? Which is a better procedure and how can I tell which I need?

What our experts say:

The majority of my patients between the age of 40 and 55 need a mini facelift. The biggest determination is the amount of laxity in the neck skin. If you just have laxity in the upper neck you're very appropriate just to do a mini facelift. If you have a lot of laxity all the way down to the base of your neck, the only way you can pull all that up is with a full facelift.

Q. Can a facelift remove or reduce neck fat that might be otherwise removed in a necklift?

What our experts say:

Not by itself but in a lot of patients we'll combine the actual surgical facelift with neck liposuction. Once the fat is removed from the neck, if they have a lot of fat they'll have a lot of looseness, you almost need to do a facelift to get that skin elevated.

Q. How can I keep a natural looking brow as I age? And prevent the need for other types of face procedures?

What our experts say:

With Botox you can stave off the need for a browlift. The glabellar lines people talk about, 'the elevens, those muscles actually bring down the brow. So if you treat those areas with Botox the brow doesn't fall as fast. For skin care we have access to IPL lasers and Fraxel-type lasers, which are now building up collagen and reducing UV damage. I think that slows down the aging process and prevents the skin from losing its elasticity.

Q. I have sagging skin after I had my baby, do I need a tummy tuck or a different procedure?

What our experts say:

It has to be a tummy tuck. There's mini tummy tucks, modified tummy tucks, full tummy tucks and total body lifts so it runs the gamut. If you have a lot of extra skin or stretchmarks or a big fat pad that's kind of right below the belly button, you are a more appropriate candidate for a full tummy tuck. If you have a lot of extra fat in your flank and lower back region with some looseness you might be better candidate for a total body lift.

Q. Is it possible to take out too much fat in liposuction?

What our experts say:

Absolutely. I treat a lot of patients who have had botched liposuction experiences in which too much fat was removed. Liposuction is not just done by board-certified surgeons anymore. Family doctors and some dermatologists are doing it and very often it's done inappropriately. If you remove too much fat the skin becomes very ripply, especially if you're removing the fat that's very superficial to the skin. That's a big problem because it scars down to the abdominal wall and the only way to treat that is to do something like a tummy tuck in which you're actually just removing that tissue.

Q. What is a mommy makeover? Is there a typical menu of procedures for a mommy makeover?

What our experts say:

Patients say, 'Make me what I was before. They are relatively happy with who they were before children. But they say, 'My boobs are droopy when they weren't before. My belly is sticking out when it wasn't before, and they just want to be sexy and beautiful again. The menu of procedures is relatively typical. It's usually a breast augmentation and/or a breast lift, liposuction of the belly or a tummy tuck and it's usually a tummy tuck if they're stretched. Breasts and tummy are usually the two things, along with liposuction of the saddle bag area.

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Services
  • Abdominoplasty
  • Breast Augmentation
  • Blepharoplasty
  • Body Contouring
  • Facelift
  • Radiesse
Testimonials

Virginia

Virginia

I am one of those people that can express myself verbally much better than in writing, but I was compelled to write about my experience having a mini face lift and upper and lower lid surgery with local anesthesia at age 68, preformed by Dr. Chang. Initially I went to see him for mini face lift, but he suggested blepharoplasty. After the surgery and during my recovery I looked at my eyes and my face everyday. The bags are gone, and I love my face. Dr. Chang, Angie, Karen and his entire staff were so kind, efficient and professional. Everything went seamlessly. He is truly an artist. Never for a moment do I doubt him. I love the way I look and my husband loves it too. I am told how good I look all the time. I highly recommend Dr. Chang. He is skillful, talented, trustworthy and a fantastic plastic surgeon. Read the reviews, schedule a consultation, talk to dr. Chang. It is easy and you will love it.
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