Woman smiles after vertical facelift in sunlit room

You may have heard of the trending “vertical” face and neck lift, a marketing term for a combination of the most advanced approaches to addressing facial descent and aging. Board certified plastic surgeon Dr. R. Brannon Claytor performs vertical facelifts using the deep plane facelift; when appropriate, he will also incorporate other techniques and procedures to achieve naturally refreshed facial rejuvenation results. 

The vertical facelift technique

A deep plane technique facelift releases the retaining ligaments to lift and reposition the SMAS and skin as one, creating a more natural looking and lasting result. Adding complementary procedures can further enhance your appearance. Dr. Claytor will work carefully with you to understand your goals and tailor a plan that may include any of the following options:

  • Lower face rejuvenation to tighten loose skin, raise tissues vertically, and create a beautiful, natural jawline with a deep plane face & neck lift
  • Upper face rejuvenation to create balanced and comprehensive results, i.e. with a brow lift, eyelid lift, or non-surgical Botox®-type injectables
  • Volume restoration to add fullness and soften wrinkles with facial fat grafting
  • Lip enhancement with a surgical lip lift or lip filler, as needed
  • Skin resurfacing to address imperfections like fine lines, thin skin, or dark spots, i.e. with laser or combined BLT skin tightening

While certain techniques are worthy of the buzz they generate, remember that you are truly unique, so don’t go into a consultation set on a trending procedure. Instead, work with a plastic surgeon who asks, first and foremost, about your appearance wishes and concerns. In your consultation, Dr. Claytor will be happy to discuss your needs, share before and after photos, and tailor a procedure plan to achieve the results you envision. 

Why Dr. Claytor’s deep plane facelift is the same as a vertical facelift

Vertical facelifts employ the deep plane lifting technique that Dr. Claytor uses for every facelift at his Philadelphia plastic surgery practice. While some cosmetic surgeons may say that the “vertical” technique involves certain steps, such as skin resurfacing or fat grafting, these steps may not be appropriate in all cases. Rather, they are considerations that Dr. Claytor makes when tailoring each patient’s unique rejuvenation plan. 

Vertical facelifts employ the deep plane lifting technique that Dr. Claytor uses for every facelift at his Philadelphia plastic surgery practice.

In sum, Dr. Claytor’s tailored approach to each patient yields the vertical facelift without a prescriptive, cookie-cutter approach—he will focus instead on a customized approach, with all modern surgical options available to you.

Before & After Gallery
Before
After

*Individual results may vary.

What anesthesia will I have for a vertical facelift?

In most cases, Dr. Claytor performs facelifts under local anesthesia with oral sedation. This helps to shorten your surgical recovery time, because, without undergoing general anesthesia, your body will be less impacted and you will feel like yourself again much sooner.

Where can I learn more about the deep plane facelift?

To learn more, visit our deep plane facelift page, where you read answers to frequently asked questions and watch Dr. Claytor’s descriptive video demonstration of his deep plane technique for face and neck. 

We also have comprehensive guides to other complementary anti-aging procedures:

When you are ready, we invite you to schedule a consultation with Dr. Claytor by calling 610-527-4833 or filling out our online contact form. We look forward to helping you look the way you feel!

Dr. Brannon Claytor of Claytor Noone Plastic Surgery published research on improving scar appearance that could change how surgical scars are treated.

Plastic and Reconstructive Surgery 2023 Best Paper Awards
Plastic and Reconstructive Surgery named “Microneedling Outcomes in Early Postsurgical Scars” a recipient of the 2023 Best Paper Awards.

Philadelphia, PA, September 12, 2023 /PR Newswire/—Pioneering research published by Philadelphia plastic surgeon Dr. Brannon Claytor, along with co-authors Dr. Casey Gene Sheck and Dr. Vinod Chopra, has been honored by the journal, Plastic and Reconstructive Surgery. Microneedling Outcomes in Early Postsurgical Scars” won Honorable Mention for “Best Ideas and Innovations Paper” in the journal’s 2023 Best Paper Awards. The study found postsurgical scar appearances are significantly improved after a series of microneedling treatments in early healing phases.  

