Category Archives: Dermal Fillers

Is the Facelift Outdated?

Injectable Fillers Hazleton, PAOne cannot argue the fact that aesthetic medicine has evolved by leaps and bounds in the past two decades alone. Before the development of injectables and energy-therapies like radiofrequency, the way to treat lines and wrinkles, sagging skin, and other signs of aging was through surgery. For the sheer fact that the surgical facelift has been around so long, we have all had the opportunity to see this technique go too far.

Some of our favorite celebrities look very different from their norm due to surgical lifting. These cases are few and far between, and yet they are what get our attention – and what creates apprehension about facelift surgery. When we couple exaggerated examples of bad plastic surgery with the immediate availability of injectable treatments, we may easily form the opinion that the facelift is outdated and unnecessary. Here, we want to explore the validity of this theory.

Injectables for Facial Rejuvenation

There are so many injectables on the market today that we can correct a much wider range of concerns than was possible twenty years ago. Botox can smooth those frown lines and crow’s feet, and can even lift the sagging brow. Where Botox leaves off, we’ve got dermal fillers to pick up the slack. Products like Juvederm Voluma have become the go-to for facial contouring, from the jowls to the cheeks and even to the nose. Why wouldn’t this be enough for every person?

Surgical Lifting Has Value

The surgical facelift may be necessary for some situations. This procedure moves tissue into a position that reinstates the youthful contours of the face. In so doing, the surgical facelift achieves longer lasting and more noticeable results. Through refined technique, the facelift of today is much gentler, much more subtle and natural-looking, than those that may have been common just a decade ago. This procedure intends to lift tissue and skin in a conservative manner that complements the bone structure of the face.

Ultimately, our job is to meet your needs and preferences. Beautiful rejuvenating results can be attained with facelift surgery and, in many cases, with injectables or radiofrequency. The final decision is all yours to make; we’re here to provide you with the details you need to feel confident in that decision.

To learn more about surgical and non-surgical facial rejuvenation, call our Pottsville or Hazleton office.

Filling out the Face: Fillers or Fat?

Age provides us with better knowledge of ourselves and others. It gives us the opportunity to look back on happy memories and accomplishments. It also means we have had more time to recognize a few adversaries. Interestingly enough, age is the enemy when it comes to unwelcome changes in appearance. Loose skin, sagging eyebrows, and a disappearing jawline are all effects of the aging process that we cannot run from. That being said, we can manage them. The only question is “how?”

Fine-Tuning the Face

Many of the men and women who seek treatment for cosmetic concerns express an interest in dermal fillers. It’s true that these natural or synthetic products can do a lot of good for aging skin. And if you are new to the anti-aging game, natural fillers based on hyaluronic acid may be optimal. You get to see how filler products can work without making a long-term commitment to the outcome of care. Even synthetic fillers are only temporary, though they can last months longer than natural fillers.

When you’re Ready for More

Patients who have relied on injectables for some time may be ready for something more permanent, and they can get it. More than getting the outcome they want, they get it in a safe, efficient manner: fat injections. Fat has made a grand entrance on the aesthetic scene in recent years. Cells that are unwanted in one part of the body really can be extracted and used someplace else. Genius! Jokes have been made about this process for years, and now we see it in action in a very good way.

Fat injection treatments number over 500,000 yearly. The process involves fat extraction through a gentle liposuction procedure, usually requiring only local anesthetic and mild sedation. The cells that are captured are purified in a centrifuge before they are introduced into a part of the face that is in need of volume. This could be the cheeks, the temples, the lips, or lines and wrinkles.

Do you want to know more about dermal fillers or fat injections? We have offices near Philadelphia, Reading, Harrisburg, and other areas. Contact us today for a visit to our Hazleton or Pottsville practice.

Have You Heard Of Sculptra Aesthetic?

Sculptra Aesthetic treatmentAging and the ubiquitous, disheartening visible signs that accompany it seem to be inevitable. You can’t escape growing older, but there are some things that you can do to ease the process and rejuvenate your facial skin. The perfect treatment for shallow and deep facial folds, lines and wrinkles is the FDA-approved injectable Sculptra Aesthetic.

