New Year, New Skin

*Promotions Valid until January 31, 2019. Terms and Conditions Apply*


An award winning, breakthrough treatment offering great results with no-surgery, little to no downtime, and no pain. 

In the last decade, there has been progressive innovation in non-surgical treatments to improve skin tone, quality, texture and rejuvenate the skin’s appearance.  There is always a balancing act between effectiveness, downtime, and patient discomfort. 

Generally, the more downtime, the more effective the treatment but also, the more downtime, the more discomfort.  NanoFractional technology bridges a gap between these three aspects of aesthetic treatments offering little to no downtime, no pain, and a great result. 

Our General Manager, Chris, recently had a treatment and was thrilled with the experience. “Being in aesthetics for the last 15 years I have seen and had many different treatments.  I was amazed that the NanoFractional RF was completely comfortable and produced a great response in my skin.  My skin was a little red after the treatment, but I resumed normal activities immediately and my skin felt tighter and smoother the next morning.  I’ve not seen this combination of no downtime, no discomfort, and an immediate tightening of the skin in any other treatment.”

NanoFractional RF uses tiny needles, less than 1mm, to deliver multi polar radio frequency energy and Pulsed Electro Magnetic Fields to produce uniform heating in the skin’s surface.  This heating stimulates the skin to produce collagen and elastin fibers, resulting in smoother, firmer skin that looks noticeably more youthful. 

The treatment is really a combination of microneedling and radio frequency skin rejuvenation.  Combining technologies has proven to create a more effective treatment and as such we have added not only NanoFractional RF to our portfolio but also are combining this with IPL treatment to address not only skin texture and tightness but also reduce pigmentation and redness in the skin.  We call this our Tone and Texture NanoFractional or TNT NanoFractional. 

“Our ability to improve skin quality, tone, and texture is continually improving with innovative new treatments.  NanoFractional RF technology represents an outstanding improvement in what we are able to accomplish without discomfort and little to no downtime.” FAC Founder, Dr. Richard Gangnes


3 Ways to Restore Your Youthful Appearance

3 Treatments to Shed Years Off Your Skin

NanoFractional-RF (NFRF)  

NanoFractional is a non-surgical procedure designed to smooth and tighten the skin with no downtime.  The procedure delivers radiofrequency energy using microneedles to heat and stimulate the skin.  The procedure is very comfortable and  targets superficial fine lines and wrinkles by stimulating the skin to rebuild collagen and elastin.  NanoFractional is very effective at improving skin texture and firmness. 

Dynamic Variable Depth RF (DVDRF)

DVDRF is similar to NanoFractional, as it uses microneedling with to deliver radiofrequency energy to the skin. Where the two technologies are different are in the depth of the skin that is targeted and the energy that can be delivered.  DVDRF uses variable treatment depth and energy to customize treatment parameters to each individual patient.  Because we are able to treat the skin at greater depths we can also treat body areas with DVDRF.  


        Both NanoFractional and DVDRF...
        - Involve microneedling to deliver RF
        - Stimulate collagen and elastin production
        - Improve skin texture – pore size, fine lines, acne scaring
        - PRP can be topically applied with either procedure

       - NFRF is a set depth of 0.5mm, while DVD ranges in depths between 0.5mm-3.0mm.
         - NFRF requires no downtime.
        - NFRF is performed in a series, DVDRF is typically a single treatment
        - DVDRF can be used on the body

Restylane and Defyne

Restylane is a hyaloronic acid formulated gel similar to that of your bodies natural hyaluronic acid production to add volume and fullness to your skin in order to correct moderate to severe wrinkles, specifically targeting the nasolabial folds and marionette lines typically referred to as smile or parenthesis lines that form around your mouth.

Defyne targets deep nasolabial folds and marionette lines in order to restore a more youthful you, while maintaining a natural look. As you age you skin gets lose begins to lose its hold slowly causing these lines around your mouth to become more prominent.

Valid until December 31, 2018 - or while supplies lasts.

Terms and Conditions Apply.



3 Tips to Get Holiday Ready


*Valid until December 31, 2018. Terms and Conditions Apply. Promotions cannot be combined.

Holiday Prep

Look great in time for your holiday events with the following treatments! Whether you need to lose the wrinkles and pigmentation or add some volume, stimulate collagen, and improve skin completion. Learn more about some of the treatments we offer to help you and our holiday promotions to get you ready for all our events:

Fine and wrinkles appear without notice and can make us appear older than we feel. The aging of our skin can be in the form of wrinkles, pigmentation, and sagging skin. This caused by the natural aging process, though the environment can play a role in speeding up our aging process. If you need to stimulate some collagen and elastin in your skin some the treatments below are a great start to get your ready for the holidays. We have provided an expected amount of time you will need to let your skin heal for each of the procedures listed to ensure you schedule your treatment with enough time to spare for your holiday event!


