Graper Harper Cosmetic Surgery

Drs. Graper and Harper are highly skilled facelift surgeons serving Charlotte and the surrounding areas and who have helped numerous patients turn back the hands of time through facelift surgery. Drs. Graper and Harper carefully customize each facelift procedure to reflect the unique concerns, goals and desires of each patient. They use their advanced aesthetic judgment to recommend the most appropriate surgical techniques that will deliver the most natural-looking results. Facelift Surgery: Is It for Me? Many factors of a person’s face determine the impression of age in that individual. Extra eyelid skin, extra neck skin and jowls are obvious signs of age, as are thin crepe-paper skin, gray hair and wrinkles. There are many effective procedures to improve all of these problems and rejuvenate the face. Aging comes in five forms: too much skin, too much fat, muscles that are loose and banding, volume deflation and quality of skin issue like wrinkles, pigmentation, red spots and texture issues. For a complete rejuvenation, each issue must be addressed. In general, small aging problems only need minimally invasive procedures for good results. This may mean non-invasive laser procedures, chemical peels, infra-red light techniques to reach rejuvenation goals. Chemical Peels Infra-Red Treatments Laser Treatments Larger aging problems must be treated with more powerful techniques to achieve a good result. This would be more invasive procedures like facelift, neck lift, brow lifts or blepharoplasty (eye lift). Eyelid & Brow Lift Facelift Before After Photos in Charlotte, NC In the face, extra neck tissue makes a person appear old, overweight or both. To correct this problem, one must determine if the tissue is loose skin, extra fat, sagging muscle or a combination of all of these. If the problem is simply too much fat then liposuction, done through a 1-centimeter incision, will produce a younger, thinner neck. If the problem is fat and muscle, then through a slightly larger incision under the chin, fat is removed and the muscles are tightened to improve the neckline. This is called myeloplasty. If fat, muscle and skin are involved, then the appropriate plastic surgery procedure is a neck lift, where the myeloplasty is done and the extra skin is removed in the hair behind the ears. None of the procedures leave noticeable scars, and they will all improve the neck significantly. If the patient is bothered by a deep fold in the junction of the cheek and upper lip, then he or she is a facelift candidate. A facelift improves the cheek fold and jowls and also treats the neck. Every facelift surgery includes a neck lift. For patients who have deep folds in their cheeks and excess jowl skin, but a good neck, a mini facelift can be performed. All these procedures are tailored to match each individual patient’s concerns. Facelift Overview Facelift suspends the sagging muscles to their original position to create a more youthful appearance. Extra fat is removed and the skin is then gently tightened for the final effect. Fat grafting can be done to restore lost volume in the cheeks or lips. A little volume goes a long way so care is taken for the results to look natural. Most of our facelift patients feel they look 5–10 years younger, but some have an even more dramatic improvement. Neck & Facelift Patient in Charlotte, NC Because the basic support of the face has been improved, the effects of a facelift last longer than the old techniques. Patients can expect results to last for 7–10 years before even considering a repeat cosmetic surgery procedure. Even if nothing else is done, the patient’s face will always look better than if they had never had a facelift. Many patients want to look younger but are afraid they will look different. With our procedure, we rejuvenate the face by suspending the muscles back to their original position and by removing fat appropriately. Sometimes adding fat actually rejuvenates the look. Therefore, our patients look like new versions of themselves and never like anyone else. Patients are always concerned about the scars. The incisions are very inconspicuous in the hair above and behind the ears and in the crease in front of the ears. The scars are there, you just cannot see them. Everyone wants to know if cosmetic surgery hurts. Surprisingly, virtually all patients report tightness in the cheeks and neck, but no pain. We like to hear that the surgery feels tight, as that means that the procedure will last a long time.