“I am deeply honored by this recognition and proud of our contributions to post-surgical scar care. I hope many surgeons will adopt these scar-minimizing protocols,” says Dr. Claytor. “This study affirms the value of reexamining and advancing the basics of surgery and recovery to improve patient results.”

Award winners were selected based on the number of times each article was read on Plastic and Reconstructive Surgery Journal’s online platform and Ovid®, another authoritative resource for medical research, for 16 months following article publication. Dr. Claytor’s paper showcasing the novel approach to treating post-surgical scars with microneedling treatments stood out by a distinct margin, proving its merit as a leading paper in its category.

Philadelphia board-certified plastic surgeon Dr. Brannon Claytor
Philadelphia board-certified plastic surgeon Dr. Brannon Claytor co-authored the award-winning scar treatment study.

“Percutaneous collagen induction has achieved noteworthy improvement in acne scars for years,” says Dr. Claytor. “My goal for this study was to determine if microneedling treatments could produce similar improvement for surgical scars and develop new treatment protocols. I believe we have been very successful.”

The ground-breaking study consisted of twenty-five patients who underwent surgery and received a series of three microneedling treatments to their scars with the goal of increasing collagen production. The patients’ scar appearance was evaluated after each treatment and at a final 2-month follow-up. The data showed that treating surgical scars 6-7 weeks postoperatively showed superior improvement compared to scars that were treated 13-16 weeks postoperatively; no adverse effects were observed. Patient’s age, skin tone, or scar location did not appear to affect the outcome of their results. 

Dr. Claytor’s Philadelphia plastic surgery practice in Bryn Mawr, PA, serves the areas around  Philadelphia, the Main Line, and beyond. Patients considering plastic surgery procedures can now benefit from Dr. Claytor’s extensive award-winning research and are invited to schedule a consultation by calling (610) 527-4833. 

About Dr. R. Brannon Claytor: Dr. R. Brannon 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. Dr. Claytor’s practice, Claytor Noone Plastic Surgery, is located at 135 S Bryn Mawr Ave Suite 300, Bryn Mawr, PA 19010. The office is on the Philadelphia Main Line. Dr. Claytor can be reached at (610) 527-4833 or at www.cnplasticsurgery.com.

Media contact: Dr. R. Brannon Claytor, Claytor Noone Plastic Surgery, (610) 527-4833, www.cnplasticsurgery.com.

Father and daughter smiling having a picnic during autumn in the Main Line area of Philadelphia

Fall is around the corner, which means it’s not long before we’ll be sipping pumpkin spice lattes, getting our sweaters out of storage, and feeling the crisp autumn breeze sweeping through the streets of Philadelphia. The Main Line area offers a range of enriching and entertaining activities and adventures for couples and families to experience the magic of the season. 

Country Roads

Escape the bustle of the city and check out the colorful tapestry of reds, oranges, and golds with a scenic drive in the backroads of Amish country. This part of the state is not only incredibly picturesque but also unbelievably peaceful. You’ll drive past rolling farmland, farm stands, babbling brooks, covered bridges, and even a horse-drawn buggy or two. The following routes are guaranteed to delight the senses with stunning landscapes and quaint and charming small towns.

Want to stretch your legs? Lace up your hiking boots and discover the region’s most beautiful trails, such as the Schuylkill River Trail, the Valley Forge National Historical Park, or the John Heinz National Wildlife Refuge. Time in nature is proven to be good for the body, mind and soul! And of course, it’s FREE so you can venture out knowing that your budget is happy and healthy, too.

Fright Nights

In our book, it’s never too early to plan for Halloween. Ring in spooky season with a frightful ghost tour from Grim Philly, or if you’re feeling really brave, explore the “Terror Behind the Walls” in an abandoned prison. It’s true! Every evening in September through November, the Eastern State Penitentiary opens its cell blocks to create an immersive and terrifying experience full of thrills and chills. In addition to five different haunted house attractions, the historic site also features educational and interpretive tours and themed bars and lounges with live music. Trick or treat, indeed!

