One of the most tell-tale signs of aging and weight fluctuations are “bat wings”— extra skin and fat that hangs off the upper arms. Bat wings can affect women and men of all shapes and sizes, but can’t be corrected with exercise and diet alone. While the most effective way to get rid of them is with arm lift surgery, those considering the procedure often ask if its results will be permanent. Below, Philadephia arm lift surgeon Dr. R. Brannon Claytor answers this common question and provides suggestions for how to maintain your arm lift results.
What is an arm lift?
An arm lift, clinically referred to as brachioplasty, is a body lifting procedure that removes excess tissues and tightens loose skin & muscle on the upper arms between the elbow and shoulder. It is often combined with liposuction to remove stubborn fat deposits, further slimming the arms. After loose tissues are removed, the skin on the arms is then tightened and sutured, helping the arms look more toned and contoured.
With a 94% patient satisfaction rating, arm lift surgery has been labeled one of RealSelf’s “Most Worth It” procedures for the past 4 years. Patients often report feeling more confident, attractive, and confident after the procedure.
Arm lift surgery has a 94% patient satisfaction rating, making it one of the most ‘Worth It’ procedures.
Laser-assisted liposuction presents a less-invasive arm lift option
Laser-assisted liposuction, also called SmartLipo®, can be a less-invasive alternative to traditional arm lift surgery. Instead of surgically removing excess tissues following your liposuction procedure, SmartLipo applies thermal energy beneath the skin while suctioning away fat. This thermal energy stimulates new collagen growth, resulting in a 57% increase in tissue tightening over traditional liposuction.
Laser-assisted lipo offers a few more benefits over traditional lipo, including:
- Quicker and more comfortable recovery
- Full results are typically seen after 3-4 weeks (compared to 1-3 months)
- Only requires local anesthesia
You can learn more about SmartLipo and find out if you’re a good candidate for the procedure during a personal consultation with Philadelphia plastic surgeon Dr. Claytor.
How long will my arm lift results last?
Arm lift results can last for a decade or more, assuming you maintain a stable weight and healthy lifestyle. Additionally, because some skin and fat are permanently removed with the procedure, your arms will always look tauter than they would have without an arm lift. However, sagging will naturally continue with age and any weight fluctuations, therefore it’s normal for your initial results to fade somewhat over time. If additional sagging or fat accumulation is treated while it is still fairly mild, a non-surgical body contouring treatment may be adequate for future touch-ups.
How can I maintain my arm lift results?
While your arm lift results may not last forever, there are a few ways you can help extend them:
Adhere to a healthy diet & exercise routine
Diet: A healthy diet supports skin elasticity and collagen production—important factors when it comes to maintaining toned arms. Furthermore, being thoughtful about what you eat can help you maintain a steady weight, which is key to retaining plastic surgery results. We suggest the following timeless guidelines: avoid processed foods, consume alcohol only in moderation, eat a whole-foods based diet, and drink plenty of water.
Exercise: In addition to diet, exercise is key to maintaining beautiful arm lift results. While you’ll want to avoid strenuous activity (especially in your arms) for the first 6 weeks after your surgery, you should develop a regular fitness routine that includes both cardio and strength training exercises to help you keep weight off and tone your arms. (Tricep extensions and dips are some of our favorites.)
Follow proper scar aftercare steps
After your arm lift surgery, you will have a scar running between your elbow and shoulder on each arm. These scars will fade on their own over time, but you can help reduce their appearance even further by following these aftercare tips:
- Avoid nicotine products, including tobacco, vaping, and Nicorette®
- Use a medical-grade, silicone-based scar cream, such as Biocorneum®
- Avoid sun exposure and always use a high-SPF sunscreen, such as Alastin® Skincare’s HydraTint Pro Broad Spectrum SPF 36
- Sleep with your arms elevated for the first two weeks after your surgery to reduce swelling
If you have taken these steps and are still unsatisfied with your arm lift scars, fractional laser skin resurfacing may be able to help further lighten and fade scars by encouraging cell turnover.
Following your surgeon’s aftercare instructions can minimize scarring and extend your arm lift results.
Wear compression garments
You will need to wear compression garments on both arms for 3-6 weeks following your arm lift surgery. These garments will help minimize swelling and scarring, and help your arms adapt to their new contour.
Maintain a stable weight long-term
Weight fluctations can affect your arm lift results:
- Minor fluctuations of 5-10 pounds typically won’t have a noticeable impact on your arm contour. These small changes are normal throughout the year due to holidays, stress, or lifestyle shifts, and your results should remain stable.
- Moderate changes of 10-20 pounds can start to affect how your arms look. Weight gain in this range may add fullness back to your upper arms, while weight loss could cause some looseness to reappear, though usually less than you had before surgery.
- Significant changes of 20+ pounds will likely have a visible impact. Substantial weight gain can stretch the skin and obscure the improved contour created during surgery. Substantial weight loss can cause loose skin to return, though the degree depends on your skin’s elasticity.
The best approach for permanent arm lift results is to reach your goal weight before surgery and maintain it within a 10-pound range afterward. If major weight changes are likely in your future, it’s better to postpone your arm lift until your weight stabilizes.
Choose a board certified plastic surgeon
Beautiful arm lift results begin with choosing a board certified plastic surgeon for your procedure. A common mistake underqualified surgeons make is not leaving enough skin to properly close the arm lift incision; this can place excess tension on the incision, leaving behind thin, stretched skin. An underqualified surgeon may also leave you with tighter skin on one arm than the other.
