Surgical vs Non-Surgical Showdown, part II

Dr. Jordan Rihani and Madison McGown, NP return for an in-depth conversation on surgical and non-surgical techniques. They discuss options for brow and upper eyelid rejuvenation in a patient with upper eyelid hooding and brow sagging. Techniques such as the botox browlift, temporal browlift and upper blepharoplasty are reviewed in this discussion.

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Surgical vs Non-Surgical Showdown

Dr. Jordan Rihani and Madison McGown, NP discuss options for facial rejuvation at the Facial Plastic Surgery Institute. We review non-surgical options, such as injectables, and compare to surgical treatments, such as facelift and lower blepharoplasty. The treatment goals differ in both cases with patient expectations and desires guiding our treatment strategies. For more information, […]

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Optimizing Nutrition Before and After Surgery by Christina Vance

Welcome to Thrive ‘25!  This is a 21-day program where we will emphasize the importance of NOURISHMENT, movement, and healthy habits. Before we begin, we’re going to ask you to commit.  This program will not be easy.   This program will not be convenient.   This will require your attention, your focus, and your determination. There is […]

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Basics of Aesthetic Lasers

What is a Laser? Laser stands for “Light Amplification by the Stimulated Emission of Radiation”. Lasers are composed of a laser chamber containing the laser medium, 2 mirrors and an external pump or excitation source.  A lasing medium is the source of electrons needed to yield a laser beam. Lasing media can be liquid (dye), […]

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All about Neuromodulators and Neurotoxins

What are Neuromodulators/Neurotoxins? Neuromodulators/Neurotoxins are derived from endotoxin produced by Clostridium botulinum.There are 9 know toxin types (A-F). A & B are commercially available. There are multiple brandsof neuromodulators on the market and at FPSI we use AbobotulinumtoxinA (Dysport ® ) andOnabotulinumtoxinA (Botox ® ). What is the Mechanism of action of Neuromodulators?: What are […]

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Anti-Aging Properties of Hyaluronic Acid Dermal Fillers

What causes Aging? Aging is a natural process. There is a loss of elasticity in the tendons, blood vessels andskin as we age. In addition, skin becomes thinner, more fragile, and wrinkled and the fattytissues decrease, and bone reabsorbs. Facial volume loss is another symptom of aging, and it isoften caused or determined by genetics, […]

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Deep Plane Facelift

What Is A Deep Plane Facelift? A deep plane facelift is one type of facelifting technique, considered one of the most powerful techniques in facial rejuvenation. Originally described over 40 years ago, the deep plane facelift was thought to address the nasolabial folds and marionette lines in a more dramatic fashion. Over the last few […]

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Plastic Surgery in Men

Male Facelift Options for 50-Year-Olds and Beyond If you are considering facial plastic surgery, we see a number of men — often around 50 years old — concerned with improving features (such as jawline or nasal appearance) or reducing signs of aging (sagging neck, eyelid hooding, etc). Our most common surgical procedure in men last […]

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Case Study: Removing Silicone Lip Injections

Case 1: Female patient in her 60’s interested in facial rejuvenation. She had microdroplet silicone injections performed 20 years ago and has been bothered by the appearance since. She has had fillers to try and smooth some of the lumps from silicone injections since that time. Unable to find a permanent solution, she came to […]

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Technology in Plastic Surgery

I frequently receive questions in both my Southlake and Fort Worth offices on new and emerging brand names and technology. It is difficult for plastic surgeons, let alone, the general public to keep up with the industry. So I am starting this page as a log of emerging technologies. Feel free to comment or email […]

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How to Prepare Yourself For Your First Facial Plastic Surgery

It’s normal to be a little nervous before your first facial surgery procedure – whether it is a facelift, a rhinoplasty, eyelid surgery, etc –  but rest assured that Dr. Jordan Rihani is a professional, board certified facial plastic surgeon with years of experience. Someone who can offer advice to ease your nerves, and he’ll […]

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Post-Surgery Diet for Fast Healing

Post-Surgery Diet for the Quickest Scar Healing Process For the quickest healing of wounds, the body needs products containing: There is a high risk of dehydration immediately after surgery. Therefore, it is crucial for patients to stay hydrated: the patient should drink up to 52 ounces of water per day. The following article contains excerpts […]

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What do scars look like after a facelift?

