If you want to restore a youthful appearance in the face, a Philadelphia facelift generates a stunning improvement. The “after” photos reveal sweeping jawlines, youthfully high cheekbones—all completely natural-looking. But the first question that every Philadelphia patient asks is this: what’s the difference between a deep plane facelift and a SMAS (traditional) facelift?

Keep reading to learn what sets the deep plane technique apart, and watch the video below for Dr. Claytor’s demonstration with visuals!

Philadelphia plastic surgeon Dr. Brannon Claytor explains how the deep plane facelift technique differs from the more common SMAS plication facelift.

SMAS plication facelift

The most common type of surgical facelift, an SMAS plication facelift works on a shallower layer of tissues than the deep plane facelift. The SMAS is the superficial musculoaponeurotic system below the skin in your mid-to-lower face. “Plication” is the term for a surgical tightening of tissues, which usually involves lifting, removing excess, and rejoining remaining tissues. In a SMAS plication facelift, the SMAS layer is lifted vertically and re-anchored in front of the ears to create a lift of about 1 cm. Some surgeons may also lift from further down into the cheek, at the front of the earlobe, for expanded effects. Still, even an expanded SMAS facelift procedure cannot compare with the more comprehensive improvements offered by a deep plane facelift.

Deep plane facelift, step by step

A deep plane facelift leaves the SMAS intact, instead requiring your surgeon to access deeper attachments in the cheeks and lower face to raise and tighten tissues. Here are three major steps in the surgery:

1. Incisions are made within the hairline and in the natural folds of the ear.

A deep plane facelift is performed through discreet incisions placed in the sideburn area, within the folds of the ear, and along the hairline behind the ear at the back of the neck.

Not infrequently, Dr. Claytor will also create an incision within the hairline above the ears (just behind the temple); this allows him to lift the SMAS of the face at another important vertical axis, which may be more beneficial for certain patients.

2. The SMAS is separated, retaining ligaments are released, and the tissue is anchored higher for a defined cheek and firmer jowl area

SMAS is surgically separated from underlying tissues to allow Dr. Claytor to reach the retaining ligaments. These ligaments have a strong hold on the tissues of the cheek and lower face, keeping tissues in position. Thus, Dr. Claytor releases them in order to be able to lift the skin, fat, and SMAS higher on the facial bone structure. The skin is sutured gradually in the newly raised position, and anchored above the ear.

Ligament release is the primary step that makes the deep plane facelift so different from the SMAS technique: it allows for more impactful, dramatic results because the cheek’s youthful, high shape—a.k.a. the malar eminence—can be more fully restored, resulting in a stunning, youthful sweep in the mid-face.

3. Neck bands are released and anchored higher for a chiseled jawline.

In the neck, rather than SMAS, you have the platysmal muscles located below the ear, beneath the mandible, and toward the front of the neck. These muscles form the tight, vertical lines you see at the front of your neck when you clench your jaw (they don’t affect how you move your head).

To create a sweeping, more youthful jawline appearance, the platysma is released along the jawline, allowing Dr. Claytor to anchor these muscles behind the ear. This can create a chiseled mandible or jawline, as you can see in this before and after photo:

The importance of an experienced, expert deep plane facelift surgeon

A deep plane facelift works on the same layer of tissues where your facial nerves lie. Nerves spread from below and behind the ear, out into the cheeks, jawline, and below the eye area. The nerves that thread throughout the facial ligaments are released in a deep plane facelift, so it’s critically important that your surgeon is well-versed in this anatomy and in techniques for maintaining the integrity of facial nerves. Once a surgeon dissects below the SMAS layer of the face, they must identify and very delicately operate around the nerves.

Do not settle when it comes to choosing a board-certified plastic surgeon: avoid surgeons who offer below-average pricing, or who don’t have the before and afters, reviews, plastic surgery credentials, and reputation that prove they can safely achieve excellent facelift results. Dr. R. Brannon Claytor teaches his deep plane facelift technique at national meetings of plastic surgeons, and is widely considered to be a deep plane expert.

“The whole experience was fantastic! The results exceeded my expectations! I look and feel 10 years younger. Dr. Claytor and his staff made me feel so at ease and comforting. He is an excellent surgeon with a wonderful bedside manner and personality. It is one of the best decisions I ever made. I would highly recommend Dr. Claytor; in fact my neighbor has an appointment with him next month.”

—Realself Review

Should I consider a deep plane facelift?

Patients who are good candidates for deep plane facelifts often come to us with loose skin that has succumbed to gravity, including forming jowls (loose skin around the jawline and chin) and sagging in the neck. As we age, we experience facial descent: our cheek structure (malar eminence is the technical term) involutes, and what we start to see is downward descent of our face—creating jowling, and excess neck skin and fat.

A good candidate for this procedure is looking to return to a more sculpted jawline and reduced wrinkles. Dr. Claytor’s goal is to help you look like the best version of yourself: We’re not here to make you look like someone else!

If you’re ready to experience these rejuvenating results yourself, we’d love to meet with you to discuss options! Dr. Claytor serves patients from all over the Bryn Mawr, Main Line, & Philadelphia areas. Call 610.527.4833 or contact our Philadelphia plastic surgery practice online to schedule your personal consultation with Dr. Claytor today.

As you age, your skin gradually loses elasticity—and the more delicate skin of your neck will likely show visible signs of aging before they become apparent on your face. Some people are also genetically predisposed to having weaker, less defined contours along their neck and jawline. MyEllevate® neck lift is minimally-invasive and has emerged as a highly-effective solution, offering a near-permanent way to quickly rejuvenate the neck without invasive surgery. 

Here, facial plastic surgery expert and double board-certified plastic surgeon Dr. Brannon Claytor answers 7 MyEllevate FAQs to help men and women in the Bryn Mawr and Main Line areas make informed decisions about how they can achieve a confident, more sculpted neck appearance.

What is MyEllevate?

MyEllevate is a minimally-invasive neck lift procedure designed to tighten and lift neck skin to increase definition in your neck and jawline and thus achieve a more youthful, rejuvenated appearance. MyEllevate uses an ICLED® light-guided suture system which allows the surgeon to precisely place permanent sutures at specific pivot points underneath the skin to lift and anchor neck tissues for optimal results personalized for your unique anatomy. 

The minimally-invasive approach is considered non-surgical—the sutures are placed without the need for general anesthesia using tiny, virtually invisible punctures only 2mm long. MyEllevate does not require skin excision and achieves natural-looking, long-lasting results that are ideal for younger patients who do not yet need a full facelift or neck lift.

How does MyEllevate treatment work?

Once you are completely numb using a local anesthetic and resting comfortably, a thin needle-like device with an illuminated tip is inserted beneath your skin to help determine the ideal depth for suture placement to redefine your neck contours. 

Eight tiny entry points are made to serve as anchor sites to keep the neck tissue suspended in a naturally tighter position—two of these entry points are located in the dense tissue behind the ear for optimal support, and the other six entry points are located along the neck and the chin to allow the continuous passing of the suture.

Once each suture is in place, they create a “sling” to evenly lift and support your neck tissues to create a smoother, more defined neck and jawline contour. 

How much does MyEllevate cost?

The cost of MyEllevate will depend on the level of treatment needed to achieve your aesthetic preferences. Some patients might require a combination of procedures in their treatment plan to achieve their desired outcomes; those with excess skin may require some skin removal, while those with stubborn fat deposits under the chin may benefit from SmartLipo® to eliminate it. 

Convenient financing options help patients address all the factors preventing them from looking and feeling their best with affordable payment plans.

How long do MyEllevate results last?

The sutures placed during the procedure are permanent; one of the most appealing aspects of MyEllevate is the longevity of results. Most patients enjoy their improved neck contour and jawline definition for 3 to 5 years or longer, depending on individual factors like skin quality, age, lifestyle, and genetics.

While MyEllevate provides long-lasting improvement, it’s important to understand that it doesn’t stop the natural aging process. Over time, factors like gravity, sun exposure, and collagen loss will continue to affect your appearance. However, many patients find that even as subtle changes occur, their results remain significantly better than before the procedure.

To maximize the longevity of your MyEllevate results, we recommend maintaining a stable weight, protecting your skin from sun damage with daily SPF, staying well-hydrated, and following a quality skincare routine. Some patients choose to combine MyEllevate with other treatments like Botox or skin tightening procedures for enhanced, longer-lasting rejuvenation.

Your age at the time of your procedure, skin elasticity, and lifestyle habits will contribute to the number of years you enjoy the effects of a MyEllevate neck lift. 