Over the years, Dr. Graper and Dr. Harper have earned a reputation as leading Charlotte nose surgery specialists. They perform this procedure for patients who desire to improve the function and/or aesthetics of the nose. Dr. Graper and Dr. Harper – Charlotte’s Top Rhinoplasty Specialists In order to deliver the best possible results for all of their rhinoplasty patients, Dr. Graper and Dr. Harper take the time to develop highly personalized treatment plans. By taking into account each individual’s facial characteristics, aesthetic concerns, and desires, Dr. Graper and Dr. Harper tailor each treatment to realize the patient’s aesthetic dreams. Rhinoplasty: What Is It? Rhinoplasty is the medical name for reshaping the nose. It is a cosmetic procedure that is different than surgery to improve the nasal airway, which is a functional or reconstructive procedure. Frequently, the procedures are done together. Rhinoplasty Overview During your consultation, we will take a medical history, discuss what you would like to change about your nose, examine the structure and support of your nose, look for nasal airway problems, and finally, photograph your nose. From these photographs, we will make computer images of your current nasal shape. Using the images and your physical exam, we will be able to make a diagnosis as to what is causing the nasal shape to be unsatisfactory. We will then morph the nasal shape based on your facial proportions and your goals to give you an idea of what is possible, given your basic nasal structure. We must be careful to note that the images are a goal, not a guarantee. The Rhinoplasty Procedure Rhinoplasty is performed on an outpatient basis using general anesthesia, in which the patient feels no pain and has no memory of the procedure. Operative time is approximately two hours, depending on the changes being made. Our Charlotte rhinoplasty patients go home the same day with a splint on the outside of the nose to protect its new shape. They may also have an internal splint. These splints are removed approximately five days later. After the surgery, swelling will resolve rapidly and will be 80% gone at 6 weeks. However, the remaining 20% may take a year to resolve entirely. The dynamics of nasal surgery are very complicated and we must be realistic about what we can achieve. Nasal skin thickness and bone structure determine what is possible for each nose. Using your actual photo with computer imaging, we will show you what we believe is an achievable appearance for your nose. Your nose will not be perfect, but it will be safely, predictably, and reliably much improved. Rhinoplasty Frequently Asked Questions What is the procedure like? Who are good candidates for rhinoplasty? Can nasal airway problems be treated at the same time? What is the typical recovery time? How much does rhinoplasty cost?

Many patients want their skin to look better. Using the appropriate technique, sun damage, wrinkles, color irregularities, acne scarring, and acne can all be improved. The appropriate technique depends on the patient’s motivation and the amount of improvement desired. Skin is made up of an outer epidermis of skin cells and an underlying dermis make-up of the building blocks of skin, i.e. collagen, elastic fibers, water, blood vessels, glands, and glycosaminoglycans. All skin treatments are based upon several concepts: (1) speeding up epidermal cell turnover rate, (2) thickening the dermis and (3) stop the breakdown of the skin with antioxidants and skin protection with sunscreen. The life span of a single epidermal cell that you feel when you touch the skin is approximately ten days. During this time the cell is exposed to environmental trauma that damages the outside of the cell. By the end of the tenth day, the cell has enough surface damage that together with similar effects on millions of surrounding skin cells, the skin has a very rough feel. If medicine like Retin-A or glycolic acid can produce a more rapid turnover rate so that the cells are pushed off the body in five days, rather than ten days, then the cells will not be exposed to as much trauma. These cells will then feel softer when they are replaced by new, undamaged cells. It’s that simple. Another way Retin-A and glycolic acid work is that by stimulating the dermis to make more epidermis, the dermis becomes thicker itself. And a thicker dermis has more blood vessels for a pink glow, more elastic fibers for more recoil, more new collagen for volume to remove wrinkles, and more water content to plump up the skin. These are all qualities for youthful skin that we lose as we age. Newer science now recommends retinol rather than Retin-A just to increase the speed of the epidermal cell turn over and thicken the epidermis. The dermis itself is better stimulated with polypeptides that turn the cellular building blocks on more efficiently with less irritation than the older Retin-A. Procedure Differences The difference between Retin-A, retinol, and glycolic acid and the stronger