Sculptra helps gradually replace lost collagen – one of the foremost causes of visible aging. Would you like to know more? Read on:

Sculptra is an injectable, however, not all injectables are created the same. Each is formulated differently, each targets different areas, each produces different results. What makes Sculptra unique is that it contains a synthetic material called poly-L-lactic acid, which is a bio-compatible, bio-degradable substance that is naturally and gradually absorbed by the body to help rebuild lost collagen.

•Injectable fillers are either gels or liquids that help reduce fine lines by pushing the dermis space up beneath existing lines, wrinkles and creases. Results appear immediately and can last up to several months.

•Toxins minimize fine lines by temporarily weakening facial muscles, typically in the forehead and near the eyes. Results appear within a few days and can last several months.

•Collagen creams purport to deliver absorbable collagen. However, collagen molecules are too large to penetrate the skin. In truth, collagen creams include vitamins and hold moisture, which makes them suitable moisturizers that can briefly improve the skin’s appearance.

•Collagen stimulators can diminish facial wrinkles by helping to restore the deep, underlying structure of the skin. Results appear gradually over multiple injections – usually three injections space three months apart. Results can last up to two years.

As collagen stimulator, Sculptra is different. It works deep within the dermis, rather than topically. As Sculptra’s micro-particles are absorbed, they work to stimulate collagen production. The rebuilt collagen strands then gradually begin to help restore your facial structure and volume and create fullness to existing wrinkles and folds.

Fall is the perfect time for a Sculptra Aesthetic treatment. Call to schedule an appointment with Dr. Kimmel, today.

Five Types Of Peels And Five Good Reasons To Try One

chemical peelsChemical peels are popular, fast and easy. They can make your skin glow!

If you’ve thought about getting a chemical peel and are curious to learn more, keep reading. At Keystone Cosmetic Surgery, we specialize in youthful, gorgeous skin and a chemical peel is just one of the ways we can accomplish that for you.

Dr. Kimmel and his staff offer five types of peels:

  1. Salicylic Acid Peels
  2. Mandelic Acid Peels
  3. Pyruvic Acid Peels
  4. TCA 25% Peels
  5. Micro Peels

Each type of peel is different; each has it’s treatment modalities and ways it can improve and enhance your skin. Renewing your skin and reviving how you feel about yourself are two great reasons to schedule a chemical peel. Here are five additional reasons:

  1. Improve minor acne scars and treat existing acne
  2. Reveal softer, smoother skin and un-clog pores
  3. Increase the production of collagen
  4. Reduce fine lines
  5. Remove sun spots, freckles, blotches, and other visible other signs of aging

It is a good idea to exfoliate your skin at home or come in for a dermabrasion treatment to prepare your skin before your peel. During your peel, your skin will feel warm. You may also feel slight stinging, or burning. After your peel, your skin will feel a bit dry and tight, and may be red for an hour or so. Your skin will be sensitive to the sun, so you must be extra diligent about sunscreen use.

You will need to slightly modify your lifestyle following your peel to avoid any additional irritation to your sensitive skin. Avoid excessive exercise, saunas or hot tubs for a few days and don’t scrub or pick at your face.

Call for a consultation, today, and let us explain the types of peels we offer and help you determine which one would best benefit your unique skin. You may also want to enhance your peel with another procedure, such as a Botox treatment or a dermal filler.


Let’s Talk About You…With More Defined, Fuller Lips

lip enhancementKissable, full, defined lips are popular and definitely trending. Here’s the good news: they are achievable at Keystone Cosmetic Surgery with a non-surgical cosmetic procedure using Juvederm® injectable gels…known as the “next generation” of facial fillers. Juvederm® is also effective in minimizing those fine “smile lines” and deeper “parentheses” lines (nasolabial folds) around the nose and the sides of the mouth.

How does Juvederm® work?
Juvederm® is made with hyaluronic acid, a substance which naturally occurs in the body. This makes it easily accepted and unlikely to cause an adverse reaction. It is FDA approved and is safe and effective.
• The lip enhancement procedure is done using a nerve blocker anesthetic, similar to a dental anesthetic, which numbs the lips and ensures that the patient is relaxed and comfortable before the actual procedure begins. This gentle procedure takes about 15 minutes; the results typically last about six to nine months.
• Following a Juvederm® procedure, you can return to your normal activities and work schedule immediately. There may be some mild bruising that may last a few days but can be easily camouflaged with make-up.