Is the MyEllevate procedure painful?

One of the advantages of a minimally-invasive neck lift is that it is performed in our office using only local anesthesia yet achieves immediate and dramatic results. You’ll be numb but awake and able to communicate throughout the process, typically an hour or less. Some patients report a mild tugging sensation or slight pressure during their procedure; however, most patients describe the short procedure as easily tolerable and feel their results were well-worth any temporary discomfort. We have additional sedation options for patients who wish to increase their comfort; MyEllevate is also safe to combine with procedures that require general anesthesia.

What is the recovery process like after MyEllevate?

After your procedure, you’ll be fitted with a chin strap to help support the newly repositioned tissue and limit swelling. You will then go home to take it easy, and be able to see your results at your post-operative check-up the following day! 

Post-procedure care is relatively minimal as there are no linear incisions to care for—you’ll be able to shower the day after your minimally-invasive neck lift. Most patients experience only minimal bruising or swelling and often return to work and other daily errands within a day or two with hardly any visible signs of just having a procedure. 

You may feel mild tension behind your ears at the anchor points; however, this sensation quickly dissipates after a few days. Over-the-counter pain relievers can help minimize any post-procedure discomfort. 

In sum, there are few restrictions after a MyEllevate neck lift—you’ll simply be asked to delay strenuous exercise and heavy lifting for a couple weeks to avoid increased swelling.

What is the difference between MyEllevate and neck lift surgery?

The primary difference between MyEllevate and a traditional neck lift is the level of invasiveness with each procedure. 

MyEllevate is considered minimally-invasive and can safely and comfortably be performed under local anesthesia—an attractive alternative for patients with only mild skin laxity who do not require extensive correction to achieve their aesthetic goals. MyEllevate’s subtle, natural-looking results improve the neck’s appearance without the need for a surgical procedure and a longer recovery period. 

In contrast, a traditional neck lift is a comprehensive surgical procedure involving incisions, excess skin removal, and tightening of the underlying muscles to achieve a more contoured silhouette. The recovery time of a neck lift is about two weeks, and this more invasive approach carries some risk, as is expected of all surgical procedures. Patients with significant skin laxity see stronger rejuvenation effects and longer-lasting results with a surgical neck lift. 

It’s essential to consult with an experienced, board-certified plastic surgeon specializing in a range of facial rejuvenation techniques to determine which procedure best suits your individual needs and goals.

Can MyEllevate be combined with other procedures?

Yes, MyEllevate is frequently combined with other treatments for comprehensive neck rejuvenation. Dr. Claytor often pairs MyEllevate with SmartLipo to remove excess fat under the chin, as seen in many of our patient examples. The procedure can also be combined with facial treatments or performed alongside other cosmetic procedures. During your consultation, Dr. Claytor will evaluate whether additional treatments would help you achieve your desired results and can safely perform multiple procedures in one session when appropriate.

How does MyEllevate compare to thread lifts?

While both are minimally invasive, MyEllevate offers significantly more durable results than thread lifts. MyEllevate uses permanent braided polyester sutures placed deeper in the tissue to create a supportive “sling” that addresses underlying muscles and glands. Thread lifts use temporary PDO threads placed more superficially that dissolve within 6-9 months. MyEllevate’s continuous loop design and permanent sutures provide the structural support needed for long-lasting neck and jawline definition, while thread lifts offer only temporary skin lifting that requires regular retreatment.

“The whole experience was fantastic! The results exceeded my expectations! I look and feel 10 years younger. Dr. Claytor and his staff made me feel so at ease and comforting. He is an excellent surgeon with a wonderful bedside manner and personality. It is one of the best decisions I ever made. I would highly recommend Dr. Claytor; in fact my neighbor has an appointment with him next month.”

—REALSELF REVIEW

Dr. R. Brannon Claytor

Dr. Claytor is board certified by the American Board of Plastic Surgery and holds over 20 years of experience as a cosmetic plastic surgeon. An innovator and teacher in the field of plastic surgery, he uses advanced techniques like the drain-free tummy tuck and deep plane facelift to streamline recovery and provide natural-looking, durable results.

Meet Dr. Claytor

Double board-certified plastic surgeon Dr. Brannon Claytor at Claytor Noone Plastic Surgery has over 20 years of experience performing a range of surgical and non-surgical procedures and has established himself as the premier choice in the Main Line and Bryn Mawr, PA areas for face and neck rejuvenation. To learn more about MyEllevate neck lift or any of our other safe and transformative procedures, please call our practice at (610) 527-4833 or fill out our online form.

Areas Served:

• Bryn Mawr
• Philadelphia
• Main Line

“Turkey neck exercises,” the videos promising to smooth a sagging neck with a bit of face yoga, rack up millions of views. But can simple moves really erase loose skin and restore a defined jawline? Below, Philadelphia board-certified plastic surgeon Dr. Brannon Claytor shares what science (and decades of neck-rejuvenation experience) tells us about exercises, non-surgical technologies, and his signature neck-lift techniques.

Why does a “turkey neck” form in the first place?

Age, genetics, sun damage, weight changes, and gravity weaken the platysma muscle (vertical bands of muscle along the neck), thin the skin, and allow fat to accumulate beneath the chin. The result is loose, drooping tissue often called a turkey neck.

Can exercises tighten a sagging neck?

The evidence is thin

Facial-exercise routines can tone muscles, but there is little scientific proof that they meaningfully tighten skin or erase deep neck laxity.

Subtle, not surgical results

Daily neck moves may offer subtle improvement for mild muscle slackness—and they’re generally harmless to try—but any visible change is typically modest at best and falls short of what patients expect from professional treatments.

To put it simply, neck exercises are no match for moderate to severe sagging neck skin or prominent neck bands.

How long until I see results from neck exercises?

The exercises circulating online typically promise results within weeks or months of consistent practice. However, the reality is that turkey neck is caused by loose skin, weakened platysma muscles, and fat deposits—issues that cannot be resolved through exercise alone. While you might notice slightly improved muscle tone after weeks of daily effort, this won’t translate to the tighter, smoother neck contour you’re hoping for.

Here’s why timeline doesn’t matter:

• The root cause isn’t addressed: Exercises can’t tighten loose skin or remove excess fat
• Results are negligible: Any changes are typically so subtle they’re imperceptible to others
• Benefits don’t last: Even minor improvements disappear quickly once you stop
• You’re investing time without return: Months of daily effort rarely produce visible change

If you’ve already been doing neck exercises consistently for several months without seeing improvement, this confirms what the research shows: exercises simply aren’t an effective solution for turkey neck. There are, however, proven treatments that can deliver the dramatic results you’re looking for.

““I can’t say enough wonderful things about Dr. Claytor, and the entirety of his staff. This was my second procedure with him- from initial consultation through procedure and follow up, you can tell that he cares immensely for both his patients and his staff. I wish more doctors were like Dr. Claytor!!! I wouldn’t hesitate to recommend his practice to anyone. If you are wanting a surgeon that you know you can trust, and that will care for you and give you excellent results – he’s your guy!””

—5-star Google review

Proven Non-Surgical Options for a Turkey Neck

When concerns are early or mild, Philadelphia neck lift expert Dr. Claytor recommends office-based treatments that stimulate collagen or refine contours without surgery:

Minimally Invasive Options To Improve A Sagging Neck 

For patients who may need more targeted treatments yet not full surgery, Dr. Claytor often recommends minimally invasive options, which may include: 

1. Submental liposuction to debulk fat and correct a “double chin” appearance

2. MyEllevate® neck lift suture system to elevate and support neck tissue

3. Precision Tx™ laser liposuction to tighten loose skin and melt residual fat (performed in conjunction with MyEllevate only)

Dr. Claytor performs these procedures using tiny entry points under local anesthesia, with most patients back to normal activities within a few days.

Gold-Standard Solution: Dr. Claytor’s Comprehensive Neck Lift

When skin excess, heavy jowls, or a pronounced turkey neck dominate, neck lift surgery remains the only “one-and-done” fix, and Dr. Brannon Claytor’s neck lift sets a high bar. During the operation, he works on the deeper anatomy, first releasing and elevating the platysma muscle (a step called platysmaplasty) before meticulously trimming excess skin. 

This deep-structural approach reshapes the neck from the inside out, creating a smooth, elegant contour that looks entirely natural and lasts for years. 

Dr. Claytor’s two decades of facial rejuvenation experience ensure each neck lift (often combined with a facelift) is tailored to the patient’s unique anatomy, revealing a youthful, well-defined jawline that exercises and topical treatments simply cannot achieve.

