del mar med

appointments: 858.755.6647


Cosmetic Surgery

Blepharoplasty (eyelid surgery), Submental Liposculpture/ Neck Rejuvenation, and Torn Ear Lobe repair, and Scar Revision – all under local anesthesia – as well as Rhinoplasty and Facelift at our associated Surgical Center.


A facelift is a commonly performed procedure that can provide remarkable improvement in your appearance. Facelifting is the ideal treatment for correcting a sagging jawline, falling cheeks or a blunted neckline.

There have been many significant changes to the method of facelifting in the last few years. In the past surgeons would approach facelifting by pulling the skin tighter which resulted in an unnatural or windblown look. Today we have newer techniques to relocate the deeper tissue and create a tension-free closure. This gives a more natural and long-lasting result. This can often be done with shorter incisions in front of the ear and in the hairline. These incisions are usually well camouflaged and heal as thin lines. The procedure typically takes a few hours to complete and can be done and the surgeon's office or at an Outpatient surgery Center.


Neck Liposuction/ Submentoplasty

Laxity in skin, muscle and fat under the chin lead to the appearance of multiple chins. Relaxation of neck muscles can result in vertical bands running from the chin to the base of the neck. Neck fat tends to descend and pooch out with aging. Unfortunately the fat under the chin is often hereditary and unaffected by dieting and weight loss. Neck liposuction is particularly effective for younger patients with stubborn fat pockets in their face and neck that may not be caused by aging. The procedure is performed by first suctioning the excess fat of the neck through tiny incisions. An additional incision is made that hides beneath the chin through which loose skin and neck muscles are tightened and the proper chin to neck profile is restored.


One of the most notable features of the face is the eyes. However, with the passage of time, lines and puffiness contribute to a tired and aged appearance. This is characterized by excess skin of the upper and lower eyelids and shifting of the periorbital fat with resultant heaviness of the upper lids and prominent “bags” on the lower lids. Eyelid surgery or blepharoplasty, is a corrective procedure that removes this excess skin and fullness thereby reducing wrinkles and creating more youthful eyes. Blepharoplasty can also be combined with Botox and filler treatments to reduce the appearance of crowsfeet and/or dark circles around the eyes. Blepharoplasty is a common procedure that takes about 1-2 hours to complete and can be performed with local anesthesia in the office.

Nose Reconstructive Surgery/Rhinoplasty

Rhinoplasty, or nose reconstructive surgery, is a procedure that corrects nasal breathing problems and/or reshapes the nose for cosmetic purposes. Rhinoplasty provides for the creation of a more harmonious balance between the nose and the remainder of the face. This balance can be achieved by reducing the size of the nose if it is a bit too large or too wide or by straightening a crooked or elongated nose. The procedure is performed by making tiny incisions on the inside of the nose. Once the skin is opened the cartilage and bone are reshaped to form the structure of the new nose. This requires a general anesthetic and takes approximately 1-2 hours. This is done as in an Outpatient surgery center.

The cosmetic portion can be performed in conjunction repair or rebuilding of the obstructed nasal passage. If rhinoplasty is being used to correct the breathing problem this procedure may be covered by the patient's insurance.

Scar revision

Unfavorable scars are common and can be due to either poor wound healing or complex injury. Genetic factors also affect wound healing and scar formation. After a few months of healing if the scar remains unsatisfactory, the patient may benefit from scar revision. There are multitude of techniques by which we can improve the color, texture and appearance of scars. This requires a consultation in order to evaluate the options which generally can be done with local anesthesia in the office.