An experienced, board certified plastic surgeon will take great care when making your incisions in order to minimize scarring and create proportional, symmetric results. He or she will also guide you to the most effective medical-grade scar care and provide detailed pre- and post-op instructions to help you achieve the best possible outcome.
Board certified plastic surgeon Dr. Claytor performs arm lift surgery under local anesthesia in his on-site Quad-A-accredited surgical facility, or as an outpatient procedure at Bryn Mawr Hospital or the Surgery Center of the Main Line. To reduce visible scarring, he hides arm lift scars within the armpit area so that they are not visible from the front or back when the arms are down.
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.
Do I need an arm lift?
While no one needs an arm lift (it is an elective procedure), you may be a good candidate if:
- You have had weight loss (bariatric) surgery
- You have loose, sagging skin on your arms that you feel detracts from your overall appearance
- You are a non-smoker with no serious medical conditions
- You are at or near your target weight and have a BMI under 30
- You understand that the procedure will leave a scar
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Interested in arm lift surgery? Contact Main Line plastic surgeon Dr. Claytor.
Board certified plastic surgeon Dr. R. Brannon Claytor has helped patients from Philadelphia, Main Line, Bryn Mawr, and surrounding areas slim and tone their arms for over 20 years. According to one of Dr. Claytor’s arm lift patients on RealPatientRatings.com, “The results were beyond my expectations. Dr. Claytor treated me with respect and was attentive. The staff is top-notch.” Schedule your consultation with Dr. Claytor online or call (610) 527-4833.
Areas Served:
Looking for a tummy tuck with a streamlined recovery, natural-looking results, and fewer complications? You are wise to learn about the drain-free tummy tuck, a specialized procedure that achieves gorgeous results while also eliminating the need for post-operative drains. As an expert in this technique, Philadelphia plastic surgeon Dr. Brannon Claytor has exclusively performed drain-free tummy tucks for over 10 years. Here are 4 reasons to choose this procedure, plus how to find a tummy tuck surgeon.
1. No cumbersome drain to wear after surgery
The obvious benefit of a drain-free tummy tuck? There are no post-op drains to wear! Dr. Claytor’s technique allows the body to drain fluid from the surgical area on its own. You’ll completely skip the hassle of emptying drain fluids after surgery, as well as the 24/7 discomfort of wearing drains.
Being more comfortable sooner after surgery also means that you may find it easier to be up and about. This movement helps you to more quickly return to normal; Dr. Claytor encourages his patients to be lightly active around the house and take a shower the day after surgery.
Being more comfortable after surgery also means that you may find it easier to be up and about, which helps you to more quickly return to normal.
2. Faster tummy tuck recovery
Tummy tucks are well-known for requiring patience during the recovery period, but a major benefit of a drainless tummy tuck is that the technique helps to speed up recovery. During surgery, Dr. Claytor leaves a thin layer of scarpa’s fascia (connective tissue) intact below the skin, ultimately leaving the abdominal wall’s natural lymphatic drainage system intact, also. This allows the body to carry away fluid that would otherwise accumulate in the operated area, and it has added benefits: there is less trauma to your tissues, improving blood supply and reducing the strain on your healing body.
3. Fewer complications
Dr. Claytor’s independent research has demonstrated that drainless tummy tucks result in lower fluid collection rates than those of those patients who wear plastic drains at their incision sites. This helps to reduce the odds of developing a seroma, a post-surgical complication in which fluid collects beneath the skin.
4. Excellent tummy tuck results
A drainless tummy tuck addresses the same concerns as a traditional tummy tuck: this technique also tightens stretched abdominal muscles, removes excess skin, addresses fat deposits or a tummy pooch, and creates a natural-looking belly button. As such, you can expect the same benefits to your shape, your comfort, and your confidence:
- Firmer, more supportive abdominal musculature
- Relief from diastasis recti (separated abdominal muscles) & symptoms related to the condition, such a lower back pain and urinary incontinence
- Removal of excess skin and fat
- A contoured, proportional abdominal shape
- Improved quality of life
As with a traditional tummy tuck, incisions are typically placed from hip bone to hip bone, low on the abdomen so that they are hidden within the bikini line once healed.
Finding a surgeon for a drain-free tummy tuck
Before scheduling a consultation, ask any plastic surgeon you are considering if they perform drainless tummy tucks, technically called a scarpas-sparing abdominoplasty. Not all surgeons are trained and experienced in this technique, and you should not choose a surgeon who is any less than a specialist in this advanced method. As always, it is critical to look for a surgeon’s board certification, skill, and evidence of many previous happy patients.
Philadelphia plastic surgeon Dr. Brannon Claytor is a well-known drainless tummy tuck expert. In addition to educating his Bryn Mawr, Main Line, and Philadelphia tummy tuck patients about this procedure, Dr. Claytor educates fellow surgeons on the drain-free technique and has pioneered research that demonstrates its effectiveness; he also teaches an advanced course on scarpas-sparing abdominoplasty at national meetings of The Aesthetic Society. Learn more about Dr. Claytor & our plastic surgery office »
In this educational video for fellow plastic surgeons, Dr. Claytor narrates an animation demonstrating how he performs a drainless tummy tuck—with an emphasis on how he incorporates liposuction for more comprehensive results.