One of the fears of patients is often the scars of a facelift. As a facial plastic surgeon, I can confidently say that scars should not be a fear of undergoing surgery and unless there is a problem with the healing process (which is rare), scars are not an issue for our patients. What makes […]

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Duck lip correction and managing migrating lip filler

We have all seen the duck lip look on some of our friends. Hopefully it has not happened to you, but if you are continuously receiving lip filler, there is a good chance it could. So what causes duck lips? Elongation of the upper lip happens naturally Two important changes happen over time that contribute. […]

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Necklift procedure vs Necktite radiofrequency

What is the difference between a necklift and necktite? A necklift is a surgical procedure designed to tighten muscles of the neck with removal of excess skin. Necktite is a radiofrequency device that used to tighten the skin – without removing any skin. Dr. Rihani breaks it down in this video from the Facial Plastic […]

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What is rhinoplasty recovery like?

Following a rhinoplasty, most patients wake up with a splint over the bridge (or dorsum) of the nose. This is placed at the end of surgery to stabilize the nasal bones in their new position if the bones needed to be cut during surgery. Patients may also have thin plastic splints on the inside of […]

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Introducing Restylane Contour for Cheek Enhancement

We are excited to announce the release of the newest hyaluronic filler on the market – Restylane Contour. This filler was recently approved by the FDA (June 2021) for enhancement of the cheeks. Sold in markets by other names (Restylane Volyme) with a track record and proven results. As part of the Restylane family of […]

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Nasal Analysis for Rhinoplasty with Dr. Jordan Rihani

Dr. Rihani reviews pertinent anatomy and considerations when planning for a rhinoplasty. Every patient presents their own unique challenges. Attention to detail is important in achieving balanced and harmonious results for patients. We review some of the basic concepts in rhinoplasty including nasal tip projection, nasal rotation, nasal length, radix height, and more. While focusing […]

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Injector Network Roster 2020-2021 (Arranged Alphabetically by Last Name)

First Name Last Name Credentials Office Name City Krista Barrington RN Kunkel Plastic Surgery Fort Worth Julie Cook Aesth.  Malouf Dermatology Fort Worth Sommer Durante-Murray RN, BSN Mira Vista Dermatology Fort Worth Sonya Ellis MSN, CPSN, CANS the L.A.B. med spa Southlake Jennifer Geyer Aesth.  Steele Plastic Surgery  Fort Worth Cheryl Gwertney RN Simply Embellish […]

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What is dermatochalasis?

Dermatochalasis is taken from the Greek words “dermato-” meaning skin and “-chalasis” meaning relaxation. This “relaxation of skin” often refers to looseness of skin of the upper and lower eyelids. This skin looseness is one of the most common conditions dealt with in facial plastic surgery. The excision of excess eyelid skin is known as […]

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Lip Lift vs Lip Filler? Which one is right for me?

Lip lifts have been around for quite some time, but have recently resurged in popularity. I have been performing this procedure in my Fort Worth and Southlake offices since our practice opened in 2015. The increased interest is likely driven by the trend to fuller lips with more red lip show. With the popularity of […]

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Understanding the forehead muscles. The Corrugator Supercilii and Frontalis muscles relationship and how it pertains to Botox and Dysport injections.

As a trainer, I get asked quite a bit about the anatomy of the forehead as it pertains to injections. Injectors want to lift the brows without dropping them (as do patients). For more information about this topic you can see my post on the Botox Browlift: https://facialplasticsurgeryinstitute.com/2017/11/17/the-botox-browlift/ So how do the muscles of the […]

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What are the different types of facelifts?

Dr. Rihani reviews common types of facelifts performed and reviews in detail his preferred method of facelifting – the deep plane facelift. When it comes to surgery there are just as many ways to perform a facelift as there are songs on a radio or fish in the sea. The fact is that however not […]

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Unemployment information for small businesses

Dr. Jordan Rihani, Dr. Jason Bloom, and Dr. Michael Somenek – Facial Plastic Surgeons and small business owners discuss options with Mr. Ryan Griffitts. Mr. Griffitts is a shareholder at Littler, one of the nations leading labor and employment law firms. I hope some of my colleagues find this information helpful and please share with […]

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What is the difference between a lower facelift and a necklift?