Fun on the Farm

The fall season simply wouldn’t be complete without a visit to the pumpkin patch. Head to one of the dozens of nearby farms and orchards to pick the juiciest apples or the perfect gourd for carving or decorating. Sure, you could stop by your local grocery store for these, but if you want the full fall experience (and to support local business), you’ve got to get it straight off the vine. 

These farms also offer delightful corn mazes, hay rides, pony rides, and apple cannons that promise a fun-filled day for the whole family. Don’t forget to come hungry, because you can also enjoy the freshest culinary delights like hard-pressed apple cider, cider donuts, and warm apple pies topped with homemade ice cream. We’re salivating just thinking about it!

Party in the Streets

One of our favorite places to experience the magic of fall is Peddler’s Village, a 42-acre attraction in Bucks County that offers year-round shopping, dining, lodging, and entertainment. They have so many memorable seasonal events for the whole family and they all kick off on Labor Day, when more than 100 scarecrows, ranging from silly to scary, pop up all over the village as part of an annual competition for local residents and organizations. Make sure to also pencil in their annual OctoberFeast party featuring local food trucks, beer tastings, and traditional folk music.

Want more? Every autumn, the streets of Philadelphia and the Main Line come alive with fall festivals and harvest celebrations featuring local artisans, heritage crafts, live music, seasonal treats and activities for all ages. For the full round-up of events in the area, check out these sites’ online calendars:

Fall Primping & Pampering

This time of year it’s more important than ever to practice self-care, especially with school back in session, the temperatures dropping, and the chaos of the holiday season just around the corner. 

Let us pamper you with a spa day! Claytor Noone Plastic Surgery in Bryn Mawr offers cosmetic treatments to help you feel confident and comfortable in your own skin. 

Philadelphia Top Doc and double-board certified plastic surgeon Dr. R. Brannon Claytor and his team of medical aesthetic experts have endless treatment options to help you put your best face forward for the fall season. Their Skin & Laser Center provides a full selection of rejuvenating skin treatments to give you beautiful and natural-looking results.

  • Injectable wrinkle treatments including dermal fillers and Botox
  • Anti-aging and skin rejuvenating treatments such as a customized Hydrafacial, chemical peel, light therapy, or microneedling
  • Laser treatments such as hair removal or fractional skin resurfacing

We also offer surgical options for the face, breast, and body if you’re interested in a more dramatic transformation to your appearance.

To set up your personal consultation and learn how Dr. Claytor can help you achieve your aesthetic goals for your upcoming wedding, call our practice at 610.527.4833 or reach out to us online today.

Woman touching surgical scars that haver healed

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.

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.

About Philadelphia plastic surgeon Dr. Brannon Claytor

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!

Man and woman smiling after Philadelphia LaMiNa procedure with Dr. Claytor

Dr. R. Brannon Claytor, Chief of Plastic Surgery for Main Line Health, is a nationally-recognized double board-certified plastic surgeon who performs a unique facial cosmetic procedure called a “LaMiNa” (Laser + Microneedling + Nanofat), also known as a Biologics + CO2 Laser Skin Tightening (BLT) treatment, to significantly enhance facial rejuvenation outcomes for his Bryn Mawr and Greater Philadelphia patients. This innovative approach to skin renewal stemmed from Dr. Claytor’s personal research, which showed that this novel treatment combination achieves faster, more robust results than individual treatments alone. 

Here, Dr. Claytor explains how he uses these treatments and the science behind their efficacy to significantly improve signs of aging and overall skin vitality. 

Treatment overview

Before we explore the advantages of LaMiNa skin tightening, it’s helpful to understand each procedure in its own right to fully grasp what the treatments can synergistically achieve.  

Nanofat

Biologics are derived from living organisms, and in this case, from your own purified fat called nanofat. Nanofat includes naturally occurring substances our bodies produce, such as growth factors, stem cells, and cytokines.