Some things to consider:
• The ideal candidate for a Juvederm® lip enhancement is the patient who wishes to minimize the appearance of fine lines around their mouth, restore a more youthful appearance and enhance the appearance and fullness of their lips.
• Are you pregnant or nursing? If so, it is best to wait.
• As with any cosmetic procedure, it is important to clarify your expectations. If you decide a Juvederm® lip enhancement procedure is for you, discuss your “plumping” expectations with us. We strive to ensure that you achieve the look you want. An excellent rule of thumb is “less is more.”
• Maintaining the normal anatomy of your lips with subtle injections can result in very naturally appearing, plumper lips.

Dr. Kimmel specializes in the use of Juvederm® gels and is proud of his high patient satisfaction rate. We are confident that you will be delighted with the results, so don’t wait…whether you are in Pottsville or Hazelton, call to schedule a consultation and get the new year off to a more “kissable” start!

Try Juvederm for a More Youthful Appearance

Juvederm is a cosmetic product, approved by the FDA, used for adding volume to areas of the face that may begin to hollow or sag as a result of age and gravity. Many of our patients like Juvederm because it is a compound composed of hyaluronic acid – which is a substance that is already in our bodies. This acid naturally deteriorates over time, causing skin to wrinkle and sag. Replacing your skin’s hyaluronic acid with Juvederm will bring volume and newfound vitality to your appearance.

  • Juvederm for Lips: when injected into the lips, Juvederm adds volume and reduces the appearance of fine lines and wrinkles near the lips. Results last as long as 9 months.

  • For Fighting Wrinkles: Juvederm can also be injected into hollowed areas of the face to add fullness and therefore smoothness to fine lines and wrinkles that have appeared over time. Juvederm injections for facial wrinkles last anywhere from 9-12 months.

Juvederm is an injectable product only available through your physician’s office. If you’d like to improve the appearance of your lips, hollow cheeks or wrinkles but are not ready for a surgical procedure, contact Dr. Kimmel for a complete evaluation today. He will discuss your health history with you as well as your cosmetic goals and determine if Juvederm is the right course of treatment for you.

What If I Can’t Have a Facelift?

There’s no denying how wonderful your skin can appear naturally refreshed and rejuvenated after a facelift procedure here at our Hazleton plastic surgery practice. However, there are some cases wherein a face lift may not be the best option for some patients such as those with existing chronic medical conditions (the likes of diabetes and high blood pressure).

We have even encountered patients who simply can’t have a major surgical procedure due to history of extreme sensitivity to anesthesia, pain medications, or antibiotics. In some cases, there are patients looking for other options apart from a face lift because either they can’t afford the costs at present or do not have the luxury of longer recovery times. 

If you find yourself in either of the patients’ shoes mentioned above, Dr. Kimmel offers other face lift alternatives at the Keystone Surgery Center that are still geared towards helping you achieve and maintain that naturally youthful look. So what are these alternatives? Read on below!


Botox is the most popular non-surgical cosmetic procedure to date and is effective in reducing the appearance of crow’s feet (wrinkles around the eye area) and the horizontal creases in one’s forehead (also known as frown lines). This popular injectable works by controlling or reducing muscle contractions underneath the skin which in turn results to the appearance of wrinkles.

The procedure itself is quick and can last between 15 to 30 minutes and results will be immediately noticeable within the first few days following the injection. Results can last between 3 to 6 months and repeated injections may be necessary to maintain the effects.

Dermal Fillers

Alongside Botox, dermal fillers are becoming increasingly popular as an alternative to improving facial skin that has been ravaged with aging — from adding volume to sunken cheeks and thinning lips to filling in deep lines, wrinkles, and creases. There are wide variety of dermal fillers out there, targeting specific aging problems. Like Botox, fillers are injected into the targeted areas and results may be noticeable within 1 to 2 weeks following the procedure.

You can actually choose to have Botox and a dermal filler at the same time, depending on the outcomes you want to achieve. If you’d like to learn how these non-surgical alternatives can help you look younger and refreshed, an initial consultation with Dr. Kimmel should be in order!

Call us at (570)622-2900 or fill out this contact form to schedule an initial consultation today. We look forward to your visit!

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