Am I a good candidate for a tummy tuck without drains?
Most patients who are a good candidate for tummy tuck surgery (in overall good health, at a stable weight, with exercise- and diet-resistant fat and excess skin on the abdomen) are also excellent candidates for a drain-free abdominoplasty. Rest assured that you will receive personalized advice and recommendations at your consultation, so meeting with Dr. Claytor at our Bryn Mawr plastic surgery office is the best way to learn if this surgery may truly be appropriate for you.
Most patients who are a good candidate for tummy tuck surgery are also excellent candidates for a drain-free abdominoplasty.
Why choose Dr. Claytor for your plastic surgeon?
Double Board-Certified for a high level of safety and precision
Chief of Plastic Surgery at Main Line Health, a top health system
Board Member of The Aesthetic Society, shaping the future of aesthetics
10x Philadelphia Magazine Top Doctor for exceptional patient care
Recognized as one of America’s Best Plastic Surgeons by Newsweek
Drain-free recovery expert for faster, more comfortable healing
Deep plane facelift innovator and global educator
Active researcher in surgical and non-surgical aesthetic advancements
Highly regarded for his surgical expertise and outcomes, as well as his dedicated follow-up care
Philadelphia board-certified plastic surgeon Dr. Brannon Claytor is highly experienced with this technique, and he is passionate about helping body contouring patients meet their goals safely and efficiently. Schedule your personal consultation with Dr. Claytor by calling 610-527-4833 or contacting Claytor Noone Plastic Surgery online today.
Areas Served:
The term “mini breast aug” refers to a specialized version of breast augmentation and is designed to provide subtle, natural breast enhancement without creating a dramatic change in size. While the technique is not new—Philadelphia plastic surgeon Dr. Brannon Claytor has been performing natural-looking breast augmentation for decades—the increasing demand for aesthetic procedures that enhance natural beauty has recently popularized the term.
Here, Dr. Claytor explains his approach to mini breast augmentation and who may be a good candidate for the technique.
Dr. Claytor’s approach to mini breast augmentation
Dr. Claytor recommends a mini breast aug to achieve aesthetic goals such as:
- Improving breast shape and proportion conservatively
- Restoring a moderate amount of lost volume
- Correcting mild asymmetry between breasts
Generally, patients seeking a mini breast aug increase their breast volume by about one cup size. A mini breast augmentation can be achieved through two primary techniques: breast implants and fat transfer to the breast.
Mini breast aug with implants
If implants are chosen, they are typically smaller in size, often in the range of 100cc to 250cc. Keep in mind that there are several measurements and considerations Dr. Claytor accounts for when recommending an implant size range for mini breast augmentation—the implant size right for you may not fall within the typical range. It is imperative that you choose a highly experienced Philadelphia breast augmentation specialist to ensure you love your results.
The mini breast augmentation aligns with a broader shift in plastic surgery trends toward subtle, natural enhancements.
Just like with any breast augmentation procedure, you’ll have a choice between saline and silicone implants, as well as different profile options. Dr. Claytor can also place your implants either above the muscle (subglandular) or beneath the muscle (submuscular). In some cases, Dr. Claytor can safely and painlessly perform mini breast augmentation under IV sedation and local anesthesia instead of general anesthesia.
The results of a mini breast aug with implants provide just the right amount of shape and volume to correct mild aesthetic concerns and enhance the natural elegance of your breasts. Dr. Claytor’s team uses Crisalix 3-D imaging to show you how you will look with different-sized breast implants so you feel confident in your choices.
Mini breast aug with fat transfer
Fat transfer to the breast is also an excellent option to achieve a mini breast augmentation. Dr. Claytor uses liposuction to harvest fat from areas such as the abdomen, thighs, or flanks and then carefully purifies it to be injected into your breast tissue. With your goals in mind, Dr. Claytor precisely places the fat to correct minor imperfections and enhance the overall appearance of your breasts—similarly to breast implants.
“Mini breast aug” is a trending term for what Dr. Claytor has delivered for hundreds of patients—natural breast augmentation results that align seamlessly with your goals.
Not all of the transferred fat survives, so Dr. Claytor typically places a little more fat than needed so that your final results meet your expectations. In some cases, patients may need a secondary procedure if they experience lower fat transfer take rates. Fat transfer mini breast augmentation is just as personalized as augmentation with implants and has the added benefit of targeted fat removal in other body areas. It can also be performed under local anesthesia with sedation, making it an attractive choice for those who want to avoid general anesthesia.
Dr. Claytor will explain both options during your consultation and help you determine the right approach for you.
Candidates for a mini breast augmentation
A mini breast augmentation is ideal for patients who:
- Desire a subtle enhancement rather than a dramatic transformation
- Have adequate skin elasticity and minimal sagging
- Are seeking moderate volume restoration after pregnancy or weight loss
- Want to correct mild asymmetry or enhance their natural breast shape
Although not everyone is a candidate for a mini breast augmentation, patients who work with Dr. Claytor can still achieve natural breast augmentation results. For example: Even if you would benefit from a breast lift (mastopexy) to remove excess skin and firm your breast tissue along with your augmentation, your results will still look natural.
It’s important to remember that “mini breast aug” is a trending term for what Dr. Claytor has delivered for hundreds of patients—natural breast augmentation results that align seamlessly with your goals.