Neck treatments in Philadelphia

Skip the turkey neck exercises and schedule a personalized assessment with Dr. Brannon Claytor to explore non-surgical, minimally invasive, and surgical solutions. Call our Bryn Mawr plastic surgery center at 610-527-4833 today.

For most people, weight fluctuations are a part of life! But when it comes to investing in your appearance with a facelift, it’s useful to know how weight changes—minor and major—can affect your results.

As a highly skilled deep plane facelift expert and Philadelphia plastic surgeon, Dr. Brannon Claytor understands the nuances of facial aesthetics and what goes into the durability of a well-done facelift. Below, he delves into the relationship between weight fluctuations and facelift outcomes, and shares valuable tips to maintain your rejuvenated look for years to come.

Will weight loss affect my facelift results?

Yes, post-facelift weight loss will affect your results, and could potentially bring back some signs of aging, like fine lines and wrinkles, jowls, sunken cheeks, and wrinkles or sagging in the neck. 

Here’s why: the deep plane facelift technique creates a firm foundation below the skin to lift and anchor the tissues higher on both the face and neck. But when volume is lost during weight loss, aging skin—which loses elasticity over time—may not contract as needed to maintain a firm, smooth appearance. Further, facial fat grafting is often used as part of a facelift to create youthful contours, but losing weight may shrink the carefully grafted fat.

That said, a small amount of weight loss—around 10 pounds or so—is unlikely to significantly affect a well-done deep plane facelift, as the facelift’s deeper repositioning work will not be significantly affected.

Talk with your surgeon about any weight loss or gain you anticipate in the future to decide on the right timing for your procedure. Ultimately, it’s best if you are ready to maintain a stable weight prior to undergoing a facelift for optimal outcomes.

Facelifts typically include neck lifting and tightening

While we often refer to face and neck rejuvenation as “facelift” or rhytidectomy, Dr. Claytor performs most deep plane facelifts in conjunction with open platysmaplasty of the neck—a highly durable neck rejuvenating procedure that achieves gorgeous results. Face and neck aging tend to happen concurrently, making it most patients’ goal to see an improvement in both through their surgery. For this reason, if your weight fluctuates after a facelift, your neck appearance may change, too.

How does weight gain affect a facelift?

While weight loss can “age” good facelift results, moderate weight gain is unlikely to affect how youthful you look. Still, significant weight gain stretches the skin, and if you lose weight in the future, the fluctuations will negatively affect skin’s elasticity.

How much weight change will affect my facelift results?

The impact of weight change on your facelift results depends largely on how much weight you gain or lose.

• Minor fluctuations of 5-10 pounds are generally not a cause for concern. Most patients experience small weight changes throughout the year due to holidays, stress, or lifestyle shifts, and these minor fluctuations typically won’t compromise your facelift results in any noticeable way.
• Moderate changes of 10-20 pounds can start to affect how your results look. Weight loss in this range may cause some hollowing or gauntness in the face, while weight gain can reduce the definition in your jawline and neck. The changes may be subtle but noticeable, particularly in before-and-after comparisons.
• Significant changes of 20+ pounds will likely have a visible impact on your facelift results. Substantial weight loss can lead to loose skin returning, while substantial weight gain can stretch the skin and obscure the refined contours created during surgery.

The speed of weight change also matters. Rapid weight loss or gain—like losing 30 pounds in two months—is more likely to negatively affect your results than gradual changes over a longer period. Gradual changes give your skin time to adapt.

The best approach is to reach and maintain your goal weight before having a facelift, and then commit to keeping your weight relatively stable afterward.

Reach your goal weight before a facelift

If you are planning to lose weight, make a plan for healthy, gradual weight loss before scheduling a surgery date. Aim for a weight you can maintain with sustainable lifestyle choices. You need to be within 10 pounds of your goal weight, and let some time pass for any natural skin contraction, before meeting with your plastic surgeon to develop the final surgical plan for the best possible surgical results.

Dr. R. Brannon Claytor

Dr. Claytor is board certified by the American Board of Plastic Surgery and holds over 20 years of experience as a cosmetic plastic surgeon. An innovator and teacher in the field of plastic surgery, he uses advanced techniques like the drain-free tummy tuck and deep plane facelift to streamline recovery and provide natural-looking, durable results.

Meet Dr. Claytor

Ideal candidates for rhytidectomy

Generally speaking, facelifts are best suited for patients of all ages who want to address skin laxity, wrinkles, sagging jowls or other signs of aging in the face and neck. Patients should also be in good overall health and have realistic expectations for their surgical results. 

It’s important to note that facelift surgery will not erase deep wrinkles or significantly change your underlying bone structure; rather, it can help restore a more youthful contour to the face. Overall, this tends to create the appearance of “turning the clock back” by about 10 years.

If you’re considering a facelift, be sure to find an experienced board-certified plastic surgeon with whom you feel comfortable discussing your goals and expectations. Your surgeon will review your medical history as well as any medications before recommending the best course of action for you. At Claytor Noone Plastic Surgery, we understand that every patient has unique needs and concerns when it comes to facial rejuvenation; we strive to create individualized treatment plans that take these into consideration and provide optimal results.

Facelift surgery after massive weight loss or bariatric surgery

If you have undergone significant weight loss, this is a milestone to celebrate. However, it is common to be left with excess skin in the face and neck like drooping jowls, hollows under the eyes, or sagging neck skin. A facelift can help to restore the natural contours of your face and rejuvenate the neck and jowls. We suggest seeking out an experienced board-certified plastic surgeon who can discuss your goals and expectations; a well-rounded surgeon can also help you address excess body skin with a variety of lifting procedures.

If you’re ready to learn about your facelift options with a deep plane facelift expert, we’re here to help! Dr. Claytor serves patients from all over the Bryn Mawr, Main Line, & Philadelphia areas, and he is happy to talk with you about the best timing for your rejuvenation and answer all of your questions in a personal consultation. Call 610.527.4833 or contact our Philadelphia plastic surgery practice online today.

Aesthetic medicine constantly evolves, and new treatment and product innovation is essential. That’s why the expert aesthetics team at our Philadelphia plastic surgery practice is committed to advancing patient care and outcomes with the latest techniques and technologies. 

One such breakthrough we’re excited to share with our patients is Morpheus8 RF microneedling. Dr. R. Brannon Claytor has conducted award-winning microneedling research, and in this blog, he explains the differences between Morpheus8 and traditional microneedling.

Traditional microneedling

Traditional microneedling uses a needle-tipped device to create thousands of tiny, controlled micro-injuries on the skin’s surface. These micro-injuries stimulate the body’s natural wound-healing process by boosting collagen and elastin production—two essential proteins to maintain the structure and elasticity of the skin. 

As the skin heals and new collagen and elastin layers develop, the skin becomes smoother, firmer, and more youthful-looking. Traditional microneedling is widely used to address several skin concerns, including fine lines, wrinkles, scarring, mild skin laxity, and overall skin texture.

This technique is part of a novel treatment Dr. Claytor pioneered, LaMiNa (Laser + Microneedling + Nanofat), to significantly enhance facial rejuvenation outcomes. This unique treatment combination utilizes proven skin renewal methods to synergistically improve treatment results. 

Morpheus8 RF microneedling

Morpheus8 is an advanced microneedling technique that integrates radiofrequency (RF) energy. 

During a Morpheus8 treatment, the same micro-punctures are created as traditional microneedling, but the needles also deliver RF energy deep into the dermis. This energy heats the underlying layers of skin to create controlled damage that amplifies your body’s natural healing response. The heat from the RF energy also immediately contracts collagen fibers, which creates an immediate skin-tightening effect. Over time, the stimulated production of new collagen and elastin further improves the skin’s appearance.

Controlled RF energy enhances collagen and elastic production while tightening the skin for more comprehensive skin rejuvenation. 

Key differences

Traditional microneedling and Morpheus8 RF microneedling are both highly effective in rejuvenating the skin, but there are some notable differences in their modalities and levels of results.