What is a lower face lift? How is it performed? Where are incisions/what tissues and muscles etc. are altered during a lower face lift? Lower face lifts or cheek lifts are performed through incisions around the front of the ear. This procedure improves the appearance of the jawline and improves the area of the jowls. There […]

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The Plastic Surgery Rejection

Ever been to a plastic surgeon and been told no? Telling people they are not a candidate for a procedure is a regular part of my business. This seems surprising to some people that I turn down “potential business”. Whether it is an injectable patient or a surgery patient, I probably turn down 1-2 potential […]

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Dr Jordan Rihani featured in The Spotlyte beauty blog

Dallas Plastic Surgeon Dr. Jordan Rihani Reveals How Social Media Has Affected the Aesthetics Industry When it comes to first-time cosmetic aesthetic patients, Jordan Rihani, MD, double board-certified facial and reconstructive surgeon from Dallas, TX, knows you’re probably nervous. And he has a plan. At his practice, the Facial Plastic Surgery Institutesm, he and his team […]

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The FPSI Signature Lift – What is it and why is it different?

FPSI Signature Lift combines the best techniques in neck and facelifting as well as volume restoration for long lasting, natural results. Dr. Jordan Rihani discusses the creation of the FPSI Signature Lift and why it is different from traditional lifting procedures. For more information check out our facelift page or see our before and after […]

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What is Jeuveau? The newest wrinkle relaxer on the market.

Jeuveau (prabotulinumtoxinA) is the newest FDA approved neuromodulator approved for improvement in glabellar lines in adults (wrinkles between the eyebrows). What is the difference between Jeuveau and Botox? It is actually the most similar neuromodulator to Botox in its size and shape properties. Therefore we expect this product to be a direct competitor to Botox. […]

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Upper Blepharoplasty – Common Questions and What to Expect

When can I start using makeup after blepharoplasty? What is the downtime for the blepharoplasty? When can I start using contacts? Is there a lot of pain? Dr. Jordan Rihani of the Facial Plastic Surgery Institute in Fort Worth and Southlake, TX answers these questions and more in this video. For more information on Blepharoplasty […]

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What are Nanofat, PRP and Facial Stem Cell Injections?

Ever heard of the Vampire Facial or the Vampire Facelift? If you are reading this then you probably have. The trend of drawing blood and injecting blood products back into the face or applying topically is the concept of both “Vampire” procedures. These two procedures are some of the latest in the trend of harnessing […]

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How Long Does A Facelift Last?

If you are considering a facelift, you have probably asked yourself “How long does a facelift last?” There has been a recent trend in plastic surgery away from temporary procedures as patients have begun leaning away from short term solutions and favor longer lasting ones. There is nothing more permanent that undergoing a facelift or […]

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Upper Eyelid Volume

The importance of Upper Eyelid and Orbit Volume on Eyelid Appearance An often overlooked aspect of upper eyelid aesthetics is the role of volume on the development of extra eyelid skin. As we age, the following changes lead to excess skin of the upper eyelid. Skin laxity increases The eye socket becomes wider and bone […]

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Internet Consultations

Not from the Dallas/Fort Worth area and interested in a consultation with Dr. Rihani? Setting up an internet consultation is easy. Step 1: Fill out the New Patient Paperwork Download New Patient Paperwork Here Step 2: Send 3 photographs (or 4 if a rhinoplasty) shown below and a description of the procedure you are wanting. Be […]

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Basic Plastic Surgery Photo Setup

I get asked about my photography setup regularly so I decided to share our current set up. It has been a reliable setup for me if you do not have a photo studio room and are just looking to take some quality and consistent photos from your exam rooms. I think my team does a […]

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Fresh Start for Summer – theMiddlePage Blog

So happy to share another experience of one of our beautiful patients and bloggers! In order to do this, I partnered with Restylane and went to Dr. Jordan Rihani, MD (in Southlake, Texas) to discuss some of Restylane’s newest facial fillers. Restylane is a global leader focused on medical solutions in skin health, and I […]

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The Art of Injecting – Part 3

This three part series is meant as a guide for beginner or intermediate injectors looking for new concepts or interested in advancing their techniques. These concepts apply for injectable fillers as well as with Botox/Dysport. I also invite my patients to review these topics in order that they can be knowledgeable about their treatments. These […]

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The Art of Injecting – Part 2

This three part series is meant as a guide for beginner or intermediate injectors looking for new concepts or interested in advancing their techniques. These concepts apply for injectable fillers as well as with Botox/Dysport. I also invite my patients to review these topics in order that they can be knowledgeable about their treatments. These […]

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The Art of Injecting – Part 1