During the treatment tiny micro-channels are created in the skin to stimulate new cell and collagen production, smoothing out contour irregularities and reducing discoloration left from previous breakouts. The skin heals very quickly, closing the micro-channels within the first day. A small amount of sloughing may occur post treatment for up to a week, but with moisturizer it is barely visible. Treatments are done in a series 4-6 weeks apart with appropriate homecare in between. They can be done alone or even combined with other treatments to enhance the results. Microneedling treatment is virtually painless with little to no downtime. Contact us for a complimentary consultation to see if Microneedling is the right treatment for you!

Benefits:  Microneedling is a no downtime procedure that can dramatically improve the appearance of the skin and quality of both skin tone and texture.  It allows for potent topical products to be delivered deeper into the skin to stimulate collagen and elastin creation.

*You may experience redness for a few days to follow, but make-up can be applied after 24 hours if needed. 


Nanofractional RF uses tiny needles, less than 1mm, to deliver multi polar radio frequency energy and Pulsed Electro Magnetic Fields to produce uniform heating in the skin’s surface.  This heating stimulates the skin to produce collagen and elastin fibers, resulting in smoother, firmer skin that looks noticeably more youthful.

The treatment is really a combination of microneedling and radio frequency skin rejuvenation.  Combining technologies has proven to create a more effective treatment and as such we have added not only Nanofractional RF to our portfolio but also are combining this with IPL treatment to address not only skin texture and tightness but also reduce pigmentation and redness in the skin. We call this our Tone and Texture NanoFractional or TNT NanoFractional.

“Our ability to improve skin quality, tone, and texture is continually improving with innovative new treatments. NanoFractional RF technology represents an outstanding improvement in what we are able to accomplish without discomfort and little to no downtime.” Founder Dr. Richard Gangnes

Benefits: This procedure combines the benefits of microneedling with radio frequency heating of the skin. The treatment if very comfortable and offers exceptional results with little to no downtime.  Skin feels and appears tighter after the first treatment with results continuing to improve over several months.  The treatment is safe for all skin types.

  • 1-3 days post treatment
  • Mild sunburn sensation with redness
  • Avoid exercising and make-up for 24 hours
  • 1-2 weeks avoid prolonged sun exposure

Fractional CO2

The Fractional CO2 is typically a one time treatment to diminish wrinkles and improve sun damage with minimal downtime. A laser with fractional technology, meaning its treats portions of the skin while keeping portions of the skin intact. It targets fine lines/wrinkles, sun damage, and melasma. The fractional CO2 laser energy heats up the tissue at the level of the dermis to stimulate new collagen and elastin and break up pigmentation.

Benefits: It is an exceptional treatment to improve the texture and quality of the skin.  It is an excellent treatment option for brown spots, melasma, and finer lines and wrinkles. It does not have a substantial impact on redness, facial tightening, or deeper lines and wrinkles. Most people will see results and meet their expectations with one treatment, but those with more problematic skin features may require additional treatments. It is a very popular procedure at FAC and can be performed in conjunction with the TCA acid peel for accentuated results.

*Expect up to 14 days to let your skin heal

  • Avoid prolonged sun exposure
  • Skin will be flaking
  • Mild to moderate swelling
  • Redness and bronzing will fade into a light pinkness to the skin
  • Itching and dryness is common and can be alleviated with a cool compress

Youthful contours are created by restoring the skins underlying structure, that has been diminished by the aging process. We use a variety of non-surgical treatments to rebuild the underlying structure returning natural facial contours. One of the most popular treatments to bring your youthful contours back are Botox and Fillers.

Botox and Fillers

FAC uses more Botox and filler than anyone in Orange County! The most common treatments that produce a remarkable result with little to no downtime. Whether its frown lines, smile lines or just general wrinkles, Botox and fillers smooth the signs of 'maturity' and keep you looking great. Botox can take anywhere between 7-14 days to notice full results, and while filler can remain a bit swollen immediately after injection and take time to settle.

Click to See Our Special Offer For You!

Exfoliation and regenerating skin therapies can produce a dramatic brightening of the skin and an evening of the overall skin tone. If you find yourself needing a last minute skin pick-me-up we offer express facial and great products that work to help maintain the health of your skin.

Unprotected skin will be more prone to the development of pigmentation and sagging skin. In order to fight the signs of aging on your face a good skin care routine is important. While facials are good in getting that extra depth of a cleaning and providing better results instant result, your at home skin care routine is just as important. How you care for your skin at home is what you do to protect your skin everyday, while facials are typically done monthly.

Notice your skin isn't as bright and healthy as you would like it to be for the holidays? Here are some of our Express Facials to help you get your skin feeling and looking refreshed.


FACe Express Clean

  • This treatment is designed for those needing a quick extraction appointment. Great for maintenance between facials or for those who need extractions often.
  • Cleansing with steam, extractions and finishing products.