• Treatment depth: Morpheus8 RF microneedling penetrates deeper into the skin compared to traditional microneedling to target the underlying layers of tissue for more significant improvement in skin concerns.
• Collagen & elastin stimulation: Both methods stimulate collagen, but Morpheus8 RF microneedling typically produces quicker and more dramatic improvements because the thermal energy enhances the process.
• Versatility: Morpheus8 RF microneedling’s advanced approach also makes it preferable for treating more complex and severe skin issues, such as deep wrinkles, significant scarring, and cellulite, which would typically require a longer treatment series using traditional microneedling to achieve the same level of improvement.
• Downtime: Recovery from both procedures is generally minimal. Redness and swelling (similar to a mild sunburn) are common and short-lived with either treatment; however,  there may be slightly more redness and swelling following Morpheus8 RF microneedling due to the deeper penetration and heat involved.

Treatment Timeline & Results

Important Note: Individual results vary significantly based on skin type, age, specific concerns being treated, and individual healing response. The following timelines represent general expectations, but your experience may differ. Dr. Claytor will provide personalized expectations during your consultation based on your unique skin condition and treatment goals.

Traditional Microneedling Timeline

• Days 1-3: Mild redness and sensitivity (similar to sunburn); typically resolves within a few days to a week
• Week 1: Skin begins to heal, minimal peeling possible
• Weeks 2-4: Initial improvements may become visible as collagen production begins
• Months 1-3: Progressive improvement in skin texture and tone continues
• Optimal results: Usually visible after multiple sessions spaced 4-6 weeks apart

Morpheus8 RF Microneedling Timeline

• Days 1-5: More pronounced redness and potential swelling due to deeper treatment depth
• Week 1: Skin healing with possible minor peeling or flaking
• Weeks 2-6: Gradual improvement becomes more apparent as collagen remodeling occurs
• Months 1-6: Continued progressive improvement and skin tightening effects
• Optimal results: Often achieved in fewer sessions (1-3) spaced 4-8 weeks apart

Both treatments show continued improvement for up to 6 months as new collagen and elastin continue to develop, but Morpheus8 typically demonstrates more dramatic and faster visible results.

Is one treatment better than the other?

Both treatments have their merits. Traditional microneedling is superb for improving skin texture issues such as scars, fine lines, and enlarged pores. Morpheus8 RF microneedling, on the other hand, is the treatment of choice for deeper skin concerns and more significant skin tightening and contouring. The best way to determine which treatment would provide optimal benefits for your skin is to schedule a consultation with a skin rejuvenation expert who is highly experienced in both treatments and thoroughly understands the skin’s anatomy and physiology.

At Claytor Noone Plastic Surgery, microneedling treatments are performed by nationally-recognized, double board-certified plastic surgeon Dr. Brannon Claytor; our Physician Assistant, Julie Holesh; and our medical esthetician. This is a tremendous advantage for patients in Bryn Mawr, Main Line, and surrounding Philadelphia areas seeking facial rejuvenation options, as many practices and medical spas employ less qualified providers to perform these med spa services.  

Dr. R. Brannon Claytor

Dr. Claytor is board certified by the American Board of Plastic Surgery and holds over 20 years of experience as a cosmetic plastic surgeon. An innovator and teacher in the field of plastic surgery, he uses advanced techniques like the drain-free tummy tuck and deep plane facelift to streamline recovery and provide natural-looking, durable results.

Meet Dr. Claytor

Our priority is ensuring you receive the best outcome, and we are committed to patient satisfaction and quality of care. Our medical spa and plastic surgery practice offers the most advanced surgical and non-surgical options to enhance your natural appearance. If you are interested in Morpheus8 RF microneedling, we invite you to schedule a consultation with our experienced medical providers by calling Claytor Noone Plastic Surgery at (610) 527-4833, or filling out our contact form to receive a call from us.

Areas Served:

• Bryn Mawr
• Philadelphia
• Main Line

When it comes to plastic surgery, scars are a fact of life! That’s why we embrace conversations about them. Starting with your initial consultation with Philadelphia plastic surgeon Dr. Brannon Claytor, you will learn about the ways we tailor care to achieve beautiful results—and a big part of that will be where we place your incisions, plus the after-care steps we will take to help your scars heal beautifully.

Below, learn about the scar healing process and what Dr. Claytor recommends for minimizing their appearance to maximize your results.

How fast do surgical scars heal?

Scars from plastic surgeries like tummy tuck or facelift continue to diminish in appearance for a full two years, but, importantly, scar tissue takes about 3 months to regain its strength. Furthermore, scars are only about halfway to their ultimate strength level at 6 weeks after surgery; this is when most patients are allowed to resume many activities and when we will likely clear you to get back to your routine, especially if you live a relatively sedentary lifestyle. 

While it feels great to get back to normal life, understand that anything more than occasional light stress on your scars at this time could widen them, so, until they reach their full strength after about 3 months, it’s best to avoid any activity that might strain your healing tissues.

Scar maturation can vary based on the procedure, incision placement, and your unique anatomy, so be sure to ask your doctor specific questions you have about what you can and can’t safely do. For example, a facial procedure such as an eyelid lift will have a faster healing time and less restrictions than a body lifting procedure.

What does the scar healing timeline look like?

As stated, scar healing will vary per procedure and person, but here is a general timeline for scar healing after plastic surgery:

• Weeks 1-2: Your incisions are fresh and may look red, raised, or angry. This is completely normal. Focus on keeping the area clean, dry, and protected. Don’t apply any scar treatments yet—your priority is preventing infection and allowing the incision to close properly.
• Weeks 3-6: Once your surgeon confirms your incisions are fully closed and healed, you can start using silicone gel or sheets. Scars may still look prominent, red, or slightly raised. This is the inflammatory phase of healing, and it’s expected.
• Months 2-3: Scars typically look their worst during this period. They may appear thick, dark, or more noticeable than they did initially. Don’t panic—this is a normal part of the maturation process. Continue with sun protection and scar treatments.
• Months 3-6: You’ll start to see noticeable improvement. Scars begin to flatten, fade, and soften. Redness decreases as blood vessels in the scar tissue break down.
• Months 6-12: Scars continue to improve and fade. Most scars reach about 80% of their final appearance by the one-year mark.
• 12-18 months: Final scar maturation. Your scars should be thin, flat, and significantly lighter than the surrounding skin. Some scars may continue improving slightly beyond 18 months.

Patience is essential. Even when scars look worse before they look better, they’re going through a necessary healing process.

What’s the difference between normal and abnormal scarring?

Most scars heal normally and fade over time, but occasionally scarring can be abnormal and require additional treatment.

Normal scarring goes through predictable phases: initial redness and thickness that gradually flattens and fades to a thin, pale line. Normal scars stay within the boundaries of the original incision and improve over 12-18 months.

Hypertrophic scars are thick, raised, and red but stay within the boundaries of the original incision. They develop when the body produces excess collagen during healing. While they look more prominent than normal scars, hypertrophic scars typically improve with treatment like silicone products, steroid injections, or laser therapy.

Keloid scars are raised, thick scars that grow beyond the original incision boundaries. They can continue growing over time and may feel itchy or painful. Keloids are more common in people with darker skin tones and have a genetic component. They’re more challenging to treat than hypertrophic scars and may require steroid injections, surgical removal, or radiation therapy.

Signs of abnormal scarring:

• Scars that continue to grow beyond the incision site
• Excessive thickness or elevation that doesn’t improve after 6 months
• Persistent pain, itching, or tenderness
• Scars that seem to be getting worse rather than better over time

If you notice any of these signs, contact your surgeon. Early intervention with abnormal scarring leads to better outcomes. If you have a history of keloid or hypertrophic scarring, discuss this with your surgeon during your consultation so preventive measures can be taken.

How to help your scar heal to near invisibility

The appearance of your scars have two components: elevation and color, or pigmentation. Achieving the most beautiful results with ultra-fine, near-invisible scars requires several methods to help the scars to heal both flat and as close to your natural skin color as possible. In addition to following your plastic surgeon’s advice for physical activity limits, you can help your scars heal with a few proven methods:

Choose a surgeon who uses carefully-placed incisions

Board-certified plastic surgeons are extensively trained and experienced in surgical methods that lead to aesthetically pleasing outcomes, and scar placement is a key part of this. Plastic surgeons should place incisions in areas where the least natural tension will be placed on the healing scar, helping it to heal normally.

Incorporate a scar gel

A scar gel such as Strataderm™, which we sell in our office, or Mederma, which is available OTC at pharmacies, can be applied routinely to help minimize the appearance of scars.

Prevent hyperpigmented scars with sun protection

It’s critical to protect healing scars from sun exposure, which darkens them: pigment develops during sun exposure as the body’s reaction to protect itself from the ultraviolet (UV) rays.