Using nanofat in aesthetics harnesses your body’s natural healing and regenerative capabilities in several ways:

  • Stimulates regeneration. Biologic elements in nanofat help stimulate the production of new, healthy cells for rejuvenated skin that looks & feels younger and more vibrant.
  • Enhances healing. Nanofat improves the healing process, reducing recovery time and maximizing aesthetic outcomes.
  • Promotes collagen production. Collagen is a key protein that provides structure and elasticity to our skin. Nanofat increases collagen production to restore the skin’s natural elasticity and firmness.

CO2 Laser Skin Tightening

CO2 Laser Skin Tightening uses a high-energy beam of light that precisely targets specific areas to improve the appearance of various skin concerns, such as wrinkles, fine lines, and sagging skin. Here’s a breakdown of how it works:

  • Precision treatment. The controlled laser energy penetrates the skin’s deeper layers to treat skin concerns without damaging the surrounding tissues.
  • Increased collagen production. The heat from the laser energy contracts and tightens collagen fibers and initiates the development of new fibers to significantly improve skin firmness and elasticity.
  • Skin resurfacing. CO2 laser treatment reduces the appearance of age spots, acne scars, and other skin imperfections, resulting in smoother, more even-toned skin.

Dr. Claytor also employs a microneedling technique for better absorption of the nanofat; microneedling (or RF microneedling) is a very effective standalone cosmetic treatment to improve the appearance of dull skin tone, uneven skin texture, fine lines, large pores, and pigmentation irregularities. Dr. Claytor has been published in the Plastic and Reconstructive Surgery journal for his research on “Microneedling Outcomes in Early Postsurgical Scars,” which showed the efficacy of microneedling treatments for improved surgical scar appearance—findings that support his comprehensive approach to skin rejuvenation. 

Patient shown before and 6 weeks after LaMiNa treatment.
This 55-year-old patient received a LaMiNa treatment to her face. Her before photos (right) show brown spots and deeply etched facial and lip lines. The after photos (left) highlight how the treatment corrected the pigmentation irregularities and achieved shorter, softer facial and lip lines. The increased collagen production also adds youthful volume for a naturally lifted appearance. 

The LaMiNa procedure

This procedure revolutionizes the field of skin rejuvenation and sets a precedent for how expert plastic surgeons can achieve stronger aesthetic improvement without extending recovery times or solely relying on more invasive procedures. Dr. Claytor has an extensive clinical background in aesthetic medicine and has developed a treatment protocol optimized to achieve noteworthy results with minimal downtime:

Step 1: Fat harvesting and preparation. Fat is harvested using a tiny incision and thin cannula from the belly or thighs. It is then meticulously emulsified to access the nanofat. 

Step 2: CO2 laser treatment. Dr. Claytor ablates the desired treatment area at an ideal depth of 2-3 mm to cause a controlled amount of thermal damage to resurface the skin and boost collagen production. 

Step 3: Microneedling. Micro-punctures in the newly ablated tissue allow for deeper penetration of the nanofat and an enhanced healing response.

Step 4: Nanofat. The nanofat is introduced to the treated tissue to allow the growth factors, stem cells, and cytokines to amplify the skin’s regenerative abilities and thicken the reticular dermis (the bottom layer of connective tissue that supports the skin).  

Patient shown before and 3 months after face and neck rejuvenation with MyEllevate suture, fat grafting to the face, and LaMiNa skin resurfacing.
This 67-year-old patient received face and neck rejuvenation with MyEllevate neck lift suture, fat grafting to the face, and LaMiNa skin resurfacing. Notice the significant improvement in vertical lip lines and how the nasolabial folds are softer and more symmetric. This patient’s overall skin texture and tone also shows stunning improvement that takes years off of her appearance. 

Dr. Claytor’s personal research showed that this treatment combination achieves faster, more robust results than individual treatments alone. 