Philadelphia mini breast augmentation
If you’re considering a mini breast augmentation, we invite you to schedule a consultation with our experienced, double board-certified plastic surgeon Dr. R. Bannon Claytor to learn more about your options. We proudly serve the Bryn Marw, Main Line, and surrounding Philadelphia areas. Call our Bryn Mawr plastic surgery office at 610-527-4833 to get started.
Dr. Brannon Claytor’s proprietary three-step anti-aging treatment, LaMiNa, is especially effective for reducing perioral “lip lines”—an area that is notoriously difficult to treat. Taking note of these results, New Beauty magazine recently featured the groundbreaking treatment alongside an interview with one of Dr. Claytor’s patients, LuAnne.
Thanks to Dr. Claytor’s innovative approach—combining CO2 laser resurfacing, microneedling, and nanofat transfer—this “LaMiNa” treatment minimizes even stubborn vertical lines around the lips. Laser remodels the skin, while microneedling deeply penetrates the skip to deliver the final step—nanofat, harvested with a small liposuction procedure—deep into the skin with two noteworthy effects:
- Deepens the effects of the laser procedure
- Promotes faster healing and reduces pain from the laser
According to LuAnne, “The way he explains it to me is that your body realizes it’s your own fat, and somehow it heals it, and you just don’t feel that burning sensation at all…It felt so soothing like my skin recognized it immediately.” She added that, by day 5 post-treatment, “The texture of my skin was amazing. It was just so much better.”
The three-step protocol can be applied to the face, neck, and chest, and doesn’t only target lip lines—it also addresses sun damage, skin texture, and wrinkles in other areas, making it a highly versatile solution for facial rejuvenation.
Lip lines can be one of the most challenging areas to rejuvenate, but the LaMiNa procedure provides a targeted solution that blends advanced technology with natural regenerative aesthetics for subtle, beautiful results and minimal downtime.
With more than two decades of surgical experience and aesthetic expertise, Philadelphia plastic surgeon Dr. Claytor works hard to make sure that each patient’s journey is tailored to their goals and overall skin health, while employing the most advanced techniques and technology available.
Frustrated by lip lines that age your appearance?
Dr. Claytor would be happy to meet with you! If you’ve been struggling with persistent lip lines or want to refresh your look, we invite you to learn more about how the LaMiNa treatment can help you achieve smoother, more youthful-looking skin—and experience the life-changing transformation that so many of our patients are enjoying.
Contact us today to schedule your personal consultation!
Philadelphia plastic surgeon Dr. R. Brannon Claytor is gaining national attention after New Beauty® recently featured his proprietary LaMiNa treatment. The article, Nanofat Plastic Surgery Is the Next Big Trend You Need to Know About, highlights the growing trend of nanofat use in both clinical and aesthetic medicine, emphasizing its holistic approach to rejuvenation and superior outcomes that were once thought unachievable with a minimally invasive procedure alone. Here, we share more insight into why nanofat grafting is gaining significant traction as an invaluable tool to enhance aesthetic outcomes.
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.
What is nanofat?
Nanofat is a refined form of fat that is harvested from the patient and processed down to its smallest regenerative components. The remaining solution is rich in both anti-inflammatory and restorative properties. Nanofat’s uses and benefits far surpass conventional fat grafting methods. Traditional fat transfer procedures are primarily used to add volume, while nanofat works on a cellular level to significantly enhance the skin’s ability to heal itself and naturally rejuvenate. Nanofat helps rebuild collagen and other key dermal structures, improving a range of concerns including lines, rough skin texture, and volume loss in aesthetic procedures.
The use of nanofat represents a significant advancement in aesthetic medicine, and Dr. Claytor has dedicated many years of clinical research to understanding nanofat and how best to use its benefits to achieve stronger results for his patients.
Incorporating nanofat grafting for advanced facial rejuvenation
Dr. Claytor recognized the potential benefits of nanofat long ago and has spent years researching and testing the best ways to incorporate nanofat into his aesthetic practice. In fact, Dr. Claytor published a scientific study in 2023 investigating the safety and efficacy of LaMiNa, which incorporates nanofat to address “barcode lines” (fine lines and wrinkles around the mouth that are notoriously difficult to treat).
Dr. Claytor was then awarded “Best Non-Surgical Publication” at the prestigious Beauty Through Science conference in Stockholm, Sweden for his groundbreaking research on LaMiNa earlier this year.
Dr. Claytor’s novel LaMiNa treatment (Laser + Microneedling + Nanofat) is a three-step process performed in a single session at our Philadelphia plastic surgery center:
- Laser skin resurfacing: Targeted CO2 lasers to remove the outer layer of damaged skin. This process significantly diminishes existing lines and wrinkles and stimulates the body’s natural healing response, resulting in new collagen and elastin formation beneath the skin. Collagen and elastin are key proteins that give the skin structure, volume, and elasticity.
- Microneedling: Dr. Claytor then uses microneedling to create micro-punctures in the skin. Microneedling also triggers a healing response to enhance collagen and elastin production further and primes the skin to receive the nanofat.
- Autologous Nanofat: In the final and most impactful step of the LaMiNa treatment, Dr. Claytor harvests a small amount of fat from the patient and carefully processes it before applying it to the treatment area. The tiny punctures formed in the skin after microneedling allow the regenerative properties within the nanofat to deeply penetrate the skin and accelerate healing.