Use sunscreen, hats, umbrellas, and clothing to protect healing incisions (avoid relying on sunscreen alone). In addition, you may want to consider wearing white, yellow, cream, or other light-colored bathing suits and clothing that deflect the UV light away, as dark colors like black and brown pull the light in.

Practice scar massage if instructed by your surgeon

Some plastic surgeons may recommend that certain patients practice scar massage once their scar reaches a certain point in maturity. When scar massage is called for—and each patient should ask their doctor if scar massage is appropriate for them—it can help to break up hard, raised scar tissue.

Treat early post-surgical scars with microneedling

In addition to the above measures, Dr. Claytor uses either microneedling or Morpheus8 RF microneedling to induce collagen remodeling, helping to improve scars’ appearance by making them flatter and less visible. 

Previously, most surgeons believed that it was necessary to wait a full year after surgery before using microneedling to improve surgical scars’ appearance. But Dr. Claytor recently published a study in the journal Plastic And Reconstructive Surgery which found that patients who started a microneedling regimen earlier—as early as 6 weeks after surgery, once the initial healing process was complete—saw significant scar improvement at the four-month mark.

As a surgeon who is well-known for his natural-looking deep plane facelift results, Dr. Claytor is constantly working to improve methods to minimize scar appearance and promote quicker scar maturation. While scars are placed inconspicuously, scar care is still critical to achieving the finest possible scars.

Dr. Claytor’s study found that patients who started a microneedling just 6 weeks after surgery saw significant scar improvement at the four-month mark.

Scar revision surgery

In more severe cases where a scar has healed irregularly, you may decide to consult with a board-certified plastic surgeon about scar revision surgery. Revision surgery is not usually able to create a scar-free result, but a skilled surgeon may be able to improve the scar’s appearance by removing scar tissue and carefully suturing the new incision with techniques to help create a fine scar that heals to be barely perceptible. Of course, it is also key to incorporate scar care during recovery from scar revision surgery.

Dr. Claytor is a board-certified plastic surgeon with many years of plastic surgery experience. He has published numerous articles over his career to advance the science and artistry of aesthetic medicine, and he is committed to helping patients see their dream results safely. Dr. Claytor and the outstanding medical team at the Claytor Noone Plastic Surgery invite you to call our office at 610.527.4833 or contact us online to schedule a consultation today!

Areas Served:

• Bryn Mawr
• Philadelphia
• Main Line

Cesarean sections, commonly called C-sections, currently make up 21% of all US births. C-sections are performed for many reasons and are responsible for saving the lives of countless mothers and babies, but they require recovery time and, since they involve the same area of the body, women often wonder how long it will be before it is safe to have tummy tuck surgery to restore their pre-pregnancy body.

In this post, nationally-recognized tummy tuck specialist Dr. R. Brannon Claytor discusses how long you should wait to have a tummy tuck after your C-section, and why.

What are the benefits of getting a tummy tuck after a C-section?

Because of the incisions made to deliver a baby during a C-section, mothers are left with a large scar running either horizontally or vertically across their lower stomach after giving birth. To address this scar and other physical post-pregnancy changes, many women choose to have tummy tuck surgery, also called abdominoplasty. Following a C-section, tummy tuck surgery can:

• Lessen the C-section scar and scar tissue
• Flatten the tummy by tightening underlying muscles and removing excess fat
• Remove any excess skin and the “skin shelf” that sits above the scar
• Re-create or even enhance the pre-pregnancy figure
• Get rid of abdominal stretch marks
• Change your belly button from an ”outie” to an “innie” or otherwise improve its appearance
• Repair diastasis recti
• Contour the waist

The main reason women undergo tummy tuck surgery following their C-section, however, is to regain their sense of identity and confidence. Pregnancy takes a serious toll on a woman’s body and mind, and restoring her to her former (or enhanced) figure can help her feel more like herself again. We also often help women restore their confidence this way by including a tummy tuck as part of a full mommy makeover—a customized set of procedures, such as breast surgery, tummy tuck, and liposuction—that restores your pre-pregnancy shape.

The main reason women undergo tummy tuck surgery following their C-section, however, is to regain their sense of identity and confidence. Pregnancy takes a serious toll on a woman’s body and mind, and restoring her to her former (or enhanced) figure can help her feel more like herself again.

Can a tummy tuck fix my C-section scar?

Yes, in most cases a tummy tuck can remove or significantly improve your c-section scar. During the procedure, the incision is typically made low on the abdomen, similar to where a c-section scar sits. When excess skin is removed, your old c-section scar is often cut away entirely along with the removed tissue.

Even if your c-section scar isn’t completely removed, it’s usually repositioned lower and flatter so it can be hidden beneath underwear or a bikini bottom. The new tummy tuck scar replaces the old c-section scar, and with proper care and time, it fades to a thin line that’s much less noticeable than stretched, puckered c-section scarring.

If you have multiple c-section scars or scars in unusual positions, we’ll discuss during your consultation how they can be addressed as part of your tummy tuck procedure.

How long after a c-section can I have a tummy tuck?

For you and your baby, it’s best to wait at least six to 12 months after giving birth to have your tummy tuck. We know this can be difficult if you want to address your C-section scar, loose skin, and extra weight right away, but this waiting period allows your body to heal completely from childbirth and gives your abdominal muscles and skin time to recover as much as they naturally will.

Waiting also ensures that any postpartum weight fluctuations have stabilized. Your body goes through significant changes during pregnancy and the months following delivery, and operating too soon can compromise your results if your weight or body composition is still shifting.

Why do I need to wait to have a C-section after giving birth?

Many moms appreciate waiting for these reasons:

• Your body is healing and going through changes: You’ll need time to heal after pregnancy. Giving birth is physically, emotionally, and mentally taxing! After pregnancy, your body is coping with many postpartum transitions, such as hormonal rebalancing and breast size changes.
• Bonding is important: The first few months following childbirth are critical for mother-child bonding, and waiting for at least six months after giving birth to have your tummy tuck allows you to enjoy this time with your newborn, uninterrupted by an additional surgical recovery.
• You need time to plan: Initial recovery from a tummy tuck takes about two weeks, and you’ll want to make sure that you have time to organize, prepare, and line up the help you’ll need during that period so you can focus on healing.
• You won’t be able to lift your child during recovery: This is not the time to be lifting your child and caring for him or her on your own. If you’re tempted to do so too soon after your tummy tuck, you might accidentally strain your incisions, delay your healing process, or otherwise compromise your results.

For more suggestions on recovering from plastic surgery, we invite you to read our Mommy Makeover post.

Can I combine my tummy tuck with my C-section?

Most doctors strongly advise against combining a tummy tuck with a C-section, as your uterus is still undergoing dramatic size changes in the weeks after childbirth. Additionally, a different anesthesia type is usually used during a C-section versus a tummy tuck (this is because a C-section plan must consider childbirth safety while tummy tuck anesthesia is purely about your comfort). Lastly, your plastic surgeon will be able to recommend a more ideal tummy tuck plan when they can see how much your abdomen has “bounced back” (or not) after carrying your child. All that said, getting a tummy tuck after a C-section is perfectly safe—you just need to give yourself some time.

Will I need drains after my tummy tuck?

While it is standard for patients to require surgical drains following a tummy tuck, Dr. Claytor is nationally renowned for his drainless, or “no drain,” tummy tuck. When performed properly by a board-certified plastic surgeon, a drainless tummy tuck allows patients to recover faster and with fewer complications.

Here’s how it works: Dr. Claytor is able to maintain your Scarpa’s fascia (deep connective tissue within your abdominal wall) during surgery, which acts as a natural drainage system for your lymphatic system. This means you won’t have to deal with the hassle of emptying fluids from your drains post-surgery, and because your blood supply is improved and tissue damage is reduced, you’ll heal much faster than a traditional tummy tuck.

Is a drainless tummy tuck safe?

Traditional tummy tucks remove the lymphatic drainage from the abdomen, necessitating the use of drains. Dr. Claytor’s approach to maintaining your Scarpa’s fascia and lymphatic system is much safer and more natural. His advanced drainless tummy tuck technique has a post-surgical fluid collection rate less than that of patients who use drains, therefore his patients have a much lower rate of developing seromas. Dr. Claytor has been performing drainless tummy tucks with exceptional results for over 10 years in our Quad-A-accredited surgical suite.

Can I have more children after a tummy tuck?

Yes, you can have more children after a tummy tuck, and it’s physically safe to do so. However, pregnancy after a tummy tuck can stretch your abdominal muscles and skin again, potentially compromising your results.