FACe Express Glow

  • A quick way to brighten and refresh the skin with no downtime. Combines exfoliating and stimulating benefits of a glycolic peel with collagen, lightening mask to instantly plump and brighten the skin.
  • Double cleanse, hydrating hand mitts, peel pass, collagen mask, hand massage, finishing products

FACe Express Microdermabrasion

  • Focuses on exfoliating away dead cells to reveal smoother, brighter skin immeediately. Multiple treatments can improve superficial acne scares, pore size, and reduce the appearance of fine lines.
  • Cleansing, microderm, tone, treatment mask, hand massage, and finishing products

Regenerating Skin Nectar with TriHex Technology

  • Enhances healthy skin by helping to clear damage and debris in the extracellular matrix
  • Helps support the skin’s natural ability to produce new, healthy elastin and collagen
  • Great product recommended for post-procedure to enhance the healing process and results of your procedure.

Restorative Skin Complex with TriHex Technology

  • Helps support the skin’s natural ability to produce new, healthy elastin and collagen
  • Improves the appearance of thinning skin, fine line, and wrinkles
  • Potent antioxidants help protect the skin from further damage
  • Helps even skin tone
  • High antioxidant activity is designed to calm the skin and reduce the appearance of redness

The dual system works together to protect skin and increase cellular turn over. Protecting during the day and recovering at night from pollution and blue light, which cause premature skin aging. This offers brighter, less inflamed skin that is more even in skin tone and texture. Using One pump day and night, LUMIVIVE includes the day and night system and comes in a 3 month supply.

  • LUMIVIVE Day is a groundbreaking blend of rich antioxidants to create a “dermal bio-layer” on the surface of the skin. This provides a physical barrier between your skin and harmful pollutants, free-radicals, ozone, and blue light. The best part about it is you can continue with daily activities, even working up a sweat, without needing to reapply!
  • LUMIVIVE Night is a revitalizing repair complex that does the hard work for you while you sleep. Just as we need sleep to recharge our mind and body, our skin needs time to restore. LUMIVIVE Night detoxifies the skin from the overexposure during the day and induces a rapid healing process on a cellular level.

F.A.Q about Dr. Boeckmann

Is Dr. Boeckmann Board Certified?

Boeckmann is actually double board certified. He is certified in head and neck surgery by the American Board of Facial Plastic and Reconstructive Surgery and certified by the American Board of Otolaryngology.


Did You Know?

Dr. Boeckmann achieved the highest score in the country on his facial plastic surgery board exam


How long has Dr. Boeckmann been a surgeon?

Dr. Boeckmann has been a practicing surgeon since 2012. In his first year of practice he trained and worked with Dr. Gangnes mastering his surgical techniques performing hundreds of cases together.


How long has Dr. Boeckmann been with FAC?

Boeckmann has been with us since 2013. He completed his fellowship training under Dr. Gangnes through UCI and joined FAC full time.

An inside look into the consultation process with Dr. Boeckmann


The consultation is the most important time when considering facial plastic surgery. It is an individualized process that allows the patient not only to relay aesthetic concerns, but to establish comfort with your surgeon.  I like to consider the consultation as a journey I take together with my patients.  It is a learning process for both of us.  I am learning about their goals and concerns and patients learn about the underlying causes of aesthetic concerns and the various options we offer to correct them.

When I consult with new patients I like to have them look into a mirror and I ask them to “Show me what bothers you.”  This process allows us to have an open discussion about their greatest concerns and me the opportunity to explain what is causing the things that “bother” my patient. 

"I use personal photographs of my patients to help define our surgical goals and to provide me an example of the desired outcome.  I use the photos not only during the consultation, but also within surgery as a visual map of what I am going to achieve." Dr. Jacob Boeckmann

I like my patients to bring in personal photos from younger years to help us identify changes that have occurred in the aging process and more importantly, the photos help to define our goals from a surgical procedure.  If you look to the photos to the left, a mother and daughter comparison with similar features, one thing we notice is the jowl begins to sag on the mother comparing the photos one goal may be to return to the younger image when she didn't have a sagging jowl.

"My objective is to return what once was when the patient was younger, not to change what is there." Dr. Jacob Boeckmann

After we have discussed the concerns and underlying causes of those concerns, we have a detailed discussion about the treatment options that will create the greatest improvement.  We will also have a candid discussion about desires, timing, and budget.  The more we discuss during our consultation the more comfortable my patients become, and, the better I am able to provide a service that exceeds expectations.

If you have ever thought about getting a procedure, take the first step and come in for a consultation to become informed and comfortable with the options available.

The best outcomes are in patients that are well informed with realistic expectations.  At FAC our team makes every effort to inform and support our patients throughout the surgical process.  There is a reason we have been voted the Best Cosmetic Surgery Center in Orange County for 11 years.


October Newsletter - 3 Ways CoolSculpting Just Got Better and Your Eyes CAN Lie











*Promotions valid until 10/31/18, Terms and Conditions Apply.


