Is A Facelift Right For You?

A rhytidectomy, more commonly known as a facelift, is a procedure that can take years off of your face and help you feel more confident and attractive. While this procedure isn’t right for everyone, it does come with many benefits. Keep reading to learn more about the procedure and find out if it is a good option for you.

How does a facelift work?

As people get older skin sags and extra fat deposits can leave you looking older and heavier than you feel. During a traditional facelift, incisions are made near the hairline and the skin is raised from the face so that the underlying tissues can be tightened and repositioned. Excess skin is also removed during the procedure. Facelifts are usually used to correct issues with the lower two thirds of the face, but if you’d like to address other areas, facelifts can often be combined with other cosmetic procedures such as neck lifts, blepharoplasty, brow lifts, and skin treatments.

Who is a good candidate for a facelift?

A facelift is just one of many cosmetic procedures available. Your doctor can help you explore your options and choose a procedure that suits you. A facelift isn’t the right option for everyone.

The following people should consider alternatives:

  • People who are still quite young and just want to make small improvements • People who aren’t comfortable undergoing surgery.
  • People who only want to improve one thing—for example patients should consider dermal fillers if they just want to get fuller lips.

Good candidates for a facelift include:

  • People who’d like to see significant improvement—other cosmetic treatments provide more subtle results.
  • People who want to improve many areas of the face, not just one specific aspect.
  • People who are comfortable with surgery and healthy enough to undergo the procedure. A rhytidectomy is usually performed under general anesthesia to minimize pain and discomfort.
  • People who want long-term results—while alternatives such as Botox and dermal fillers can improve your skin, patients need repeat treatments to maintain their appearance. A facelift provides longer lasting results.

If you’d like to learn more about facelifts and other cosmetic treatments schedule a consultation at Ponte Vedra Plastic Surgery.

Methods to Force Your Skin to Improve and Repair Itself!


kim Kim Lindsey, Aesthetician 

Q: What is a good anti-aging product regimen?

A: Topical key elements for healthy skin are as an important regimen as your daily oral dose of vitamins. Everyone should be using a medical grade foundation of topical products beginning with a good cleanser, toner, topical vitamin A, C, antioxidants, peptides, growth factors and sunscreen.

Q: What is the average topically applied product penetration rate?

A: The approximate amount is in the region of only 7-10%.

Q: How can I improve the product penetration rate?

A: Our skin has a layer of dead cells piling up as a barrier to the world. Getting through this barrier and exfoliation the dead cells off is a key to increasing the penetration rate of products. This can be done utilizing scrubs, masques, microdermabrasion, using a cosmetic beauty roller and chemical peels.

Q: What is a cosmetic beauty roller?

A: This is a rolling micro needling device that can be used regularly at home to comfortably penetrate the dead skin cells by creating microscopic holes (0.2-0.3mm) allowing for more than 80 % better product penetration! This home treatment will increase your product results dramatically.

Q: How is Medical Micro Needling different than using a home beauty roller?

A: A cosmetic roller is designed primarily to increase your product penetration rate while a Medical Micro Needling treatment is a non-ablative way to force the skin’s natural ability to create new cell turnover, collagen, and elastin for a healthier, younger looking skin. This is done by stimulating a wound healing cascade caused by controlled injury with micro needles that range from a depth of 0.5-3.0mm depending on the condition you are treating. This treatment can be comfortably done by your Aesthetician after applying a topical numbing cream. The down time is typically only a few hours of appearing as you have a sunburn.

Q: How do Chemical Peels help improve skin?

A: A chemical peel is a controlled and safe way to injure the sluggish dead skin, stimulating rejuvenation of collagen effecting your overall complexion and skin quality. Your Aesthetician chooses from a variety of safe acids that are specifically designed to encourage new cell turnover and slough off old dead and damaged skin cells. The down time is depending on the strength of the peel, and your regeneration rate. The average person may experience some degree of peeling, redness, and tightness of the treated areas for approximately 5-7 days. Many clinical treatments like chemical peels and micro needling will achieve more effective results after a series of 3.