If you’re planning to have more children, most surgeons strongly recommend waiting until you’re finished building your family before having a tummy tuck. This ensures you get the full benefit of the procedure without risking the need for revision surgery later.

That said, some women do choose to have a tummy tuck between pregnancies—perhaps if there’s a significant gap between children or if they’re experiencing physical discomfort from muscle separation that they want addressed sooner. Just be aware that future pregnancies may alter your results.

If you do become pregnant after a tummy tuck, your pregnancy should proceed normally. The procedure doesn’t affect your ability to carry a baby or deliver safely.

I’m ready to schedule my tummy tuck—what are my next steps?

Congratulations on your delivery! Now that you are officially recovered from your C-section, you can begin to schedule your tummy tuck procedure. Here’s what you’ll want to do:

• Make sure you’re at a stable weight and are in overall good physical condition. This will ensure you have optimal results from your tummy tuck and will help prevent any potential complications.
• Make sure you aren’t planning on becoming pregnant again. If you do get pregnant after your tummy tuck, you can still safely bear a child, but it will compromise your results. While a secondary tummy tuck can be an option, most women prefer to wait until their family is complete.

Above all else, be sure to consult with a board-certified plastic surgeon. He or she can let you know if you are a good candidate for surgery.

Dr. R. Brannon Claytor

Dr. Claytor is board certified by the American Board of Plastic Surgery and holds over 20 years of experience as a cosmetic plastic surgeon. An innovator and teacher in the field of plastic surgery, he uses advanced techniques like the drain-free tummy tuck and deep plane facelift to streamline recovery and provide natural-looking, durable results.

Meet Dr. Claytor

Tummy tuck surgery in Philadelphia

Board-certified Philadelphia plastic surgeon, Dr. R. Brannon Claytor, has been performing tummy tucks for over 20 years. Dr. Claytor specializes in the drainless tummy tuck, which reduces the need for cumbersome and unsettling abdominal tubes. Contact Dr. Claytor online or by calling (610) 527-4833 to learn how tummy tuck surgery can restore your body after a C-section and increase your confidence.

Areas Served:

• Bryn Mawr
• Philadelphia
• Main Line

Dr. Brannon Claytor, a double-board certified Philadelphia-area plastic surgeon, is known nationally for his high level of expertise in facelift surgery and achieving natural-looking results for his patients. He loves answering questions about facelifts, from the fundamental to the very nuanced. We’ve compiled answers to the most common questions for you here.

What does a facelift do?

A facelift lifts the skin of the cheeks, jowl, and neck to provide a more youthful appearance. During the procedure, the surgeon separates the facial skin from the connective tissue and muscles underneath so the deeper facial tissues can be repositioned to create a firmer foundation. Excess skin is removed and the remaining skin is placed over the newly rejuvenated facial tissue. Incisions and stitches are inconspicuously placed around the ear. There are also deep plane facelifts, where the surgeon shapes deeper facial tissues as part of the procedure to treat the skin as well as underlying muscles and tissue.

While the term facelift is often used colloquially to describe full facial rejuvenation, strictly defined, the procedure does not include lifting the eyelids or brows. That said, brow and eyelid lifting procedures are often combined in the same operation to achieve more complete results.

Facelift surgery is complex and requires in-depth knowledge of facial anatomy, a set of advanced surgical techniques, and aesthetic finesse. The surgeon should avoid pulling tissues too tightly, which can create an unattractive windswept look. Skill is also required in handling the area around the submandibular glands (jowls).

How long is facelift recovery?

The initial facelift recovery period, when you need to significantly limit your activity, is about two weeks. Because the procedure lifts and pulls back loose facial and neck skin, as well as connective tissue, it causes bruising and swelling, which subsides significantly by the end of week two. It will take more than two weeks for incisions to fully heal and all post-operative swelling to completely resolve. If you need to look your best for a special occasion or event, we recommend planning your procedure about three months ahead of time. Your plastic surgeon should provide you with detailed post-surgical care instructions and pain relief recommendations. At Claytor Noone Plastic Surgery, we put all of the information you need into a personalized booklet.

Will my face look tight after facelift surgery?

Initially, your facial skin may indeed appear tight simply due to postoperative swelling, however, this tightness will relax as swelling subsides. A skilled plastic surgeon should not pull the skin so tightly that a stretched appearance or tight feeling lasts long-term. Before booking a procedure with a particular surgeon, look closely at before and after photos that were taken at least six months after the procedure.

When does the tight feeling go away?

The tight sensation after a facelift is temporary and improves steadily as you heal.

• Week 1-2: Tightness is most noticeable. Your face will feel stiff, and you may have difficulty with certain facial expressions. This is the peak of swelling and internal healing.
• Week 3-4: You’ll notice significant improvement. Most of the tightness eases as swelling decreases and tissues begin to settle. Smiling and talking become more comfortable.
• 2-3 months: Your face starts to look and feel natural. The tight sensation is mostly gone, though you might still notice subtle firmness in certain areas when touching your face.
• 6 months: Final softness is achieved. Any residual tightness disappears completely, and your results look natural and relaxed.

The timeline varies based on your healing, the extent of your surgery, and your individual tissue characteristics. Patients with thicker skin may experience tightness slightly longer, while those with thinner skin often notice it resolving faster.

How much does a facelift cost?

Facelift costs vary widely depending on the type of procedure, from $12,000 at the low end for more limited procedures on up to $22,000 or more. Prices will also vary depending on the plastic surgeon you choose and your locality; a highly sought after surgeon in an area where operating room space comes at a premium will charge commensurately more than a less experienced surgeon in a suburban locale. If you also desire a brow or eyelid lift to complete your facial rejuvenation, this can increase the total cost.

When consulting with a facelift surgeon, make sure your fee quote includes all the associated costs, including anesthesia, operating room fees, supplies you’ll need after your surgery, and post-operative visits. Most reputable surgeons are transparent about this and will gladly provide an all-inclusive quote.

We strongly discourage choosing your plastic surgeon based on price alone. A below-average price is often a sign that the surgeon does not have proper training—or is cutting corners when it comes to anesthesia and the operating facility, both of which are critical to your safety.

Dr. R. Brannon Claytor

Dr. Claytor is board certified by the American Board of Plastic Surgery and holds over 20 years of experience as a cosmetic plastic surgeon. An innovator and teacher in the field of plastic surgery, he uses advanced techniques like the drain-free tummy tuck and deep plane facelift to streamline recovery and provide natural-looking, durable results.

Meet Dr. Claytor

Do I need a full facelift?

Not everyone needs or opts for a full facelift. More limited procedures such as a mini facelift (see our blog post here for an in-depth discussion) have both lower price tags and shorter recovery periods, however, they are a better choice for patients with moderate skin laxity or other more surface-based concerns.

When consumers refer to a “full facelift,” they often mean treating the eyes and brows as well. While the term facelift is commonly used for a range of procedures, a classic facelift technically only addresses the lower two-thirds of the face—the cheeks and jawline, as well as the neck. An eyelid lift and brow lift can be done simultaneously, but they’re considered separate procedures. The skin, muscles and other tissues along the brow and surrounding the eyelids are very distinct, and require an entirely different set of techniques than those used during a facelift.

• This post is part one of our two-part series on facelift options: you can read all about mini facelifts and non-surgical facelift options in part two!

Where are facelift incisions?

Incisions from a full facelift are located just behind the hairline, starting either near the temples or the sideburn hairline, and continuing around to the back of the ear. Similarly, mini facelift incisions are typically located along the hairline above each ear or in the natural creases surrounding the ear. Mini facelift incisions are shorter and thus less conspicuous, especially during the initial healing period.

Facelift scars may never permanently disappear, especially if you closely examine the skin in the incision areas. Still, they will soften and improve over time. Scars will become nearly invisible, provided your surgeon was precise with incision placement, and let you know about post-procedure scar care.

Will a facelift fix all my wrinkles?

While facelifts do smooth and tighten skin and effectively help smooth deeper wrinkles caused by gravity, they do not address fine lines, expression-based wrinkles, sun damage, smoker’s lines, or surface skin imperfections. Additional non-surgical skin treatments and/or fractional laser resurfacing are the best way to correct those concerns. In fact, we often recommend these treatments in addition to a facelift to help match the surface appearance of your skin with your more youthful overall facial structure.

“The whole experience was fantastic! The results exceeded my expectations! I look and feel 10 years younger. Dr. Claytor and his staff made me feel so at ease and comforting. He is an excellent surgeon with a wonderful bedside manner and personality. It is one of the best decisions I ever made. I would highly recommend Dr. Claytor; in fact my neighbor has an appointment with him next month.”