The combined results of these three processes effectively reduce signs of aging with minimal downtime. All patients in the study verbally reported no pain following the procedure and experienced rapid recovery in an average of five days.
Dr. Claytor’s study on LaMiNa won “Best Non-Surgical Publication” at the Beauty Through Science conference in Stockholm, Sweden.
The New Beauty article champions how Dr. Claytor’s LaMiNa technique stands out as a groundbreaking treatment combination that effectively reduces fine lines and restores youthful volume around the lips, particularly for his Philadelphia facelift patients.
Because trying to pull the mouth area tight during facelift surgery creates an unnatural, windswept appearance, and fillers are simply not designed to address the root causes of volume loss that contribute to barcode lines around the mouth, Dr. Claytor uses LaMiNa to restore the lost volume that allowed lines to form in the first place. Patients see an immediate improvement in surface-level concerns and, because collagen and elastin production is amplified, the initial results continue to enhance over the following months as the nanofat stimulates deeper skin rejuvenation and better skin health.
Facial rejuvenation in Philadelphia
If you are looking for a facial rejuvenation expert in the Bryn Mawr or Main Line areas to help you turn back the clock on aging, please call Claytor Noone Plastic Surgery at 610-527-4833 to schedule a personal consultation with Dr. Claytor. With over 20 years of experience in achieving outstanding, remarkably natural-looking results, Dr. Claytor is the premiere choice in the Philadelphia area for all your plastic surgery needs.
As a deep plane facelift specialist and internationally-renowned plastic surgery educator, Dr. Brannon Claytor has adopted many advancements in facelift technique over the years. One of the most significant, yet not widely discussed, is the ability to undergo a facelift while you are awake.
What is an awake facelift?
An “awake” facelift is performed using only oral medication for relaxation and tumescent anesthesia to numb the surgical area. Instead of putting you completely asleep under general anesthesia, this puts you in a relaxed state, where you are still responsive. Tumescent anesthesia involves the injection of a local anesthetic directly into the surgical area for numbing.
While Dr. Claytor offers facelifts under general anesthesia as well, he has found that nearly 90% of women and men prefer this “awake” facelift experience.
This patient underwent a deep plane facelift with Dr. Brannon Claytor.
*Individual results may vary on a case-by-case basis
Dr. Claytor’s facelift approach
Your facelift surgery technique will be fully customized for you, and it will be the same whether you are awake or asleep. During the consultation, Dr. Claytor will examine your areas of concern and talk with you to learn about your goals. For most patients, he recommends the deep plane facelift technique to lift the skin and underlying muscles of the face and smooth jowls, tighten crepe-like skin in the neck, and create a well-defined jawline. Many patients choose to combine their Philadelphia facelift with laser skin resurfacing with nanofat and microneedling (Dr. Claytor’s proprietary LaMiNa technique), a lip lift, or upper face procedures like eyelid lift for an evenly youthful appearance.
Benefits of Choosing an Awake Facelift
1. Quicker recovery time
One of the immediate benefits of an awake facelift is a streamlined recovery process. General anesthesia can leave you feeling groggy and disoriented for several days post-operation, and can have side effects like nausea and a sore throat. After general anesthesia, you will need someone to stay with you for at least 24 hours.
On the other hand, local tumescent anesthesia wears off more quickly, allowing you to feel like yourself sooner. This means you can return to your daily activities around the house, like cooking for yourself, within 24-48 hours after your procedure, without the prolonged downtime—just be sure to follow Dr. Claytor’s instructions for resting, limiting strenuous activities and exercise, and wearing compression garments.
2. Reduced risk of complications
General anesthesia, while safe for most patients, carries a slightly higher risk of complications, especially for those with certain health conditions. By opting for local anesthesia, you can avoid these risks. In general, this approach is gentler on the body, reducing the likelihood of adverse reactions and complications.
General anesthesia carries a slightly higher risk of complications; by opting for local anesthesia, you can avoid these risks.
3. No discomfort during the procedure
You may worry that being “awake” could mean feeling pain or discomfort during the facelift. However, numbing injections and oral medication for relaxation, can help you remain comfortable throughout the procedure. If you experience any discomfort, our surgical team can adjust your dosage of medication as needed to keep you comfortable for the entire process.
4. Cost-effectiveness
General anesthesia often requires additional monitoring equipment and time with an anesthesiologist, which can increase the overall cost of the procedure. An awake facelift can be a more cost-effective option without compromising the quality or results of the surgery. (In either case, we offer financing options to help break down the cost into monthly payments.)
5. Responsiveness during surgery
Being awake allows you to talk with Dr. Claytor during the procedure. Not only does this help us ensure that you remain comfortable, but your responsiveness and ability to move your body can assist the surgical team, as needed, for optimal surgical access and results.
For example, if you choose to have facial fat grafting in combination with your facelift, it can be especially helpful to be able to reposition your body for (step 1) liposuction and for (step 2) reinjecting the fat into the face.
Regardless of the details of your facelift surgical plan, Dr. Claytor offers patients both general anesthesia and local anesthesia with sedation.
*Individual results may vary on a case-by-case basis
Is an awake facelift right for you?
