One of Dr. Forley's most important goals as a plastic surgeon is to achieve a natural, unoperated appearance with minimal scars. To achieve this outcome in the aging face, a "short scar" facelift procedure, the MACS-Lift, was introduced. A series of sutures, woven through the deep fibrous layer of the face known as the SMAS, are tightened to enable volume restoration of the cheeks and improvement of the nasolabial folds, jowls, jawline, and neck. Excess skin that needs to be removed is done through small, well-planned incisions that are designed to optimally conceal scars.
The Fraxel® laser is an innovative, non-surgical modality that improves wrinkles, lightens dark pigmentation, and diminishes acne and surgical scars with minimal downtime. Collagen within the deep layer of the skin is thickened to improve skin tone and firmness and to diminish pore size. The face, neck, chest, and hands can be safely treated with this light energy-based technology. A series of four monthly treatments with short-term redness and swelling over 2-3 days or a single deeper treatment with 5-6 days of healing are utilized.
DR. FORLEY BRINGS 5-YEAR EXPERTISE TO USE OF NEWLY FDA-APPROVED INJECTABLE
Minimally invasive or non-surgical treatments of varying degrees of complexity are being done earlier to achieve a desired appearance, to maintain a youthful look, and to avoid the more dramatic changes that can result from cosmetic surgery after significant aging changes have already progressed. In this manner, we can maintain a consistently rejuvenated appearing face for longer periods of time. The goal of cosmetic procedures should be to achieve a natural looking, aesthetically appealing appearance without the telltale signs of intervention.
The FDA opened a new chapter in injectable anti-aging treatments with its July 2009 approval of the use of Sculptra®Aesthetic "for the correction of shallow to deep nasolabial fold contour deficiencies and other facial wrinkles." Sculptra®Aesthetic is composed of an injectable biocompatible material, poly-L-lactic acid, that stimulates the production of the skin's own collagen resulting in a gradual and very natural appearing restoration of facial volume. Dr. Forley brings a plastic surgeon's aesthetic judgment and understanding of anatomy and aging to the use of Sculptra®Aesthetic in the face. Dr. Forley performs all injectable procedures himself and has developed an expertise, based on five years of experience, in the use of Sculptra®, the predecessor to Sculptra®Aesthetic, for facial volume restoration. The gradual replacement of collagen in the area of treatment enables the natural appearing restoration of youthful facial contours. Generally, a series of 2-3 treatments at 6-week intervals are necessary to achieve the desired effect. The youthful appearance that results from the treatment can last up to 3 years at which time maintenance treatments will be necessary.