Key advantages of LaMiNa skin tightening

LaMiNa skin tightening presents a groundbreaking approach to skin rejuvenation that leverages the body’s natural healing mechanisms and cutting-edge laser technology. Dr. Claytor’s advanced LaMiNa treatment protocol provides several key advantages:

  • Minimally invasive. The procedure can be performed using a local anesthetic in our med spa and requires a very short incision for virtually no visible scarring.
  • Short recovery time. Local anesthesia means patients can immediately resume most daily activities. Patients typically take about 1-2 weeks of social downtime to allow redness to resolve and to protect healing tissues from UV exposure to prevent potential damage and scarring.  
  • Immediate and long-lasting results. Initial improvements in wrinkles and skin tightness and texture are visible early on, and these results improve over time as the healing and regenerative processes are carried out. 
  • Versatility. This treatment can be applied to multiple areas of the face to treat vertical lines above the lips (smoker’s lines), marionette lines, nasolabial folds, and other unwanted wrinkles. It can also be used in several ways:
    • As a standalone procedure
    • In conjunction with other non-surgical rejuvenation treatments
    • As a part of a surgical treatment plan for facial enhancement, including procedures such as facelift, brow lift, lip lift, and more
Facial rejuvenation in Bryn Mawr, PA

Philadelphia board-certified plastic surgeon Dr. Brannon Claytor thoroughly understands anatomy and physiology and has extensive experience employing the most advanced treatments to safely achieve outstanding, remarkably natural-looking aesthetic results. He has been featured in several magazines, such as Philadelphia Style and Haute Beauty, and named one of “America’s Best Plastic Surgeons” in Newsweek for 2021.

To learn if you are a good candidate for LaMiNa skin tightening or to learn more about your treatment options at Claytor Noone Plastic Surgery, schedule your personal consultation with Dr. Claytor by calling 610-527-4833 or contacting our practice online today.

Philadelphia facelift surgeon in his viral video explaining deep plane facelifts
Philadelphia plastic surgeon Dr. R. Brannon Claytor explains deep plane facelift surgery and how it differs from an SMAS facelift in a video for his patients, only to discover that many other people love the video and have the same questions about the procedure.

Bryn Mawr, PA, June 28, 2023/PRNewswire/—Dr. Claytor first recorded his video about deep plane facelifts because so many patients were asking the same questions during consultations. In the video, Dr. Claytor stands in front of a dry erase board and speaks for a little more than twelve minutes, drawing illustrations as he goes, explaining the finer details of facial anatomy and facelift procedures in clear language anyone can understand. After receiving positive feedback from patients who watched the video, he uploaded the video to YouTube so that it would be easier to share with others. 14,000 views later, it is clear the video has a large audience and regular comments show appreciation for his presentation of a complex topic. 

Dave Busan, a YouTube commenter, echoed what more than one of the other commenters had also said when he posted, “The best explanation of the deep plane facelift on YouTube!” 

Dr. Claytor is a board-certified plastic surgeon renowned for his comprehensive understanding of facelift techniques, and he is also well known for his kind bedside manner and patient-first approach to his medical practice. Both ideas come across in the video. 

“I wasn’t thinking about publishing a video on YouTube when I filmed it,” Dr. Claytor reports, “I was just thinking about what I would want you to know about this surgical procedure. Watching it now, it’s fun to realize I may have filmed a particularly helpful video on a topic that people are interested in and I’m glad it has a larger audience.” 

In the video, Dr. Claytor goes into a level of detail that is uncommon outside of medical training, but does so without leaving the viewer overwhelmed. Even if someone is not interested in cosmetic surgery, his explanation of how a deep plane facelift repositions the retaining ligaments that tether the SMAS layer to the facial bones is very satisfying to watch, especially as he sketches a perfect side view of the human face and proceeds to draw the musculature of the face while speaking to the viewer.  

According to Dr. Claytor, the deep plane facelift is a highly effective solution for patients who are unhappy with the appearance of their jowls, neck, and cheeks due to aging. The procedure involves small incisions that are hidden along the ear and hairline, which are well-disguised after healing.