While the awake facelift offers numerous benefits, you need to be a good candidate for a facelift before undergoing the procedure with either kind of anesthesia. Ideal candidates are those who:
- Are in good overall health
- Do not smoke or use nicotine
- Have realistic expectations about the outcomes of facelift surgery, as discussed with Dr. Claytor in your consultation
- Have set aside sufficient time for a restful, safe recovery after surgery (i.e. no immediate travel plans)
- Prefer a more streamlined, mobile recovery period
- Wish to avoid general anesthesia
During your consultation, you and Dr. Claytor will discuss your medical history, aesthetic goals, and address concerns you may have. Dr. Claytor believes that the choice of anesthesia should be made in collaboration with you, just as he works with you to develop a surgical plan based on your goals for your appearance—not a cookie-cutter set of changes.
Dr. Brannon Claytor holds years of experience in both traditional and awake facelifts, and he is an international leader and educator in the deep plane face and neck lift technique—an advanced method that creates a defined jawline and transformative, yet natural-looking, results for facelift patients at any age. He is an 8x Philadelphia Magazine Top Doctor Winner, Chief of Plastic Surgery at Main Line Health, and one of Newsweek’s America’s Best Plastic Surgeons. We invite you to schedule your consultation today by calling 610-527-4833!
“Filler fatigue” refers to the notion that overuse or long-term use of fillers can lead to a puffy or strangely out-of-proportion appearance—a.k.a. “pillow face.” It may also lead to a stretched, doughy look in the skin where filler has dissolved.
This concept keeps gaining traction, most recently with rumors surrounding celebrities like Ariana Grande and Kylie Jenner, who are known for their youthful looks but have faced speculation about their changing facial appearances due to alleged overuse of fillers.
Here, our double-board certified plastic surgeon Dr. Brannon Claytor, who performs many facial plastic surgeries, as well as non-surgical injectables like dermal filler, addresses these rumors and provides a professional medical perspective on how fillers impact the aging process.
What fillers are for
Dermal fillers have a gel-like consistency, and they are designed to lay beneath the skin where injected to add volume, smooth out wrinkles, or enhance facial contours. Fillers are made from substances like hyaluronic acid, which naturally occurs in the body and helps keep skin plump and hydrated. When administered correctly, this cornerstone anti-aging treatment should offer a natural-looking enhancement. However, they gradually dissolve over time—after approximately 6-18 months, depending on the formula.
The rumors of “filler fatigue” highlight the importance of professional expertise when it comes to anti-aging treatments.
Your injector’s aesthetic taste & medical judgment is key
The key to avoiding a puffy or aged appearance with filler brands such as Juvéderm, Restylane, Bellafill, or RHA fillers lies in professional judgment and moderation. When overused or improperly placed, filler may create unnatural proportions or diminish the natural facial qualities that contribute to a youthful appearance. It’s essential for injectors to understand the anatomy of the face and how to achieve balance and harmony with fillers. You also want an injector who is going to be honest with you and tell you “no” if your appreciation of the filler transformation leads you to ask for more before it is appropriate to refresh your injections.
At Claytor Noone Plastic Surgery, all injectables are performed by Main Line plastic surgeon Dr. Claytor or Physician Assistant Julie Holesh, whose advanced training in facial anatomy and physiology allows them to achieve outstanding, natural-looking outcomes while avoiding unfortunate instances of poor results that many celebrities are criticized for.
“Dr. Claytor is an amazing doctor-compassionate, kind, supportive, knowledgeable and warm. The highest rating, the 5 Star, can’t convey how great I felt being in his care with his Team. He is skillful. He inspires confidence. He knows what he is doing; great results! Highly recommend him!”
—5-star Google review
Reversing too much filler
If you have received too much filler with a hyaluronic acid-based formula, then the filler can be dissolved, to an extent, with injections of an enzyme called hyaluronidase. However, it can take many sessions of reverse injections to fully return to your “before” state, so only undergo filler with an injector you can trust to give you natural-looking results—thoroughly check their credentials, reviews and before-and-after photos beforehand.
Fillers aren’t the only effective anti-aging procedure
If you want to fight aging without surgery, you have many safe, effective options beyond dermal filler. Botox, a neuromodulator rather than a filler, is the #1 injectable of all time for good reason—its effects are predictable, and in the hands of a skilled injector, it can deliver amazing anti-aging results in the upper face. Dysport and Daxxify are two Botox alternatives that work to address wrinkles in a similar way. In addition, at-home professional skincare and daily SPF application are the foundation of aging gracefully. We also offer many other topical skin treatments that can provide outstanding anti-aging results with regular use, including laser treatments, Morpheus8 RF microneedling, IPL photofacials, chemical peels, Hydrafacial MD, and dermaplaning.
“I had a great experience using Daxxify with Julie. My eyebrow and forehead lines have disappeared and there was a noticeable difference within 24 hours.”
—5-star Google review
Reputable injectors will encourage you to use a range of complementary anti-aging treatments, as treating not just volume loss but also dynamic wrinkles and overall skin texture is key to an ageless appearance.
The bottom line: Choose an experienced medical injector
Celebrities like Ariana Grande and Kylie Jenner bring visibility to these discussions, but it’s essential to remember that each individual’s experience with fillers will vary. Consulting with an expert injector like Dr. Claytor or Julie and getting a personalized treatment plan is crucial to achieving your desired outcome while maintaining a natural appearance.