—Deep plane facelift patient’s realself review

What are the risks of a facelift?

According to a 2015 study, the complication rate from facelift surgery is low, at 1.8 %. The most common risk is a hematoma or a collection of blood under the skin. It typically occurs from engaging in activity too soon after surgery or from elevated blood pressure. If you develop a hematoma, your doctor will perform a simple surgical procedure to drain the blood.

It’s vital to have a thorough discussion with your surgeon about the procedure, including potential risks, before deciding to move forward with a facelift. Other facelift complications (which are rare) include:

• Facial nerve injury causing temporary or permanent weakness in an area
• Poor wound healing
• Infection
• Temporary or permanent hair loss at the incision site
• Numbness
• Persistent pain

The best way to avoid all of the above complications is to work with a board certified plastic surgeon who has performed the procedure dozens if not hundreds of times. We recommend looking for at least a decade of experience with facelifts and related procedures. Be sure they operate in an accredited operating room with hospital-level safety measures in place as anesthesia can pose a higher risk than the facelift procedure itself.

How will I feel after a facelift?

During the initial recovery, you’ll feel much like you would after any medical procedure—there will be several days when you have to take it easy and stay off your feet. Most patients find they experience little pain and any post-procedure discomfort is well-worth the excellent results (as evidenced by the facelift procedure’s high “worth it” rating on RealSelf).

After a successful facelift, patients typically feel a renewed self-confidence in their appearance. There’s also a sense of satisfaction from turning back the clock and reversing signs of aging. Patients often say, “My appearance finally matches how I feel inside.”

Full facelift results typically last between 8-10 years, and even past the decade mark, you’ll have a more youthful appearance than you would have had without one. How long results last is also influenced by how your skin continues to age, so a healthy diet, dedicated skincare routine, and consistent use of sunscreen are essential to getting the most out of your facelift.

Learn more about Dr. Claytor’s facelifts for men »

We’re happy to help you find the best ways to give your face a rejuvenated, revitalized appearance! Philadelphia plastic surgeon Dr. Claytor will listen carefully to your concerns and thoroughly explain the facelift options that best fit your lifestyle and will give you the most stunning results.

Call the Claytor Noone Plastic Surgery office at (610) 527-4833 or contact us online to set up a consultation with Philadelphia-area plastic surgeon Dr. Claytor.

Areas Served:

• Bryn Mawr
• Philadelphia
• Main Line

As one of the first Philadelphia practices that was selected to offer Daxxify™ ahead of its official launch, we’re excited to share our early knowledge of Daxxify (or “Daxi”) cost and its effectiveness for our Bryn Mawr and Main Line patients.

Revance Aesthetics, the maker of Daxxify (DaxibotulinumtoxinA-lanm), received FDA approval for the product in 2022, specifically for treating glabellar lines (frown lines between the eyebrows) for a smoother, more youthful brow appearance. With a slightly lower cost per unit than Botox®, as well as the promise of longer-lasting effects, many wonder if Daxxify is a more affordable alternative to Botox. But when you also consider the greater number of units needed to achieve satisfactory results, does Daxxify still end up being more cost-effective?

Here, double board-certified plastic surgeon Dr. Brannon Claytor and Physician Assistant and expert injector, Julie Holesh, dive into the cost-effectiveness of these two top neuromodulators.

• How much is Daxxify?
• Botox vs. Daxxify cost
  • Treatment cost with Daxi
  • Treatment cost with Botox
• Is Daxi better than Botox?
• How long does each neurotoxin last?
• Other ways we can compare Botox and Daxi
• Is Daxxify a good Botox alternative?

How much is Daxxify?

The total cost of Daxxify and other neuromodulators such as Botox®, Xeomin®, Dysport®, and Jeuveau® is determined by the price per unit and the number of units needed to achieve optimal results.

Daxxify price per unit

Daxxify costs $12 per unit, and the price of Daxi is set by the manufacturer.

It’s important to note that pricing will not significantly vary between qualified providers; overly discounted pricing can be indicative of an injector’s lack of experience or the use of an over-diluted or counterfeit product.

Botox vs. Daxxify cost

Units needed for effective treatment are not uniform across injectable neurotoxins; FDA-approved product labels recommend different dosages based on each product’s unique formula.

Treatment cost with Daxi

The FDA recommends using about 40 units of Daxi to treat glabellar lines (vertical lines between the eyebrows) for most patients.

• $12 per unit x 40 units = $480
• Daxxify approximate annual cost = $960

Treatment cost with Botox

Most patients require approximately 20 units of Botox to treat glabellar lines. The total treatment cost at Claytor Noone Plastic Surgery’s med spa varies slightly between our providers.

• Botox with Dr. Claytor: $15 per unit x 20 units = $300
• Botox with Julie Holesh, PA: $13 per unit x 20 units = $260
• Botox approximate annual cost = $1,000-1,200

So, which neurotoxin actually costs less?

This pricing information can give you a sense of the fact that Daxi will indeed cost more per treatment because of the higher number of units required. However, because Daxxify lasts longer for most patients, maintaining results will cost somewhat less over the course of time. Additionally, treatment with Daxi means you’ll need half as many appointments—a boon for busy patients in the Bryn Mawr and Main Line Philadelphia areas who know their “time is money.”

Also, it should be noted that while we are comparing glabellar line treatment cost as a basis here, Botox-type injectables are not a one-size-fits-all treatment, and surrounding muscles should also be targeted for balanced, natural looking results that enhance your features and diminish flaws. As such, a comprehensive forehead Botox treatment may require 30 to 40 units or more (or approximately double that if using Daxi), with units distributed throughout the forehead and eye area.

Is Daxi better than Botox?

Daxi may be a better choice for some patients, especially those who find making time for injectable appointments difficult, or anyone who has developed Botox resistance.

In this video, Dr. Claytor and Physician’s Assistant and expert injector, Julie Holesh, explain how neuromodulators work and the differences in Daxi’s unique formulation.

How long does each neurotoxin last?

How long its effects last sets Daxxify apart from Botox and other neuromodulators. Daxi results have a median duration of about 6 months, with some patients experiencing its anti-aging effects for up to 9 months. This means that many patients may experience pleasing results with Daxi for twice as long compared to its competitors and thus need touch-up injections less often.

The longevity of Daxi’s results is credited to its unique formulation. Using Peptide Exchange Technology™ (PXT), the toxin that blocks nerve signals is attached to a novel protein that takes the body longer to break down and extends Daxi’s anti-aging effects.

In contrast, for most patients, Botox typically lasts between 3-4 months.

Other ways we can compare Botox and Daxxify

For some patients, a trusted product that has been safely used over a long time period may be of primary importance. In this case, Botox is king: Botox Cosmetic’s predictable results and strong safety profile quickly made it a household name after its debut in 2002, and it has long since been trusted by professionals and patients alike. Furthermore, prior to its official FDA approval for cosmetic use, Botox had long been used for other therapeutic purposes—in fact, it has a 50+ year history of safe use in medicine.

One other nuance to consider: some patients may choose Daxxify over other injectables as it contains no human or animal by-products. We expect Daxi to gain popularity with patients seeking a “cleaner,” vegan neurotoxin.

That said, because the two products have so much in common, there are no other significant arguments that would indicate the use of one over the other.

Both Daxi and Botox:

• Use a purified botulinum toxin to temporarily block nerve signals to treated muscles;
• Once injected, relax targeted muscles, leading wrinkles caused by muscle contractions to be softened or erased;
• When administered by a highly-experienced injector with a keen eye for aesthetics and comprehensive understanding of underlying facial musculature, can achieve outstanding and natural-looking anti-aging results.

Is Daxxify a good Botox alternative?

Yes, especially if you have Botox resistance. In clinical trials, only about 1.5% of patients experienced Botox resistance—when the body either builds up antibodies against the neurotoxin or metabolizes it much faster than expected. Patients with Botox resistance may only experience brief anti-aging effects or see no reduction in wrinkles at all. Our medspa patients who do not get strong results from Botox are showing excellent results from Daxxify.

If you are new to neuromodulators, we may recommend starting with Botox to be sure you are happy with your appearance after neurotoxin injections. This is because, in the unlikely event that you are not pleased with your results, or simply wish to adjust treatment, the effects of Botox will diminish faster. For patients who are experienced with Botox-type injections and are ready to try a longer-lasting product, Daxi is an excellent alternative.