For more information on a professional, personalized skin care regimen contact a qualified Aesthetician at or give us a call at 904-273-6200

*reference The Concise Guide to Dermal Needling, Expanded Medical Edition by Dr. Lance Setterfield, M.D.  1.11.16kl


Commonly Asked Questions about Breast Reduction Surgery & Insurance Coverage

Will Insurance Cover my Breast Reduction Surgery?

In order for a breast reduction to be covered by your insurance, the insurance company must deem it to be “medically necessary.” This definition however varies from one insurance company to another and therefore is one of the most challenging procedures to get health insurance companies to cover. Our billing team at Ponte Vedra Plastic Surgery has years of experience navigating this challenge and is available to assist you.

What does Medically Necessary mean?

Most insurance companies require documentation that shows conservative measures have failed to relieve your back pain and discomfort. Conservative measure may include supportive undergarments, over-the-counter creams or medications for rashes, prescription pain medications, and even physical therapy. The most efficient way to assemble this information is to ask your provider, usually a Primary Care Physician, OB/GYN, or chiropractor, for a letter of medical necessity that outlines your symptoms, duration of tried and failed therapies, and his or her recommendation for breast reduction surgery.

What information will I need to provide?

When you call to schedule your consultation, we ask for your insurance information as well as current height and weight. Most insurance companies use a scale, sometimes referred to as the Schnurr scale, which uses your height and weight to determine the amount of breast tissue that needs to be removed for the surgery to be considered medically necessary. We will provide this information to your surgeon before your appointment along with the specific guidelines for your insurance. With that information in hand, your surgeon will perform an examination and be able to determine if sufficient breast tissue can be removed for insurance purposes and whether doing so will render the result you wish to achieve.

How long will it take to get a determination of coverage?

At your consultation we take photographs which we will send as part of a Precertification/Pre-Determination request. Some insurance companies can take 4-6 weeks to complete this review so be patient and know that our team is following your request and dealing with the insurance company on your behalf.

Once your surgery has been approved, you will get a phone call from our team to discuss what your patient responsibility will be. Since we bill for the surgeons and the Ambulatory Surgery Center, this helps to ensure no surprise bills after your surgery.

nicoleAuthored by:  
Nicole Jones, CPC – Revenue Cycle Manager

Mastopexy 101

Mastopexy, more commonly known as a breast lift, is a procedure that is used to lift sagging breasts and improve their shape. Many women find that pregnancy, weight fluctuations, breast feeding, and getting older can leave them with drooping breasts.

During the procedure excess skin is removed and tissues are tightened to create a more youthful, appearing shape.

Who can benefit from mastopexy?

The following people may benefit from a breast lift:

  • Those who feel that their breasts have changed as they’ve gotten older.
  • People whose nipples fall below the crease of the breast or point downward.
  • Women who are done having children—you can have a breast lift if you aren’t done having children, but future pregnancies are likely to take a toll on the breasts.
  • Women who feel that their breasts have lost firmness or shape.

If you want to increase the size of your breasts, you may want to consider breast augmentation as an alterative since a breast lift alone will not give you larger breasts. If your goal is to increase your breast size and improve the shape and position of the breasts, you may want to ask about combining a breast lift and a breast augmentation.

Preparing For The Procedure

Before your procedure, you’ll have a consultation with the doctor where you’ll discuss specifics and receive individualized recommendations. In general, the following tips can help you prepare:

  • Find pictures in order to show your doctor exactly what kind of results you’re looking for.
  • Stop smoking at least two weeks before the surgery.
  • Keep alcohol consumption to a minimum for two weeks before the surgery as well as the week following the procedure.
  • Be completely honest and thorough when telling your doctor about any medications you are taking.
  • Do not take any medications that act as blood thinners. Avoid aspirin, ibuprofen, and other medications that your doctor says to avoid.
  • Drink plenty of water every day leading up to the surgery.
  • Purchase a variety of comfortable sports bras so you’ll be prepared ahead of time.
  • Make arrangements for someone to drive you home after the surgery and schedule about a week off from work.

If you’d like to learn more about this procedure and explore your options, schedule a consultation at Ponte Vedra Plastic Surgery or give us a call at 904-273-6200.