When asked how many takes it took to film the video, Dr. Claytor had this to say: “This was the first and only take. Sometimes it all comes together and you get it right. I talk in the video just like I do when I meet with patients. I want people to be happy with who they are and understand what can be done about an aging face.”

Dr. Claytor is a board-certified plastic surgeon renowned for his comprehensive understanding of facelift techniques, and he is also well known for his kind bedside manner and patient-first approach to his medical practice.

Dr. Claytor serves the Bryn Mawr, Main Line, and greater Philadelphia areas and has been featured in numerous publications for his expertise in facial rejuvenation techniques, including Haute Beauty and Main Line Today. He performs all surgical procedures in his accredited, state-of-the-art surgical facility—with about 90% of facelift surgeries performed as “awake” procedures using local anesthetic for a more comfortable, faster recovery. 

About Dr. R. Brannon Claytor

Dr. R. Brannon Claytor’s warmth and attention to his patients’ needs make him one of the Philadelphia area’s favorite plastic surgeons. Dr. Claytor’s practice, Claytor Noone Plastic Surgery, is located at 135 S Bryn Mawr Ave Suite 300, Bryn Mawr, PA 19010. The office is on the Philadelphia Main Line. Dr. Claytor can be reached at (610) 527-4833 or at www.cnplasticsurgery.com.

Media contact: Dr. R. Brannon Claytor, Claytor Noone Plastic Surgery, (610) 527-4833, www.cnplasticsurgery.com.

Woman seeing plastic surgeon for a deep plane facelift

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: Our deep plane facelift technique, which we use for our Philadelphia facelift patients, 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.

Real patient of Dr. Claytor's shown before and after deep plane facelift and neck lift
This 53-year-old patient came to Dr. Claytor hoping to correct facial laxity and sagging. After photos show results 6 weeks post Deep Plane Facelift with open Neck Lift performed under tumescent anesthesia. To see more photos of real facelift patients, please visit our before and after gallery.

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.

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.

Real patient of Dr. Claytor's shown before and after facelift, neck lift and facial fat grafting
This 55-year-old female patient was frustrated by her facial laxity, sagging, and jowling. She is shown before (left) and 2 months after (right) Deep Plane Facelift, Open Necklift, and facial Fat Grafting. To see more photos of real facelift patients, please visit our before and after gallery.

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 treat excess body skin with a variety of lifting procedures.

About Philadelphia plastic surgeon Dr. Brannon Claytor

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.

Philadelphia board-certified plastic surgeon Dr. Brannon Claytor

New study finds CO2 laser, microneedling, and nanofat can be combined for unprecedented results and less downtime

PHILADELPHIA, May 3, 2023 /PRNewswire/ — A March 2023 study in Aesthetic Surgery Journal found that combining CO2 laser and microneedling anti-aging treatment with nanofat application, or fat taken from one area of the body and applied to the skin, leads to a speedier recovery and less pain. The study authors have dubbed this novel approach “LaMiNa” (Laser, Microneedling, and Nanofat).

“We are thrilled with the results of this study,” said Dr. Brannon Claytor, the study’s lead author and a nationally-renowned expert in facial rejuvenation. “LaMiNa is a game-changer for patients in need of an efficient, effective non-surgical anti-aging option, as treatment is quick and easy for the patient, yet still offers impressive results when it comes to reducing the appearance of perioral wrinkles and other signs of aging.”

Tissue samples, in addition to patients’ before and after photos, showed noteworthy results: when laser and microneedling were combined with nanofat, skin cells showed less inflammation 4 days post-procedure, indicating quicker healing. Additionally, there was evidence of increased cell turnover—the process that leads to a more youthful skin appearance.

Both laser skin resurfacing and microneedling are well-established mainstays for improving skin texture, softening the appearance of wrinkles, and reducing the visibility of age spots. They do so by selectively damaging the skin to promote a healing response, in which the body supplies the skin with new healthy cells and increased collagen and elastin. But significant skin resurfacing treatments typically come with side effects: pain, swelling, redness, discoloration, or peeling are common.