3 ways CoolSculpting just got better

CoolSculpting is a great treatment for those stubborn fat areas that are hard to lose. Even if you work out and eat right you may still notice stubborn fat. It is FDA Cleared, a non-surgical, and has little to no downtime. Patients may see results after just one session, and continue to see better results after each session as you look to the images on the right as an example. The CoolSculpting treatment was born when it was realized cold can selectively affect and eliminate fat cells without damaging the skin or surrounding tissue. CoolSculpting can be treated in various areas, we recommend you come in for a complimentary consultation and have on of our providers assess your concerned areas in order to provide you with the most beneficial treatment plan to achieve your goals. We recommend you be able to pinch an inch of fat in order to receive this treatment, as we often notice some patients concerns tend to be lose skin, in that case we also provide tightening treatments that one of our provides could recommend.

At Facial Aesthetic Concepts we offer you the ability to Dual Sculpt, this is being able to treat two areas at one time. We have 4 systems, 9 different applicators to treat your different areas of concerns. Some of the areas we are able to treat with different applicators are Stomach, Arms, Chin, Flanks, and Thighs. Dual sculpting is another way we reduce your treatment time by being able to treat both sides at once, if Dual Sculpting is applicable to the area you want treated. The image below shows the way the dual sculpting can be applied to your body. You also have the option to earn points through Brilliant Distinctions!


Shorter Treatment Times Just 35 min.

The treatment times are cut down to nearly half the time of our original CoolSculpting treatments from 60 minutes to 35 minutes. The reason for this is due to the cup design of the CoolAdvantage and the colder temperature it reaches. With the CoolAdvantage the temperatures get to the target quicker than before. This is a huge benefit for those who have busy schedules

Greater Patient Comfort

During a study population Patients report 45% improvement in comfort scores during treatment with the CoolAdvantage applicator, along with a reduction in bruising.

Better Results

With the CoolAdvantage more tissue is able to be treated, as the new design provides a larger cooling area. With the previous cup design the center of the area being treated wasn’t as effective in targeting the whole fat that is within the cup, as the CoolAdvantage is able to target. If you look at the images to the right the lines provide a visual to the areas that weren’t being treated previously to the areas that are being targeted with the CoolAdvantage.



Your Eyes CAN Lie!

No other facial feature can misrepresent your “inner cheer” more than your eyes.  The eyes can tell the story of a person without saying a word and can be one of the most attractive qualities about a person. 

Unfortunately, sometimes the story being told by your eyes may not be true. 

Have you ever been asked, “is something wrong,” or told you look “tired” when neither of those is true?  This can be due to the changes that occur in the structure of the bone and tissue surrounding the eyes. 

As we age, changes in bony structures and the fat beneath our skin result in what we perceive as aging and the dreaded “tired” eyes.  The good news is that several easy options are available to restore the contours that give a refreshed looking appearance to the eyes.

There are three different means of improving the eyes skin, fat, and/or anatomy of the upper and lower eyelids. 


The upper eyelids are a key culprit producing the appearance of sad and tired eyes.  The fat surrounding the eye itself is lost in the aging process, and this volume loss causes sagging of the skin of the eyebrow area and the upper lid itself. 

Fat transfer is an innovative non-surgical procedure that uses your own fat, harvested from the thigh or buttocks, injected with a microcannula to precisely target areas of fat and bone loss and restore ideal contours of the upper eyelid.  In certain patients, the heaviness of the upper eyelid skin cannot be corrected with non-surgical means. 

Upper eyelid blepharoplasty is a minor procedure in which a small ellipse of skin is removed from the upper eyelid to improve the eye contour and correct the “heaviness” that can be seen in some eyelids. 


LOWER EYELIDS Unfortunately, the lower eyelids have a wider variety of causes for the signs of aging.  The bone of the lower portion of the orbital rim, the eye socket, loses volume which can change the position of the fat pad beneath the eye, and the fat pad can even become herniated.  The change in the position of the lower eye lid fat produces what we call “bags” under our eyes. In some cases, the skin beneath the eye is the underlying cause of “bags” and wrinkles beneath the eye.  Because this is found to be so prevalent, we created a very unique procedure, the Lower Lid Pinch, to address just the skin beneath the eyes.  It involves using a medication to free the skin from the underlying fat and muscle, allowing us to “pinch” the skin that will be removed and remove a very small ellipse of skin, resulting in a smooth lower eyelid contour. When the goal is to correct the contours of the lower eyelid, we will usually recommend the Trans Lower Lid Blepharoplasty.  This unique procedure uses no visible incision to access and reposition the fat pad of the lower eyelid.  The resulting change in fat position creates a smooth, natural appearance of the eyes.    
Take the first step to learn more. Schedule a consultation with Dr. Boeckmann or Dr. Gangnes.  We will ask you to bring in photos of yourself from your 20’s, 30’s, and 40’s so that we can focus on the goal of restoring your youthful appearance. 