trichloroacetic acid (TCA) chemical peels or croton oil peels is the depth of penetration. The deeper the treatment into the dermis, the greater improvement of the skin. The downside of a deeper treatment is, of course, a greater risk of scarring and much greater healing time. Retin-A, retinol, and glycolic acid barely penetrate the dermis; therefore, do little to thicken the dermis. The effects are to remove fine lines, improve superficial color irregularities and make softer skin. Medium to deep wrinkles and deep color irregularities will not be improved, but the recovery time is zero and there is essentially no risk. Microneedling is a minimally invasive technique that produces a clinical improvement of fine lines medium lines and enlarged pores with three treatments. The good news is that it works and that the downtime is zero. Chemical Peels Microneedling If one wants to improve deeper wrinkles, deep color problems, or acne problems, deeper penetration into the dermis with TCA, dermabrasion, or laser must be used. All of these agents produce damage to the dermis, removing old damaged skin elements and regenerating them with new collagen, new elastic fibers, increased water, and more blood vessels. The recovery time is increased with deeper treatments. The skin will be completely healed anywhere from one to two days for light penetration, and from ten to fourteen days for deep treatments. If all the treatments remove dermis, why is one technique better than another? Dermabrasion removes the dermis by mechanically sanding away tissue whereas laser removes the dermis by vaporization of the tissue. Chemical peels remove the dermis by chemical damage. Each technique does the same thing but in a different way. A laser using “Fractional” technology employs lasers to partially treat skin to produce an overall skin change. For example, the HALO fractional laser uses ablative or non-ablative light to just a third of the area to be treated. This produces an effect on the entire skin’s surface, though only a fraction was treated. The treated areas’ rejuvenating effects spill over into the skin areas immediately adjacent but not directly treated, thereby rejuvenating all the skin while only actually treating a fraction of the skin. Ablative lasers require one to two treatments and have 3-4 days of downtime post-treatment. Non-ablative lasers require 4-6 treatments but have only a day or two of down-time. These treatments produce mild to moderate improvement. The latest technology comes with a greater expense. We offer this technology but find many patients choose chemical peels for their effectiveness, safety, and lower cost. For superficial or deep treatments, chemical peels are safe, inexpensive, and effectively produce moderate skin changes.

Abdominoplasty is a very common procedure for patients who want to improve the appearance of their abdomen. Many of our tummy tuck patients desire to improve aesthetic flaws created by several pregnancies and/or weight fluctuations. Following these events, their skin becomes loose and may have stretch marks. The muscles are stretched to their limit and may even separate, causing a hernia. Many of our abdominoplasty patients are surprised to learn that repairing the weak abdominal muscles during surgery not only helps them look better, but may also greatly reduce their back pain. Tummy Tuck Overview A full abdominoplasty or tummy tuck is a procedure where extra skin and fat are removed and the loose muscles are repaired. The surgery is done through an incision that is from hip to hip, but even the skimpiest bathing suit would hide it. Frequently there is enough loose skin that all of the skin between the belly button and the pubic bone can be removed. When that skin is removed, so are all the stretch marks on that skin. Extra fat is thinned from the underside to trim the abdominal contour. Then the muscles are tightened to recreate the waistline and flatten the tummy. The incision is closed with dissolvable stitches and the patient is put in a compression garment to decrease swelling and bruising. How Tummy Tuck Is Performed The surgery is performed at our fully accredited plastic surgery facility under general anesthesia, in which the patient is totally asleep. The surgery can be painful, as muscles are made very tight to achieve the best possible look. But these tight muscles are like having a pulled muscle in the abdomen and everyone knows that can be tender. We also require our patients to walk with their waist bent for the first seven days to lessen the tension on the skin closure. This is very important to produce healthy skin that is as tight as possible post-operatively. We see our tummy tuck patients five to seven days after surgery in our Charlotte office. At that time the dressing is changed and the patient is allowed to shower. In seven days, the patient is allowed to stand up straight and lie flat on a bed. In order to allow the muscle and skin to adhere to each other, we recommend the abdominal area be kept quiet by limiting the bending and twisting motion of the waist for three weeks. The abdomen may seem tight at first, but will loosen with time. At three weeks, the compression garment can come off. We advise that it be worn with exercise for additional support from then on until three months. We don’t allow any isolated abdominal muscle exercise for three months, but all other exercises can be gradually increased beginning at three weeks. Most patients are back to work at approximately three weeks. Mini Tummy Tuck Surgery Mini abdominoplasty is a modification for the patient who only has excess skin and loose muscle from the pubic bone to the belly button. After liposuction of the entire abdomen, a C- section size incision is made and the repair done to the muscles. A smaller amount of skin is removed and the patient is put in the same compression garment as with the full procedure. Mini tummy tucks are also done in the office and do not have to walk bent at the waist at all. This procedure is great for those patients who only have a problem below the belly button. The recovery is easier than that of a full tummy tuck with a back-to-work time of 7-10 days for office-type jobs. Potential Risks of Tummy Tuck Like any surgery, bleeding and infection are possible risks, but occur very rarely. Incisions that don’t heal well because of decreased blood supply have occurred when the skin closure is too tight. That is why we are very cautious about keeping the waist bent for seven days after surgery. If the skin doesn’t heal well we keep it clean and moist and eventually it heals itself. This is an inconvenience we would rather avoid than treat. Hypertrophic thick scars occur occasionally and are treated with massage, vitamin E, and compression if needed. Keloids are rare. Unresponsive scars can be surgically revised, but this is unusual. Fluid collections under the skin can occur if the abdominal tissue is not compressed to the underlying repaired muscle. Aspiration is a sterile process where the fluid is removed by passing a needle through the skin and tapping the excess fluid. This is a painless procedure for the patient because the abdominal skin is numb for approximately 6–12 months after surgery and makes aspiration very easy. Still, we would rather prevent this fluid by wearing the compression garment than treat it with aspiration.

By using the liposuction procedure, we are able to remove unwanted fat deposits and reshape our patients’ shape and physique through small incisions less than half an inch long. Almost every area of the body is amenable to liposuction, but some areas are safer and produce more predictable results. Who Is a Good Candidate for Liposuction? Realistic expectations are critical in cosmetic surgery. We tell all our patients that this is not Hollywood, where the star emerges after cosmetic surgery with a perfect body, looking 15 years younger in a stunning new outfit, and 20 more points on their IQ. Cosmetic surgery results take time to develop and they will not be perfect. We feel very confident, however, in being able to safely produce reliable, predictable improvements that our patients are very pleased with. The Liposuction Procedure Traditional liposuction was first introduced decades ago and has had many changes and technical refinements along the way. The ideal patient for liposuction is someone within 10 to 15 pounds of their ideal body weight, with isolated areas of body fat that are resistant to diet and exercise. They should have good skin tone that can contract into the now smaller volume of fat and should have realistic expectations. If patients have none of the other qualifications, but have realistic expectations, they can still greatly benefit from liposuction. The reason liposuction is so popular is that it is safe and effectively removes fat from where it is not wanted and leaves fat alone where it is wanted. For instance, to get the same results of removing two pounds of fat from the abdomen using liposuction, one might have to lose twenty to thirty pounds from the entire body. Many people cannot lose twenty pounds, and if they did they might lose it from areas where they want to keep it such as their breasts or face. Liposuction allows us to selectively remove fat from exactly where we want it removed. The current technique involves making 1 centimeter incisions in the creases around the periphery of the area to be suctioned. Even though the procedure is done under IV anesthesia, the area is infiltrated with high volumes of local anesthesia to provide both intense vasoconstriction and long-term postoperative anesthesia. The fat is then simply vacuumed out with specially designed cannulas. The process can be thought of as a type of body whittling or sculpting; hence, the name lipo-sculpture. The patients are placed in compressive garments postoperatively, and because of the local anesthetic, are discharged home in virtually no pain. After Liposuction Patients are seen within 5 to 7 days at our Charlotte surgery center to check their progress and remove stitches. Most of our liposuction patients have surprisingly little bruising and may have such minimal discomfort that they are able to return to work within 2 to 3 days. In general, the more extensive the liposuction the longer the recovery time. The compressive garment is worn continuously for 3 to 6 weeks to limit swelling and ensure proper skin contraction. Patients are allowed to shower without the garment, beginning the second day postoperatively. Though improvements in body contour are noted immediately, the final results will take 2 to 3 months to be complete. Regular exercise may be resumed at 3 weeks. Possible Liposuction Complications Complications after liposuction are infrequent but include infection, bleeding, over-correction, under-correction, asymmetries, and skin irregularities. We try to remove just the right amount of fat to produce the desired improvement, but if we err, we always try to err on the conservative side. We can always take a little more fat in a minor touch-up procedure, but it is more difficult to put fat back into areas that have been over-resected. Our non-surgical fat removal approach is with CoolSculpting, where the fat is frozen here in the office with no need for anesthesia and no incisions. You can expect as much as 22% fat reduction after one treatment and 40% after two treatments. After the procedure is done there is no downtime and minimal if any pain. As with liposuction, the results are visible in about 3 months. CoolSculpting Realistic expectations are critical in cosmetic surgery. We tell all our patients that this is not Hollywood, where the star emerges after cosmetic surgery with a perfect body, looking 15 years younger in a stunning new outfit, and 20 more points on their IQ. Cosmetic surgery results take time to develop and they will not be perfect. We feel very confident, however, in being able to safely produce reliable, predictable improvements that our patients are very pleased with.

Microneedling is a non-surgical procedure that activates cell regeneration. A small device delivers microscopic pricks into the skin to stimulate the natural healing process. This is the same process that occurs with laser resurfacing in a less aggressive fashion. The healing response produces new collagen and elastic fibers. Skin becomes firmer and regains its elasticity, fine lines and wrinkles become visibly reduced, pores become finer, circulation is stimulated and the overall condition of the skin improves. Microneedling is effective on face and body areas (stomach), to treat acne scars, fine lines, and wrinkles, pigmentation, stretch marks, and scars. Most patients look as though they have a moderate to severe sunburn after treatment and skin may feel warmer and tighter than usual. This normally subsides after 1 to 2 hours and full recovery is generally within 24 hours.

Graper Harper Cosmetic Surgery offers the latest scientifically advanced laser technology available. You will see remarkable improvements in wrinkles, sun spots, freckles, redness, rosacea, facial veins, hair removal, plus other conditions of the skin associated with aging, active lifestyles, and sun damage. Click on the links below to find out more about our latest technology treatments that work on all skin types with multiple problems. Halo Fractional Laser Over time, your skin loses its youthful glow from sun exposure and your body’s natural aging process. As a result, your body may develop sun spots, fine lines, and lose that natural healthy glow. Halo eliminates years of damage by precisely targeting the right depth. Halo restores the luminous glow you had when you were younger. MicroLaser Peel An outer- to mid-epidermal laser peel that precisely removes a thin layer of skin to a selectable depth. MicroLaserPeel is an advanced clinical method used to improve skin texture, tone, and luminosity. Forever Young BBL™ Sets the standard for photorejuvenation for aging, active lifestyles and sun-damaged skin. Microneedling Effective on face and body areas (stomach), to treat acne scars, fine lines and wrinkles, pigmentation, stretch marks, and scars. RF Microneedling RF microneedling elevates traditional microneedling by adding radiofrequency. The RF energy boosts collagen production, which should make your skin even smoother. MOTUS AX LASER HAIR REMOVAL Leave the plucking, shaving, waxing and tweezing behind. Enjoy hair-free, care-free results with this treatment. It’s pain-free, fast and great for all skin colors. Micropigmentation (Permanent Makeup) Permanent Makeup compliments the “less makeup” approach. We offer Brow Permanent Makeup. Microblading This procedure gives the appearance of brow hair strokes. It can be used to fill in certain missing areas of the brow or create more of a shape. Vaginal Rejuvenation THERMIVa™ Effective non-surgical treatment for women who have mild incontinence, mild-to-moderate labial/external laxity, and mild-to-moderate internal vaginal laxity.

Graper Harper Cosmetic Surgery offers many options to treat a variety of skin care needs. All services include prescription strength products that can only be used under a physician’s care. Our skin care department is staffed with highly trained, licensed aestheticians in the medical field for your assurance of safety and reliability. We are proud to offer the best medical-grade skin care products available utilizing the latest technology to provide our patients with real results. Here are a few of our featured product lines. Obagi ZO Skin Health ZO develops and delivers innovative skincare solutions that optimize skin health based on the latest advances in skin therapy technologies, unique delivery systems, bioengineered complexes and exclusive formulations. By providing comprehensive skincare programs for physicians and their patients, they create a continuum between therapeutic treatments and daily care, allowing patients to experience continuously healthy skin regardless of their age, ethnicity or unique skin condition. SKINPRINT SkinPrint’s core pillars are based around the knowledge that every person is not only unique, but also ever-evolving. Forget what you know about traditional “customized” skin care. Your skin is so much more complex than “dry,” “oily,” or “combination.” Genetics, environment and life stage all impact the biochemistry behind what you see in the mirror. Understanding that our skin is as individual as we are is paramount in treating it. SkinPrint chooses active ingredients based on their power to turn on your skin’s own genetic ability to transform itself. Every precision formula they create will provide real results unique only to you. Like a fingerprint, your skin is yours and yours alone. SkinPrint treats it that way. That’s the beauty of intelligent skincare. Revision Skincare Revision Skincare has been providing physicians with superior performing clinical skincare products for over 25 years now. It is a peptide-rich line that will help brighten and refine aging or damaged skin. Formulated to target specific concerns, Revision’s superior research and development delivers an array of products to help you reveal a more healthy and glowing complexion. SkinMedica SkinMedica has dedicated years of research to formulate advanced skin care products to deliver optimal results for our patients and the physicians who care for them. Whatever your skin care needs or challenges may be, you deserve healthier looking skin. SkinMedica has dedicated nearly two decades of research to formulate advanced products. Our highly experienced medical aestheticians will determine exactly what your skin type needs are and help combine these products into your personalized regimen. ALASTIN SKINCARE Alastin Skincare is powered by a patented blend of active peptides and botanicals that support your skin’s natural life cycle — promoting the benefits of recycling, rebuilding and replenishing the skin matrix in order to maintain a healthy glow and youthful appearance. Their patented TriHex Technology supports your skin’s natural ability to remove, rebuild and replenish aging and damaged elastin, a regeneration process producing healthy skin. Alastin Skincare is cruelty, paraben and gluten free. Upneeq® Upneeq® is the first and only FDA-approved non-invasive treatment to lift the eyelids. Results can be seen as quickly as 30 minutes and can last from six to eight hours. Upneeq® drops are once-a-day drops that can be used daily to alleviate tired-looking eyes. Upneeq® drops can also be used to temporarily lift the eyelids for a special occasion where you want to look your best. Each vial contains enough Upneeq® solution to allow for one drop in each affected eye. Individual results may vary. Click for more information. Latisse® Grow beautiful lashes with Latisse®, an FDA-approved product to lengthen, thicken and darken your eyelashes. Using Latisse® daily will give you longer and fuller lashes, with full results in 12 to 16 weeks. Results may vary per individual. This topical solution is applied nightly for best results and continued use is required to maintain your beautiful new lashes.

The following treatments offer temporary solutions for eliminating facial wrinkles and folds. They can be used in combination with other procedures for wrinkles in the face, brows, eyes, and cheeks. Graper Harper Cosmetic Surgery has three Certified Nurse Injectors, one who is one of only 200 national trainers for Allergan Medical Institute. Linda Owens teaches medical providers injection techniques of Botox® Cosmetic and dermal fillers. Our two additional Certified Nurse Injectors, Teri Trudnak and Kristen Hall, also have many years of experience with all treatment options. Continuing education is of utmost importance to our expert injectors, remaining current on products and procedures, to provide optimal results for our patients. Botox® Cosmetic Graper Harper Cosmetic Surgery is one of the select practices in the Carolinas to offer Alle, a premier loyalty program where you can earn points on Allergan Aesthetics brands and a variety of other in-office treatments too. Ask about this unique program when you call our office. The following treatments offer temporary solutions for eliminating facial wrinkles and folds. They can be used in combination with other procedures for wrinkles and volume loss in the face, brows, eyes, and cheeks. Juvéderm Ultra and Ultra Plus XC Juvéderm injectable gel is produced through HYLACROSS® technology promoting duration for up to one year. This technology results in a smooth consistency, which is a primary factor in the long-lasting, smooth, and natural look and feel – the hallmark of Juvéderm wrinkle correction. This gel is made of hyaluronic acid which is a naturally occurring substance in your skin. Juvéderm is used to treat facial wrinkles and folds, most commonly the nasolabial folds, often referred to as “marionette lines”, and to turn up “downturned” corners of the mouth. Juvéderm® VYCROSS™ technology is formulated with lidocaine, a common anesthetic, to provide a more comfortable experience during and after treatment. Juvéderm Voluma XC Volume loss in the cheeks is a major reason we lose a more youthful profile over the years. You can restore lost volume in the cheeks and re-contour the face with Juvéderm Voluma™ XC. This injectable filler is FDA-approved to add volume to the midface/cheek area to create a more youthful look. Juvéderm Voluma XC contains a modified hyaluronic acid (HA) in a gel. This treatment gives a subtle lift and helps to enhance facial contour specifically in the cheek area. The results are seen right after treatment and are FDA-approved to last up to two years. Juvederm Volbella XC This treatment is FDA-approved for the lips. Juvederm Volbella XC increases lip fullness and softens the appearance of vertical lip lines. The result is a pretty, more youthful look. It is FDA-Approved to last up to one year. Juvederm Vollure XC This injectable gel is used for the correction of moderate to severe facial wrinkles and folds and to “turn up” the corners of the mouth. It is FDA-approved to last up to 18 months. Liquid Facelift Patients who wish to achieve a rejuvenated facial appearance without undergoing a surgical procedure such as a facelift, brow lift, or eyelid surgery often choose a Liquid Facelift. A Liquid Facelift is the use of various injectable dermal fillers, usually in combination with Botox® Cosmetic, to provide a comprehensive, less permanent, minimally invasive facial treatment tailored to meet the individual needs of each patient. The result is a more youthful appearance. In performing a Liquid Facelift, Graper Harper Cosmetic Surgery utilizes the full spectrum of facial injectables, including Botox® Cosmetic, and a combination of the Juvederm® Filler Collection – Juvederm Ultra, Ultra Plus, Voluma, Vollure, and Vobella. Graper Harper Cosmetic Surgery relies on their many years of experience to choose the correct combination of these effective products to meet the aesthetic needs and desires of each patient. Botox® Cosmetic The Liquid Facelift provides a gentle lift of individual facial features, reduces wrinkles, creases, folds, and restores natural facial contours. The results are a more rested, energetic look and can range from subtle to dramatic. Patients often tell of compliments from unsuspecting family, friends, and associates who are unaware that they have received treatment. Everyone will notice, no one will know.