Dr. R. Brannon Claytor is an award-winning plastic surgeon and a highly sought-after choice for both surgical and non-surgical treatments in Bryn Mawr, Main Line, and beyond.
If you are looking for a trusted aesthetic medical team in the Philadelphia area, call us at 610-527-4833 to schedule a consultation!
Philadelphia Plastic Surgeon Dr. Brannon Claytor Recognized as a Top Medical Professional in USA Today’s 2024 Watch List
Philadelphia, PA /Press Advantage/—Dr. Brannon Claytor, a board-certified plastic surgeon at Claytor Noone Plastic Surgery, has been featured in USA Today’s prestigious list of “Top Medical Professionals to Look Out For in 2024.” This acknowledgement underscores Dr. Claytor’s commitment to ideal patient outcomes and his use and advancement of innovative plastic surgery techniques.
“Our team is dedicated to achieving optimal results that look remarkably natural and streamlining recovery,” said Dr. Claytor. “Being honored by USA Today is a testament to our commitment to medical excellence as well as serving our patients.”
Dr. Claytor is an award-winning plastic surgeon and one of the top cosmetic surgeons in Philadelphia, PA. He is well-known in Bryn Mawr and the Philadelphia Main Line area, and nationally known for his expertise in deep plane facelift technique to achieve natural looking, yet transformative, facial anti-aging results. Equally noteworthy is his innovative drain-free tummy tuck technique for improved plastic surgery recovery. Dr. Claytor’s inclusion in USA Today’s list of top doctors highlights his many contributions, such as these, to the field of plastic surgery. Still, Dr. Claytor himself is most energized by his impact on patients’ lives.
“Each day at my practice, I see patients’ lives transformed by procedures like deep plane facelifts and drain-free tummy tucks,” Dr. Claytor commented. “While any recognition is an honor, the joy my patients express at their follow-up appointments will always be the best reward.”
This recognition follows closely behind several other presentations, awards, and publications in national plastic surgery journals. Dr. Claytor presented his research and techniques at five national and international plastic surgery conferences in fall of 2023, including meetings of the American Society of Plastic Surgeons (ASPS), The Aesthetic Society, and the American Academy of Facial Plastic & Reconstructive Surgery (AAFPRS); he won “Best Paper” from the medical journal Plastic and Reconstructive Surgery for a paper on postoperative scar care with microneedling; and he continues to be named a “Top Doctor” by Philadelphia Magazine and Main Line Today each year.
About Dr. Brannon Claytor: Dr. R. Brannon Claytor is board-certified by the American Board of Plastic Surgery and a board member of The Aesthetic Society. With over 20 years of experience as a plastic surgeon, he serves as Chief of Plastic Surgery for Main Line Health. Dr. Claytor’s warmth and attention to his patients’ needs make him one of the Philadelphia area’s favorite plastic surgeons. His knowledge of and continual training in the most advanced surgical techniques provide his patients with up-to-date, cutting-edge care that yields exceptional results. After obtaining his medical degree at Jefferson Medical College, Dr. Claytor completed a Plastic Surgery Fellowship at the University of Massachusetts Medical School, followed by a Hand and Microsurgery Fellowship at the prestigious Washington University School of Medicine in St. Louis. After ten years in private practice in New England, Dr. Claytor, a Philadelphia-area native, joined Dr. R. Barrett Noone in 2014 to carry on the tradition of exemplary plastic surgery on the Main Line. Dr. Claytor’s practice, Claytor Noone Plastic Surgery, is located at 135 S Bryn Mawr Ave Suite 300, Bryn Mawr, PA 19010 on the Philadelphia Main Line. For more information about Dr. Claytor and Claytor Noone Plastic Surgery, visit https://www.cnplasticsurgery.com/ or contact the office directly at (610) 527-4833.
Combining treatments to maximize results has become a standard practice at our Philadelphia med spa. A recent study spotlighted a duo that’s setting new benchmarks for skin rejuvenation: Botox and chemical peels. Below, we explain how these treatments work on their own, their synergistic benefits, and the results of the study.
Botox: Precision in relaxing expression lines
Botox®, and other brands of neuromodulators, use a purified form of botulinum toxin to temporarily paralyze facial muscles that cause dynamic wrinkles, which are lines that appear as a result of facial expressions like smiling, frowning, or squinting.
During a Botox treatment, our injectors use very fine needles to inject the neurotoxin directly into the muscles that help form these expressions, softening the impact these movements have and thus smoothing the skin in treated areas.
The procedure is highly nuanced; our injectors carefully select the specific muscles that contract with your expressions and often treat corresponding areas to maintain a natural appearance.
Our Bryn Mawr Med Spa offers premium Botox-type injectables, including Daxxify™, Dysport®, and Xeomin®.
Chemical peels: Revitalizing the skin’s surface
Chemical peels use a specialized chemical solution that, when applied to the skin, deeply exfoliates away the dull, dead layers to reveal healthier, smoother skin beneath. These treatments reduce the appearance of dynamic and static lines, help even out skin tone and texture, improve the appearance of large pores, and boost collagen and elastin production to enhance skin health. Peels range in intensity from superficial to deep, depending on the chemical solution used and the skin’s needs.
“Doctor Claytor is absolutely amazing. I can’t say enough wonderful things about him and his entire team!”