  • Fat Transfer
    • Non-surgical
    • Little to no downtime
    • Natural, effective contours
    • Long lasting
  • Thermage Eyes
    • Non-surgical
    • No downtime
    • Great for upper eyelids
  • Upper Eyelid Blepharoplasty
    • Minor procedure
    • Only local anesthesia needed
    • Corrects tired, sad eyes
  • Trans Lower Eyelid Blepharoplasty
    • Minor procedure
    • Only local anesthesia needed
    • Excellent correction of “bags”

Kiss Those Sun Spots Goodbye


Offers valid until 9.30.18. Terms and Conditions Apply.

Kiss Those Sun Spots Goodbye

By: Nikki Bahash Reynolds

Despite our best efforts, we can all spend a little too much time in the sun, especially during the summer in southern California. That sun exposure can cause discoloration in the skin, breaking down of collagen and elastin and is the leading cause of premature aging. Wearing a good form of sun protection whether it's clothing or sunblock is very important, but it still doesn’t completely eliminate UV radiation from penetrating the skin, and that cumulative build up of damage will manifest itself,  sometimes years later. At Facial Aesthetic Concepts we offer a range of treatments and products that work t

o reverse and repair damage caused by UV radiation.

One of

the biggest concerns most people have is skin discoloration or hyperpigmentation. This happens w

hen our melanocytes, or pigment producing cells, produce more pigment in specific areas than others. Sometimes this increase in pigment production is temporary, like a tan or a brown spot left over after a bur

n or injury to the skin. This pigment production is part of the skin’s defense mechanism.


Our skin tans to try to protect from UV radiation or other injuries, and those with naturally darker skin tend to be more reactive or sensitive to this. This pigment production is from a specific event and will fade as the trigger is gone and our skin naturally sheds those pigmented cells, or we can expedite that process by exfoliating. There are other types of hyperpigmentation that are more long lasting or temperamental. Melasma is characterized by larger, darker patches of pigment. This can manifest on different areas of the face and body and is usually triggered internally (by hormones /genetics) and can be made worse by heat, inflammation or injury and sun exposure. Other forms of sundamage like solar lentigens (flat brown spots) or poikiloderma (reddish-brown  pigmentation) is caused from repetitive exposure where damage cumulatively builds and results in discoloration of the skin. This type of discoloration, if untreated, will remain or worsen and not fade with natural exfoliation.

Once pigment is produced in the skin the only way to eliminate it is by removing the pigmented cells. We can do this by exfoliating with home products like acids and retinols or with stronger chemical peels, light therapies (IPL) and lasers (Fractional CO2). The deeper the pigment is, the more exfoliation or resurfacing you have to do to get it all off. The problem with long term sun damage and melasma is that the pigment is very deep, and the melanocytes are primed to just keep over producing pigment in that area. So essentially if all you’re doing is exfoliating; you are fighting a losing battle. That’s where lighteners come in.

Lighteners work with the melanocytes to regulate and normalize pigment production. That way if you exfoliate some existing pigment off, you’re not just making some more right in its place. Hydroquinone is a very popular and effective lightener, and there are many other effective natural lightening ingredients, like Niacinamide, Kojic Acid, Emblica, Vit. C, etc. We offer many amazing lightening products like  Lytera 2.0, Even Tone Pads, Lightening Complex Rx and Ultra Lightening Complex Rx. All of these on their own will work to lighten pigment at the source, but it’s important to remember you still have to take off the existing pigment the reveal the lighter, more evenly toned skin underneath. So many people give up when they don’t see instant changes, even though the product is working underneath. For the best and fastest results, pretreat with a lightener and then do a recommended resurfacing treatment to take off existing pigment.  Continue to use the lightener to maintain results and prevent future damage. Using a lightener once is not a cure to hyperpigmentation; it is a treatment and must continue to be used to be effective, just like SPF or taking a vitamin. It only works when you use it! And you must still protect your skin with protective clothing and sunblock.

To find out what lightening product and treatment combination is best suited for you call our offices to set up a complimentary consultation with one of our providers, and check out our promos for a great deal on Lytera 2.0!

How To Lose Stubborn Fat and Tighten Skin

With summer coming to an end and the winter season approaching, a season of eating and layering clothing, you don’t have to lose your summer body. Take advantage of our offers for the following treatments to get your body started on looking the way you would like, with NO downtime.

We often have patients come in thinking they need to lose fat, when really the most dramatic improvement can be achieved by tightening skin.  A consultation to assess concerns and identify goals can help you gain an understanding of the underlying cause(s) of your concerns and the options available that can provide the most dramatic improvement.  We offer complimentary consultations with our medical professionals.  Whether you are interested in contouring stubborn fat pockets or tightening loose and crepey skin, we have the solutions that will get you the result you are seeking.

CoolSculpting is the most popular non-surgical body contouring treatment in the country.  We are in the top 150 practices in the country with Allergan, and this treatment has the highest level of patient satisfaction of any treatment we offer. Our variable contour applicators allow us to customize our treatments for sculpting patient curves and reaching stubborn fat areas. With no downtime and outstanding results call today to start your body contouring, with a free consultation.

Pellefirm and Thermage use radio frequency energy to tighten the skin of the body and face.  Remarkable results can be seen with just one treatment.  Tighter skin of the tummy, thighs, arms, and face is possible with no downtime.  Crepey loose skin can be smoothed by stimulating collagen production and tightening your skin naturally.

Thermage Eyes is a unique treatment that specifically focuses on the skin of the Upper Eyelids.  The treatment uses a shallow depth heating with radio frequency energy to tighten sagging eyelid skin.
Botox and Fillers are the most common treatments that produce a remarkable result with little to no downtime.  Whether its frown lines, smile lines or just general wrinkles, Botox and fillers smooth the signs of 'maturity' and keep you looking great.
Did you know that FAC uses more Botox and filler than anyone in Orange County?  Our team is highly experienced and will give you the 'look you want'.



AugustNewsletter - 5 Things You Should Know about Fillers and Sunscreen and the Environment


5 Things to Know About Fillers

Injections like Botox and fillers are touted as an effective “quick-fix” with some impressive results achievable if done right.

But there are some important things you should know when you are considering filler treatment.

There’s a lot to consider before diving-in for wrinkle reduction or “Brotox” (yes, it’s a thing), so we’re going to explore the pointy-end so you can make an informed decision…
How Long Do Dermal Fillers Last? Up To 3 Years, But…
It all depends on the type of dermal filler you choose.

According to recent statistics ( ) , this is how long the most common types of fillers last:
- Juvederm – up to 12 months
- Voluma – up to 24 months
- Restylane – up to 9 months
- Radiesse – up to 24 months
- Fat Transfer – 1-3 years with some permanence

With so many options, how do you choose?
The good news is that you don’t have to.  The appropriate choice of filler depends, to a large degree, upon your anatomy and the area being treated.

For example, when we want to restore volume lost in the aging process we often use either Voluma or fat transfer to restore facial contours with outstanding control due to the thickness of the product and its placement within the skin.

If we are looking to enhance the lips we often choose a softer, more delicate product like Volbella.

The family of Allergan fillers now offers Vycross technology which cross links hyaluronic acid molecules to dramatically improve the longevity of the product.  Results can now last up to two years.

Although each patient is unique, certain types of fillers are generally used in specific areas:

Juvederm – folds and creases around the mouth

Voluma – midface contour restoration

Volbella – superficial lines and wrinkles or delicate areas
What is the best filler?
There are a myriad of options available in the market today so it is easy to be confused about which product is really the best.  At Facial Aesthetic Concepts we only use the Juvederm family of fillers, manufactured by Allergan, and the Restylane family of fillers, manufactured by Merz Aesthetics.  We have found that they offer the best mix of safety, patient satisfaction, and longevity.
What should I avoid?
Longevity is one of the cornerstones of what patients want.  They don’t want to have to continue getting injections in order to maintain their youthful contours.  This has led to the development of some ‘permanent’ and ‘semi-permanent’ fillers.  We at FAC are opposed to using any permanent fillers.

The body is constantly changing and despite our use of products to reverse the signs of aging Father Time marches on.  When permanent products are used they do not allow for adjustment that may be necessary as aging continues to change the anatomy and facial structure.
How much filler do I need? Will I look ‘weird’?
Each patient is different in what they need.  It is important to have a comprehensive assessment with the medical provider that will be performing your treatment, not a sales consultant.

At FAC, our assessments include a review of photographs of you in younger years to compare your facial contours and identify the changes that have occurred in the aging process.

One of the most common concerns with filler treatment, particularly multiple syringes is if it will look natural or 'overdone'.  Experienced providers will use 2-5 syringes on patients and achieve a very natural and more youthful look.  That may seem like a lot to inject but keep in mind that each 1cc syringe is approximately 1/5 of one teaspoon of liquid.  That amount is very small so the best possible outcome will usually require more than one syringe.  When performed well this results in a natural, rested appearance that restores years without anyone knowing.

Remember:  Everyone will notice, but no one will know.

unscreen is important in preventing & protecting against the harmful ultraviolet rays, UVB & UVA. UVB rays penetrate shallowly into the skin contributing to sunburns. UVA rays penetrate more deeply and will cause premature aging, and both UVA & UVB ray contribute to causing skin cancer. Sunscreens that protect against both UVA & UVB are called Broad Spectrum sunscreens. Fun Fact, SPF stands for Sun Protection Factor & lets you know how much UVB protection a product provides against sunburn.

There are two categories of sunscreens on the market: Physical & Chemical. Physical (mineral based) sunscreens contain zinc oxide or titanium dioxide, and when applied to the skin they deflect, or block, harmful UV rays. Chemical sunscreens contain organic (carbon based) compounds like oxybenzone, octinoxate, octisalate & avobenzone. They work by changing UV rays into heat, then releasing that heat from the skin, essentially filtering out specific UV rays. Now it is important to note that’s all of these ingredients are approved by the FDA and are deemed safe for use.

How can you tell if you are using a banned or environmentally friendly sunscreen? Look at the back of your sunscreen bottle at the active ingredients listing; if the listing contains oxybenzone and octinoxate then it is not environmentally friendly & should left at home on your next trip to the beach. Don’t worry; there is an array of environmentally friendly sunblocks available out there in a variety of shades, SPF and finishes, and we offer many at Facial Aesthetic Concepts.

Remember, sunscreen is important! It keeps you healthy & looking young!!


July Newsletter - 3 Tools for Clear Skin and PRP Hair Restoration


My Journey To Clear Skin
By Nadia Bahash

I have struggled with oily skin and acne breakouts for as long as I can remember. Both internal and external factors affect the way our skin behaves. I don’t have the cleanest diet (kind of addicted to sugar ), I suffer from hormonal imbalances, and just have overall oily skin. It has left me with large pores, cystic acne, little to big pustules (white heads). You name a type of pimple, and I’ve had it. Lucky for me, I had a cousin growing up who is an esthetician, (Nikki Bahash) and she was able to help me control my breakouts from a young age, which has in turn prevented scarring.

One of the main factors in helping to prevent breakouts is exfoliation. I am the exfoliation queen. I believe in all types of exfoliation, scrubs, enzymes, peels, etc. I would say the most rewarding exfoliation for pustule like acne (white heads) or cystic would be chemical exfoliation. This comes in many different forms, from retinoids, glycolics, salicylics, lactic and many more.

Chemical exfoliants tend to be the best option for breakouts because they help to keep our pores clean, and they also increase our cell turn over rate which increases cellular production (new, healthier cells are created). They also don’t tear away at the pimple like a scrub would, which helps prevent scarring and the spread of bacteria. People with oily skin tend to love to exfoliate because it leaves the skin feeling new, fresh, and removes excess oil.

One common misconception with oily, acneic skin is because of the amount of oil, we don’t need to moisturize. This so wrong and for so many reasons. Because those of us with oily skin tend to exfoliate more, we are drying out our oil glands, and stripping our skin of its natural moisture layer. It’s very important to rehydrate the skin with a moisturizer after exfoliation. Overly dry skin can clog pores and produce breakouts, and it actually increases our oil production because our bodies are trying to compensate for the oil we just removed, creating much oilier skin, hence causing more breakouts.

Besides exfoliation and moisturizers, I recently started using a new product that has really been a game changer for me. While I can usually keep my breakouts under control, at the beginning of this year I under went some hormonal changes and a great amount of stress that really threw my skin for a loop. My breakouts were so bad, I struggled coming into work because I was embarrassed at how bad my own skin looked. I had some of Skin Medica’s TNS Recovery Complex at home and thought I’d give it a shot. While this product is mostly advertised as anti-aging and is great at reducing fine lines and wrinkles, I thought it wouldn’t hurt to try. Within six days my skin looked at least 10x better. How does this happen? TNS consists of a growth factor that improves the overall health of our skin and increases cellular production (collagen production). Think of our skin like a garden, and TNS being miracle grow. It produces and abundance of cells that tend to be healthier, resulting in an improvement in the overall appearance of the skin. My acne was clearing up, redness reduced, and my overall texture felt better. Call me crazy, but I even feel like my skin is less oily now. My boyfriend thought my skin looked so great, he actually started using the product too… talk about a miracle.

My strict product regimen provided my skin what it needed to clear up acne and blemishes, here are the products I used and how I used them to clear up my skin.

In the morning, I wake up with a nice a cleanse. For my oily skin, I really enjoy the Benev Salicylic Cleanser or Epionce Lytic gel cleaner (I go back and forth between the two). I pat dry my face and immediately apply my TNS Recovery Complex. It’s important to let each product soak into your skin before you apply the next. I usually wait about 30 sec- 1 min. Next is my day time exfoliator. My favorite for the past few years has been the Lytic TX by Epionce. It is a retexturizing lotion that contains azealic and salicylic acid. I like it during the day because it allows me to get some exfoliation in the morning, without over drying my skin for the day. Next is moisturizer, which my go- to is usually SkinMedica’s HA5. This is a hyaluronic acid based moisturizer which is great for oily skin. Hyaluronic acid is a water- binding molecule rather than oil binding, so it keeps your face from feeling too oily throughout the day. I finish my morning routine with Alastin’s Hydratint spf, that is chemical free sunscreen and has a little tint to it. At night time I do the same thing, but I incorporate the Clarisonic Smart Profile into my cleanse, which helps remove all my oil and makeup build up throughout the day and ensures a deep cleanse. Just like the morning, I follow my cleanse with TNS Recovery Complex, and for my nightly exfoliator I use Skin Medica’s Retinol Complex 0.5 instead of the Lytic TX. Since our skin tends to rejuvenate and restore while we sleep, I do finish my nightly routine with a heavier moisturizer than I use during the day. My favorite is our Vita Soothe serum, it leaves my skin hydrated in the morning without developing too much oil throughout the night.