Patient photos showcasing results from Dr. Claytor's LaMiNa non-surgical facial rejuvenation
Combining CO2 laser, microneedling, and nanofat application led to a speedier recovery and less pain for facial rejuvenation patients. This patient is pictured (A) before, (B) immediately after, (C) 2 weeks after, (D) 2 months after, and (E) 6 months after treatment.

Dr. Claytor’s new approach offers less downtime while increasing the treatments’ effectiveness in a single combined treatment, thanks to the healing stem cells and regenerative properties of nanofat.

“The addition of nanofat speeds up the recovery time, while also helping with post-treatment pain,” Dr. Claytor explained. “We have effectively solved patients’ two biggest concerns about getting combined laser treatment and microneedling for wrinkles.”

Dr. Claytor’s Philadelphia plastic surgery practice serves areas around Philadelphia and the Main Line from their office in Bryn Mawr, PA. Patients interested in trying this new approach to facial anti-aging are invited to schedule a consultation with Dr. Claytor online or by calling (610) 527-4833.

About Dr. R. Brannon Claytor: Dr. R. Brannon 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. Dr. Claytor’s practice, Claytor Noone Plastic Surgery, is located at 135 S Bryn Mawr Ave Suite 300, Bryn Mawr, PA 19010. The office is on the Philadelphia Main Line. Dr. Claytor can be reached at (610) 527-4833 or at www.cnplasticsurgery.com.

Media contact: Dr. R. Brannon Claytor, Claytor Noone Plastic Surgery, (610) 527-4833, www.cnplasticsurgery.com.

SOURCE Claytor Noone Plastic Surgery

Group of women celebrating a bachelorette weekend in Philadelphia

When you hear the words “Ultimate Bachelorette” you probably think of clubbing in Las Vegas, Miami or New Orleans. But what if you want to plan a truly unique night the bride will never forget? Then get ready to party down in the city of Brotherly… er, Sister-ly Love! 

Philly and the Main Line area are full of some amazing small businesses waiting to support your bachelorette weekend, so it’s more than possible to execute an out-of-the-ordinary, out-of-the-box event right here in our own backyard.

We’ve rounded up our favorites for your party planning-pleasure. Check them out, and get ready for your bride, and her guests, to be talking about your event for years to come.

Where to Begin

Traditionally, the bachelorette party has been branded as a bride’s “final night of freedom,” but over the years the event has evolved into a celebration of female empowerment, and of course, a public broadcast of whatever can get the most engagement on social media. (Think epic destinations, matching outfits and custom hashtags!)

With so many details—from etiquette to invitations to activities, planning a show-stopping bachelorette party can feel overwhelming. Thankfully, there are countless resources available online to help you coordinate a memorable and meaningful day. 

Classic Bachelorette: Check out all of the in-depth bachelorette guides on Brides.com for ideas and inspo.

Next-Level Bachelorette: For something a bit more custom and bespoke, reach out to the ladies at Bach to Basic. This all-inclusive luxury bachelorette party planning agency will coordinate everything from meal reservations, to transportation between events, to accommodations to decor! In their words, “we take your ideas, mix in a little magic of our own and make your party come to life while you sit back and relax.” Yes, please! While they serve clients nationally, a few of their professional planners are based nearby in Philly, so you’re sure to get the inside intel.

Where to Stay

Classic Bachelorette: Booking an elegant suite at the historic Kimpton Hotel Monaco in the Old City.

Next-Level Bachelorette: This stunning and spacious Airbnb is designed with every comfort, convenience and detail needed to make sure your group feels at home. It offers a beautiful full kitchen for meal prep, an exquisitely decorated bar and game room for late night bonding, a rooftop lounge area for sunning, and bathrooms with floor to ceiling marble for getting glam. The best part? It can accommodate up to 15 of your closest gal pals! The more the merrier, and you can get in all of the quality time you crave.