If you are interested in Daxi or other neuromodulators, we invite you to consult with Philadelphia double board-certified plastic surgeon Dr. Brannon Claytor or aesthetic injector Julie Holesh at Claytor Noone Plastic Surgery. Our medical spa treatments are the premier choice in the Main Line and Bryn Mawr areas for achieving natural-looking neurotoxin results. We also offer dermal fillers such as Juvéderm® and Restylane® and advanced laser treatments for complete facial rejuvenation results.

Dr. Claytor has been designated one of Philadelphia Magazine’s Top Doctors from 2021 – 2024, a Main Line Today Top Doctor from 2017-2025, and one of “America’s Best Plastic Surgeons” by Newsweek. To schedule your consultation, please call our practice at 610.527.4833 or request more information about our services online.

Areas Served:

• Bryn Mawr
• Philadelphia
• Main Line

Rhinoplasty, also called nose reshaping surgery, consistently ranks as one of the most popular cosmetic surgical procedures in the country. According to the American Society of Plastic Surgeons, over 48,000 rhinoplasties were performed in 2024 alone, and has only increased since then. Today, Philadelphia plastic surgeon Dr. R. Brannon Claytor explains why rhinoplasty results continue to improve over the months following your surgery, and what you can do to enhance your recovery.

What can rhinoplasty correct?

Rhinoplasty is a powerful procedure that has the ability to transform your appearance and improve your breathing. Depending on your aesthetic and physiological goals, it may include one or more of the following techniques:

• Removal of the nasal hump
• Reshaping of the nose tip
• Reshaping, resizing, or repositioning of the nostrils
• Straightening a crooked bridge
• Increasing or decreasing the size and projection of the nose
• Opening the nasal passages

Rhinoplasty results are gradual

While some cosmetic procedures provide nearly instant results (we’re looking at you, BOTOX®), rhinoplasty results appear a bit more gradually. You’ll definitely have some swelling around your nose for the first few weeks following your surgery as your skin molds to your new nose shape, but don’t let this short-term inflammation discourage you; although many people think of rhinoplasty as having a “lengthy” recovery period, it is actually quite short considering the dramatic results it can deliver.

For all of our patients, 90% of swelling is resolved within 3 months of surgery. The last 10% of swelling is usually confined to the nasal tip, which may take slightly longer to heal due to its thick, sebaceous skin. The nasal tip is also directly connected to your nose’s underlying cartilage, and is therefore dependent on the healing of this tissue. For most patients, swelling may vary day-to-day during the first few months following your rhinoplasty.

Stages of rhinoplasty recovery

You can think of your healing process in two stages: your initial recovery, followed by your long-term healing:

Initial stage

You can expect to see immediate swelling and bruising following your surgery, but this will quickly diminish in the first week or two, at which point you may choose to return to public activities. During this initial stage, it’s important to remember that your results will improve as swelling diminishes and your tissues and/or bones heal.

Final stage

Most of our patients are happy with their new noses after just 2 weeks, and final results are visible at the 3-month mark. Though it may still take a few more months for subtle nose swelling to fully resolve, only you are likely to notice these more slight, final refinements in your results.

Our patients are happy with their new noses after just 2 weeks, and see final results in 3 months.

Why do some rhinoplasty results develop more quickly?

While it takes our patients 3 months on average to see full rhinoplasty results, there are some factors that can influence how long your final results may take to appear:

Open vs. Closed Rhinoplasty

Depending on your cosmetic goals and your surgeon’s approach, he or she may choose to perform an “open” or “closed” rhinoplasty. Open rhinoplasty involves making incisions at the base of the nose and within the nostrils. Closed rhinoplasty involves making incisions only within the nostrils. Because it is more invasive, open rhinoplasty may result in more swelling and, therefore, take longer to heal.

Nasal Tip Thickness

Everyone’s nasal tip skin thickness is different: thicker nasal tip skin generally takes longer to heal, while thinner skin may heal more quickly. If your nose skin is very thick, it may take slightly longer for your nose tip to fully heal—but remember, most of your swelling will be gone within the first 2 weeks, and it will likely be confined to your nasal tip.

Surgical technique

Here are a few ways that your surgeon’s technique can influence your recovery:

Typically, the less that one’s nasal skin is elevated above their cartilage during surgery, the less immediate post-operative swelling and bruising will occur. This is why I am very careful to minimize the level at which I elevate my patients’ nasal skin.

Sometimes rhinoplasty involves resetting the nasal bones; other times, trimming tissue and/or bone or attaching a graft is sufficient to achieve your desired results. It may take longer to heal if your surgeon has to reset any nasal bones, as this involves cutting and moving certain bones. However, I only reset nasal bones if a patient has experienced significant nasal trauma or they desire a more dramatic cosmetic improvement.

Primary vs. Revision Rhinoplasty

A revision rhinoplasty is performed to correct a previous rhinoplasty. Revision rhinoplasties may take somewhat longer to heal than primary rhinoplasties because:

1. There is less cartilage present in the nose
2. There is an increased amount of scarring in the nasal tissue

Be patient—great rhinoplasty results take time

Remember that your swelling is more noticeable to you than to anyone else. In the first few days following your procedure, it’s normal to want to see your final results. However, you will experience some degree of swelling, and everyone’s recovery is different depending on: 1) the nuances of their rhinoplasty, 2) their physical condition, and 3) their ability to adhere to their surgeon’s aftercare instructions. For these reasons, it’s important to discuss your rhinoplasty recovery with your plastic surgeon during a personal consultation.

What if my nose looks worse before it looks better?

You may feel like your nose looks worse at certain points during recovery than it did right after surgery. This can be alarming, but it’s usually completely normal.

In the first few days, swelling is distributed relatively evenly. But as initial swelling goes down, the pattern becomes uneven. One side might look more swollen than the other, or your tip might look bulbous while your bridge looks refined. Different areas heal at different rates, so temporary asymmetry is expected.

Around the 2-4 week mark, many patients feel like they’re experiencing a setback. Your nose might look wider or less defined than it did in week one. This happens because dramatic post-surgical swelling has decreased, but you’re left with deeper, stubborn swelling that’s harder to see but still affects appearance.

If you’re in an awkward phase of healing, remember it’s temporary. Most patients who feel discouraged at 6-8 weeks are thrilled with their results by 6 months.

Is there anything I can do to speed up my recovery process?

While it will take a few months for you to see your full rhinoplasty results, there are some things you can do to help facilitate your body’s healing process, including:

• Follow all of your surgeon’s post-op instructions to a T , including taking proper care of your incisions, attending follow-up appointments, and taking all prescribed medications.
• Eat a healthy diet and drink plenty of water. Avoid foods that are high in sodium, as they promote fluid retention.
• Immediately apply a cold compress or ice pack after surgery to minimize swelling and bruising. I ask my rhinoplasty patients to apply ice as often as they are capable for the first 24 hours after surgery.
• Keep your head elevated above your heart as much as possible, including while sleeping, to reduce swelling.
• Avoid activities that may harm your nose , such as mountain biking and martial arts.
• Avoid crowded places where your nose may inadvertently get bumped, such as crowded sporting events and concerts.
• Avoid strenuous exercise for the first 3 to 4 weeks after surgery.
• Avoid prolonged sun exposure.
• Avoid blowing your nose.

Is non-surgical rhinoplasty a real alternative to surgery?

Non-surgical rhinoplasty, also known as a liquid nose job, is performed by strategically injecting a dermal filler—typically Juvéderm® or Restylane® —into specific areas of the nose. Unlike rhinoplasty, non-surgical rhinoplasty results are temporary (lasting about 9 months to a year), and can only address certain aesthetic concerns, like reducing the appearance of a dorsal hump, enhancing symmetry, or increasing projection.

For those who want to preview the results of rhinoplasty before committing to surgery, non-surgical rhinoplasty can be a helpful procedure. However, because of its temporary results and inability to treat physiological issues or more advanced aesthetic concerns, non-surgical rhinoplasty should not be considered an “alternative” to surgery.

Choose a plastic surgeon who specializes in rhinoplasty

Dr. Claytor is a renowned double-board certified plastic surgeon in the Philadelphia area. He was named one of “America’s Best Plastic Surgeons” by Newsweek magazine for his exceptional skill and experience performing rhinoplasty. To find out if you’re a good candidate for rhinoplasty, schedule a consultation with Dr. Claytor online or call (610) 527- 4833. We look forward to helping you achieve your aesthetic goals!

Areas Served:

• Bryn Mawr
• Philadelphia
• Main Line