Why Dracula never went bald…The hair growing power of blood
Your blood has powerful regenerative properties.  Platelets found within whole blood have long been known to play an important role in the body’s response to trauma. Not only do they help stop bleeding and repair damaged blood vessels, but they also release a number of growth factors which recruit our body’s stem cells to optimize wound healing. We have developed a way to isolate and concentrate platelets in plasma from our blood. When these concentrated cells are injected or applied to damaged tissue, wound healing is accelerated due to the abundance of growth factors available to restore collagen and elastin fibers. You may have heard the term ‘vampire facelift’ or the 'Dracula lift'.  These procedures use concentrated platelets from your blood injected into the skin to stimulate your body to regenerate healthy new cells.

What you may not have heard about is the way we can use Platelet Rich Plasma (PRP) to stimulate hair follicles to regrow hair.  A variety of environmental and physiological factors can impact a hair follicles ability to grow hair.  After a follicle has been inactivated, it remains dormant and causes thinning or balding in the area of the inactive follicles.

In many cases an inactive follicle may still be able to grow hair but require stimulation in order to ‘reactivate’.  At FAC we are using PRP injections to stimulate hair regrowth.  PRP is a non-surgical treatment that releases the growth factors within platelets to stimulate cellular activity This treatment can be used anywhere a patient would like to stimulate hair regrowth.

When combining PRP, pharmaceutical, and other non-surgical therapies, we are able to regrow hair in over 30% of patients.

For individuals with more dramatic hair loss or those that don’t respond to non-surgical therapy we recommend hair restoration with the NeoGraft system using the advanced FUE method.  This involves removing individual follicular units from the back of the head to transplant to areas of thinning or balding.

Unlike with the traditional strip grafting method, the Follicular Unit Extraction (FUE) technique leaves no scar and has minimal downtime.

At FAC our goal is to provide our patients with the best possible outcome and experience in all we do.  In order to minimize downtime and enhance the success of our Hair Restoration treatments we combine them with Hyperbaric Oxygen Therapy (HBO).  Hyperbaric treatments help to stimulate bloodflow and preserve the health of the newly grafted hair for a significantly improved result.

Our consultations are an educational process to help you understand the latest options available for achieving full, natural hair.


The Power of Combination

The Power of Combination

By Alissa Stevens

Spring time is here and like most of us you are probably experiencing some transitions in your skin as the seasons change.  You may be wondering what is happening to your skin and what you can do to ‘fix’ it.  Fortunately, and unfortunately, there are a ton of treatment and product options that can produce a remarkable improvement in skin tone, texture and quality.

Unfortunately, the broad range of options can become very confusing and may not address all your particular goals or needs.  Often times we find that when we combine treatments and add on customized options to facials or non-surgical treatments we often achieve a more desired result on the skin. We can increase the overall effectiveness of your treatments, by adding custom exfoliation, hydration, anti-aging ingredients, or collagen and elastin stimulators to our treatments to meet your skins needs and obtain optimal results.  

Some of our favorite skin care additions are Dermaplane, Facial Infusion, Oxymist and Ultimate or Glow Facials. Some of these treatments can be done immediately after our medical aesthetic services or done 1-2 weeks later to enhance and increase the results from your treatment. Boosters like our Dermaplaning Infusion facial are combined with microneedling, custom facials, waxing and many other treatments. 

Dermaplaning can ‘refinish’ the skin through a method of superficial exfoliation removing dead skin cells and ‘peach fuzz’, which can trap excess dirt and oil.  The exfoliation leaves the skin feeling silky smooth and improves the look of facial skin to smooth out imperfections or textural irregularities. This can also help with overall product penetration on the skin, making products and other treatments more effective. This is how facial infusion plays a key role.

The Infusion helps boost and speed results of other skin care treatments or can be used as a stand alone treatment. This treatment can generate 30 day collagen production and avoids damaging the epidermis by penetrating several high dose active ingredients into the dermis through liposomal delivery through a retinol derivative.  This treatment is further customized by adding powder blends and actives which enhance the results for acne, rosacea, and hyperpigmentation. This unique combination can achieve the same benefits from doing a chemical peel, but without the downtime and side effects of dry skin with the added benefit of increased collagen production.

When we combine an Infusion after receiving a microneedling treatment the skin receives the ‘nourishment’ it needs during the healing process to hydrate and exfoliate, while aiding the recovery process. 

Our patients love the dermaplaning and the facial infusion combination.  It removes any unwanted skin dryness and leaves you skin silky soft!

For those of us who want a little more resurfacing, a superficial chemical peel like the Glow and Ultimate Facials are the perfect amount of exfoliation to get nice, visible results with minimal downtime. They are a great compliment to a treatment like IPL/Photofacial, which helps correct discoloration in the skin but doesn't necessarily target textural issues or clean out the pores. And they can even be done immediately after the IPL!

We highly suggest a complimentary consultation with one of our providers to find the best, customized plan for addressing your skin concerns, and we have a great promotion this month discounting some of our favorite combinations!

Call us if you don’t think your skin is radiant or you have any questions.