—5-star Google review
The benefits of combining Botox and chemical peels
When Botox and chemical peels are used in conjunction, they address a broad spectrum of skin concerns, from the underlying muscle activity contributing to dynamic wrinkles to the surface-level static irregularities like skin texture and tone. The combination creates a more youthful and refreshed appearance that neither treatment could achieve alone.
Additionally, the effects of Botox can potentially be extended when paired with a customized chemical peel, as improving the skin’s overall quality with increased collagen and elastin production helps to soften or erase existing lines and help delay future concerns from forming.
Results of the new study
The January 2024 study, published in the Journal of Drugs in Dermatology, observed participants aged 30 to 70 with varying skin types who received a chemical peel followed immediately by Botox injections. Here is an overview of the participants’ results 30 days after treatment:
- 60% improvement in wrinkle severity
- 59% improvement in pigmentation uniformity
- 70% improvement in skin tone concerns
Of those who participated in the study, 96% expressed their willingness to undergo the treatment again, with 100% of patients noting an improvement in their skin’s appearance.
What does this mean for you?
For anyone seeking a non-surgical, yet comprehensive approach to rejuvenate their skin, this study confirms the safety and efficacy of combining Botox and chemical peels. No additional side effects from pairing these treatments were found during this study.
Why choose our plastic surgery center for your medspa treatmentsWhile the study’s results are promising, the key to success lies in selecting the right professionals for your aesthetic needs. Our Bryn Mawr Med Spa is overseen by Dr. Brannon Claytor, one of the top aesthetic surgeons Philadelphia, who also performs injectable treatments alongside our Physician Assistant, Julie Holesh. Patients in Bryn Mawr, Main Line, and surrounding Philadelphia areas appreciate that their injectable treatments and many other non-surgical procedures are performed by practitioners with the highest levels of education and training in facial musculature and skin anatomy.
In addition to our premier injectable providers, our medical esthetician, Shannon, has nearly 20 years of experience in personalized medical spa treatments, including chemical peels, to address superficial and deeper skin imperfections.
Ready to transform your skin?To learn if this innovative treatment duo is right for you and your skin, please call our Philadelphia Med Spa at Claytor Noone Plastic Surgery by calling (610) 527-4833—or, schedule a consultation online using the link at the top of this page!
Sometimes one needs a little help to feel as vibrant on the outside as the inside. In this insightful Q&A session with Dr. Claytor, you’ll learn the ins and outs of facelifts and discover the steps to take toward a more confident you.
How do I know when I need a facelift?
Let’s face it; no one needs a facelift. The more important question is why do men and women reach a point where they are considering facial rejuvenation? It’s a conundrum. The years tick by, but in our hearts, we still feel youthful exuberance with just – perhaps – a touch more wisdom than we had twenty or thirty years ago. Truthfully, women seem to bear the pressure of aging more deeply than most men. And ageism can be felt in the workplace and dating. Many people in their 60’s and 70’s wish to or need to continue working and find themselves competing against a youthful workforce. Several have spoken about finding themselves “sidelined” or are asked when they might be retiring. The increased use of “Zoom” meetings and selfies has made people of all ages more self-critical, but for many who have begun to see the effects of time, gravity and sun damage, the self-criticism can build to a loss of confidence. That moment when you look in the mirror and the reflection doesn’t reflect who you feel inside is often the moment that patients pick up the phone to schedule a consultation. The art of aging gracefully does not necessarily require the foregone conclusion of wrinkles, jowls and sagging neck.
How long does a facelift usually last? Is it a permanent procedure?
Unlike threads, a deep plane facelift provides a long-lasting result. While each patient is unique, most patients feel they have turned back the clock 10-20 years. One must remember, of course, that you will, of course, continue to age. You just set the clock back on the aging process.
Will my facelift scars be visible?
Dr. Claytor positions the scars within the fold of the ear, behind the ear and in the hairline so as to be as invisible as possible.
There are a few options to choose from when it comes to facelifts. How will I know what type of facelift procedure is right for me?
That’s a great question. Some patients come in concerned only about their neck. If they are young and have a thick or heavy neck, we can often address this with liposuction and a minimally invasive MyEllevate procedure. If the patient has loose or crepe skin (eg: turkey neck), they have excess skin, and this can only be addressed by removing and lifting the skin and addressing the underlying musculature of the neck. A neck lift can address the neck and the lower face, but it will not address the mid face. The deep plane facelift addresses the neck, lower face and midface, and provides a comprehensive rejuvenated result.
How long does it take to recover from a facelift?
You should give yourself two weeks to recover from a deep plane facelift. While the bruising is typically fairly minimal, you will experience some swelling, and you will want to make sure you stay well hydrated and rested while you are recovering.
Are there any non-surgical options that can achieve facelift-like results?
There is a multi-billion dollar industry that insists that facial rejuvenation can be achieved without surgery. There are lasers that are incredibly effective at improving skin tone and texture, and there are some treatments that can even help with skin tightening. Fillers (like Juvéderm, Restylane and Sculptra) and toxins (like Botox, Dysport and Daxxify) can help for a time. Patients come to me when they have tried these treatments and still have the same facial aging concerns they started with. The deep plane facelift is the holy grail of facial rejuvenation.
Learn more about facelifts with Dr. ClaytorThe journey to a more confident you begins with informed decision making. Learn more about facelifts by reading the blog posts below from our plastic surgeon Philadelphia: