Face

Botox Injections

Botox Cosmetic™, Dysport™ and Xeomin™ are among the world’s most popular cosmetic treatments, and for good reason, they work! Relax the “dynamic” wrinkles of your face caused by muscle movements around the eyes, eyebrows, chin, and forehead. Look and feel more attractive, confident, capable, and friendly for months at a time. These medications can also be used to treat TMJ, gummy smile, migraine headaches, a wide square jaw, some neck wrinkles, underarm or hand sweating, and more! Did you know that Dr. Spiegel did some of the primary research that has taught physicians worldwide how to safely and effectively use BOTOX®?

Brow Lift

If your eyebrows are flattened or low they can make your face look older and less attractive. This procedure restores a natural appearance to the eyebrows, helps correct tired eyes, and softens forehead wrinkles. In some cases this procedure is done “endoscopically”, with small hidden incisions. This is a quick procedure with big results!

Procedure time:* 1 hour.
Downtime:* one week.

Buccal Fat Removal

Do you feel like a chipmunk with chubby cheeks? We may be able to help by removing the ball of buccal fat. Working through the inside of the mouth, Dr. Spiegel makes a small incision and the fat is extracted. This can be done right in the office and though there can be some swelling, you’ll likely look better immediately!

Procedure time:* 30 minutes.
Downtime:* may be minimal or up to 1 week of swelling

Carbon Dioxide (CO2) Laser

Tiny beams of laser energy are placed into the skin to stimulate collagen production. If you need a stronger treatment, the CO2 laser is a great choice for reducing deeper wrinkles and scarring, while achieving overall skin tightening.

Chemical peels

We’ll select from our collection of the most effective natural acids to rejuvenate and brighten your face. Chemical peels even skin tone and can greatly improve your skin clarity. You’ll also enjoy collagen fiber stimulation for firmer tighter skin. Your skin will even produce more of its own hyaluronic acid (HA). That’s right, the same injectable HA material you’ve had injected for volume replacement! Fine lines, acne, and skin discoloration are reduced. Trade in dull skin for a radiant glow and a fresher more youthful appearance with a customized peel!

Procedure time:* 1 hour
Downtime:* Peeling may occur anywhere from a few hours to 10 days depending on the strength of the peel.

Chin and Cheek Augmentation

A good chin makes your neck look better, your nose look smaller, and your lips look more attractive. Full cheeks create a more youthful face and brighter eyes. Dr. Spiegel will expertly place an appropriately sized implant, usually without any visible scaring. You’ll enjoy enhanced natural contours of the face and a greatly improved profile. This is a “small” procedure with big results!

Procedure time:* about 1 hour and it can be done right in our office!
Downtime:* 4-7 days.

Cheek Reduction

Are you blessed with abundance? While full cheeks are a good thing and can help us look young, feminine, and attractive, sometimes the cheek bones can be too large and make the face look sharp or wide. Dr. Spiegel is one of the few surgeons familiar and comfortable with cheekbone reduction. Working through the mouth, the facial bones are contoured to achieve the desired shape.

Procedure time:* 1 hour
Downtime:* Swelling and possibly some bruising, typically for one week.

Deluxe Facial Treatment

Imagine relaxing and letting your cares slip away while our aesthetics experts brighten your skin and outlook. We’ll create an individualized facial treatment using the highest quality pharmaceutical grade products to address all of your needs.

We start with a skin analysis, followed by cleanse, exfoliation and extraction. Next, you may move onto an enhancing treatment such as dermaplaning, chemical peel, or a custom formula facial mask to get your skin glowing. Brow shaping is always included to help you put your best face forward!

Procedure time: *1 hour
Downtime:* none, but you may have some redness for 24-48 hours

Dimpleplasty

Ever wish you had dimples to complement your smile? We can place dimples where you want, on one or both of your cheeks. With only a small amount of local anesthetic, you’ll leave with the natural looking dimples you’ve always wanted!

Procedure time:* 30 minutes.
Downtime:* almost none, and your new dimples will soften and get more natural after a week.

Ear Pinning and Reduction

Improve the appearance of large, protruding, or overly noticeable ears. Ears can be reshaped, pinned back, or reduced in size. Wear your hair up without worrying about your ears!

Procedure time:* Typically 1-2 hours and can be done right in our office!
Downtime:* a few days of redness, headband to be worn for 2-3 weeks.

Earlobe Repair and Rejuvenation

If you have a torn earlobe, stretched ear piercing, or gauge that you want closed we can help. Have your ears changed over time? If your lobes are too long, too big, or too thin we’ve also got the answers, just ask! With an eye to detail, Dr. Spiegel considers everything to make sure you regain a natural youthful appearance.

Procedure time:* 30-60 minutes.
Downtime:* none, but stitches may be visible for one week.

Facelift

Tighten and remove loose skin and fat of the neck and face. This is a perfect way to get rid of jawline “jowling” and sagging. Our patients say it took 10 years off their face! Dr. Spiegel addresses each area of the face and neck for a natural, youthful appearance. For some people, a “mini” lift can be customized to target specific areas.

Procedure time:* 2-3 hours.
Downtime:* about 2 weeks.

Forehead Contouring

Dr. Spiegel is likely the most experienced surgeon in the world for this amazing procedure. If you have deep set eyes, prominent ridges above the brow, or other forehead irregularities, Dr. Spiegel can completely reshape the forehead and bone around the eyes. You’ll have a smoother, softer forehead with brighter, more open eyes. Adjusting your hairline and eyebrows are also done at the same time if necessary and desired.

Procedure time:* 1-2 hours.
Downtime:* two weeks.

Intense Pulsed Light (IPL)

Want a bit of everything? IPL can treat acne and acne scarring, improve the quality of skin, treat vascular and pigmented lesions, and even do hair reduction. Studies have shown that regular IPL treatments make your skin appear younger!

Liquid Facelift

For those of you who desire a perfectly contoured face without going under the knife and dealing with unwanted downtime, we have just the solution for you: a liquid facelift. This is a minimally invasive non-surgical procedure that is designed to lift your face, restore its contours, and add volume back to your face.

Long Pulsed Yag Laser

Get rid of undesired blood vessels such as red cherry angiomas and telangiectasias, and even some dark or dilated leg veins. Just one treatment can effectively reduce the appearance of these vessels that bother almost 50% of people.

Microneedling

This amazing procedure visibly improves the texture and tone of your skin by creating new collagen, regardless of your skin color! Improve acne scars, stretch marks, and blemishes without surgery. The procedure takes about 30 minutes.

Downtime:* red skin for a few hours to a few days. Multiple treatments are needed for best results.

Non Cosmetic Use of Botox

Non-cosmetic Uses of Botulinums such as Botox®, Dysport®, and Xeomin®: Help with tension and Migraine headaches, Facial asymmetry, Stop Teeth Grinding, and Much More.

Non-Surgical Browlift

A non-surgical brow lift is an excellent option for people who have noticeably loose skin and wrinkles around their brow, forehead, and eyes. It is ideal for addressing issues that may not be severe enough to require surgery.

Off Label Cosmetic Applications Of Botox

Botox® Cosmetic is a registered brand name of a neuromodulator that is produced from the bacterium Clostridium botulinum. Small controlled amounts of the neuromodulator have been shown to have significant positive effects for conditions like uncontrolled blinking, extreme sweating, migraine headaches, lazy eye, and more.

Mole Removal

Scar Reduction

If you have a mole or scar you don’t like, we can help. Even hard to treat acne scars can be improved. There’s no one right treatment; Dr. Spiegel will create a customized plan for your needs.

Procedure time:* Varies, though typically 20-60 minutes.
Downtime:* none, though swelling or stitches may be visible for a week or longer.

Tear Trough / Eye Area Rejuvenation

For many people, the earliest signs of aging appear directly below the eyes. Dark circles, sagging skin, and hollowing occur as the skin loses elasticity and volume loss progresses with aging. The unfortunate result is a more aged and tired appearance. Facial experts refer to this region as the “tear trough”, and it is one of the most challenging areas to rejuvenate.

Wrinkle Filler

Restylane L™, Lyft™, Defyne™ and Refyne™, Juvederm Ultra™, and Ultra Plus™, Voluma™, Volbella™, Radiesse™, Sculptra™ and Allofill™ are just some of the “fillers” available to contour the face, fill grooves and concavities, enhance the lips, shape the nose, reduce wrinkles, rejuvenate the hands, improve facial symmetry, and more. The experts at The Spiegel Center have been pioneers in facial analysis and the most beautiful ways to use these materials. Results can last 6 months to 2 years, or longer, depending upon the product and location. Tell us your goals and we’ll get you the right solution.

Wrinkle Relaxing

Botox Cosmetic™, Dysport™ and Xeomin™ are among the world’s most popular cosmetic treatments, and for good reason, they work! Relax the “dynamic” wrinkles of your face caused by muscle movements around the eyes, eyebrows, chin, and forehead. Look and feel more attractive, confident, capable, and friendly for months at a time. These medications can also be used to treat TMJ, gummy smile, migraine headaches, a wide square jaw, some neck wrinkles, underarm or hand sweating, and more! Did you know that Dr. Spiegel did some of the primary research that has taught physicians worldwide how to safely and effectively use BOTOX®?