Where to Play

Classic Bachelorette: Checking out the scenery of Hunkomania at Roar Nightclub.

Next-Level Bachelorette: Hopping aboard Big Red Pedal Tours. This open-air 15-passenger pedi-cycle tour operates day or night, allowing riders to pedal the “pub-cycle” around the city’s most famous and historic sites. A sight-seeing adventure meets a BYOB party on wheels that burns calories, encourages teamwork AND bonding? Count us in!

Where to Dine

Classic Bachelorette: Enjoying a 5-star meal and champagne at Royal Boucherie.

Next-Level Bachelorette: Going big with a custom craft charcuterie spread from Crumb & Cow. They curate craft platters, grazing tables and upscale to-go snack boxes that showcase the finest local meats, cheeses, and produce with an artful eye. Whether it’s for an outdoor picnic, or the ultimate spread at home, you’ll never have the same bite twice.

Where to Dance

Classic Bachelorette: Checking out the whisky selection and nightly go-go dancers at The Trestle Inn.

Next-Level Bachelorette: Planning a private dance party at Philly Dance Fitness. You pick the date and the vibe, and they’ll do the rest! You’ll get the studio all to yourself and can request your own custom playlist and accompanying choreography from a variety of dance styles and songs which appeal to your group. From Burlesque to Bollywood to Ballroom, the possibilities are endless! Want to surprise the guest of honor with a special touch? Ask about the studio’s custom add-ons, including champagne, gifts, and more.

Where to Recover

Classic Bachelorette: Grabbing a greasy breakfast and a hair-of-the-dog Bloody Mary at one of Philly’s top brunch spots.

Next-Level Bachelorette: Hydrating and restoring vital fluids and minerals at Philly IV Lounge. This full-service luxury wellness lounge understands the ‘work hard, play hard’ mentality. Their team of professional licensed nurses offers custom intravenous therapies to provide your body with much needed nutrients to recharge after a night on the town. Can’t make it out of the house? Their mobile services can come to you!

Where to Get Pampered

Classic Bachelorette: Getting a professional wash, dry and style at BLO/OUT Blow Dry Bar

Next-Level Bachelorette: Booking a spa and self-care beauty day at Claytor Noone Plastic Surgery in Bryn Mawr. Double-board certified plastic surgeon Dr. R. Brannon Claytor and his team of aesthetic experts have endless pre-wedding treatment options to help you put your best face forward. Their medical spa provides a full selection of rejuvenating skin treatments for the face and body to give you stellar, natural-looking results. 

Some popular choices for bridesmaids and brides-to-be:

Rest assured, the bride and her fellow bachelorettes will be in good hands: Dr. Claytor has been recognized as a Top Doctor by Philadelphia Magazine and Main Line Today for years! 

Call our practice at 610.527.4833 or reach out to us online today to book your appointment!

Want more wedding content? Check out all of our other related blog posts to learn about wedding boutiques, wedding photographers, and wedding-friendly procedures in the Main Line.

Woman getting injectable wrinkle treatment after Daxxify Botox cost comparison

As one of the first Philadelphia practices selected to offer Daxxify™ ahead of its official launch later this year, 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?

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: $13.00 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 Daxi 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.

Before (left) and one week after (right) this 37 year old patient received 450 units of Daxi to her glabellar lines.
Before (left) and one week after (right) this 37-year-old patient received 450 units of Daxi to her glabellar lines.
Before (left) and one week after (right) this 41 year old patient received 450 units of Daxi to her glabellar lines.
Before (left) and one week after (right) this 41-year-old patient received 450 units of Daxi to her glabellar lines.

Other ways we can compare Botox and Daxi

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.

Daxxify injections in Bryn Mawr and Main Line, Philadelphia

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 for 2021 and 2022, a Main Line Today Top Doctor from 2017-2021, and one of “America’s Best Plastic Surgeons of 2021” by Newsweek. To schedule your free consultation, please call our practice at 610.527.4833 or request more information about our services online.