This three part series is meant as a guide for beginner or intermediate injectors looking for new concepts or interested in advancing their techniques. These concepts apply for injectable fillers as well as with Botox/Dysport. I also invite my patients to review these topics in order that they can be knowledgeable about their treatments. These […]

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Injectable Fillers in Southlake and Fort Worth – What I am using now

Dr. Jordan Rihani provides a recap of some of the current fillers that are out there and what he is currently using in his Ft Worth and Southlake offices. We use a variety of fillers including Juvederm, Restylane, Voluma, Vollure, Restylane Refyne, Restylane Defyne, Belotero, Radiesse, and more. Each patient has an individualized treatment plan […]

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Is there a way to make Botox last longer?

Injecting Botox or Dysport every three months can be a bit of an inconvenience for some of my patients. So what kind of options do we have and what impacts the length of duration of Botox and Dysport? I inject my own patients in my Fort Worth and Southlake, Texas offices and get asked a […]

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Addressing Submental Fat and Skin Laxity – Full Video

Dr. Jordan Rihani discusses various options for addressing submental fat and skin laxity. Is it time for a facelift? Can I have something that is going to buy me a little more time? Am I a candidate for Facetite or Kybella? These are addressed in this brief video. For more information on any of those […]

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Video – Lasers in Plastic Surgery

Dr. Jordan Rihani reviews some frequently asked questions about lasers. For additional information regarding lasers, also check out our previous summary of laser technology here: Understanding Cosmetic Lasers Questions? Email me at jordan@rihanimd.com or call us!

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The Botox Browlift

How do you lift the brow with Botox? This is a common request I receive from patients and is something not all injectors know how to assess properly. I want to outline proper assessment of brow position and how to avoid the much feared brow drop – for injectors and patients alike. If you are […]

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How long is facelift recovery? Jordan Rihani, MD on Realself.com

Dr. Jordan Rihani discusses facelift recovery at the Realself.com studio in Las Vegas NV. This is one of the most common questions regarding facelifting. If you are considering a facelift, please check out more information regarding the procedure and take a look at before and afters on the Facelift page. Jordan Rihani, MD answering a […]

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How to Apply Retinol and Retin A

One of the most common issues patients have after starting retinol is peeling and skin sensitivity. Most often, the issue is actually improper application of the product. Start slow, apply as tolerated at night, and start in the oily parts of your face to prevent unwanted side effects. Check out our newest video with House […]

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What is the recovery for a facelift?

This is one of the most common questions I get, so wanted to answer this here. What is the recovery for a facelift? In general I say 2-3 weeks, although this varies for everyone. This is the amount of time that I generally recommend avoiding social gatherings or special events. I do not use any […]

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Lunch and Learn August 1st

Join us on Tuesday August 1st for our lunch and learn featuring Galderma. Galderma is one of the global leaders in injectable aesthetic products and their US Headquarters is actual here, locally, in Fort Worth TX (which we love!). Their product line includes Dysport, Restylane, Restylane Silk, Restylane Lyft, Restylane Refyne, Restylane Defyne, and Sculptra. […]

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Who are you trusting to perform your facial injections or surgery?

We compiled a list of important factors to consider when choosing someone to perform your injectables. The first thing is to assess credentials. Dr. Rihani is a double board certified facial plastic surgeon with extensive knowledge of the head and neck anatomy. Experience is also important. As a national trainer for injectable fillers and neuromodulators, […]

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What is a Paramedian Forehead Flap?

Understanding the Paramedian Forehead Flap One of the most common ways to reconstruct the nasal tip is a flap known as the paramedian forehead flap. This uses skin and its blood supply borrowed from the forehead to replace lost skin of the nasal tip. Shown below is a typical nasal tip defect. Refining the defect […]

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Improve Healing with Proper Nutrition

If you have a surgery in the near future or have chronic conditions that require healing, diet is an important part of that process. Proper nutrition provides your body with the building blocks it needs to heal itself. Let’s review a few of my recommendations for proper nutrition in the peri-operative period. The power food […]

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Radiofrequency Skin Tightening

House of Preservation + FPSI collaboration now up! House of Preservation reviews Radiofrequency Skin Tightening at my office in Southlake, TX with information on how it works and what to expect. Rylie (from House of Preservation) was interested in collagen tightening of the face and jowls. The treatment feels almost like a hot stone massage […]

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Microcannulas vs. Needle Injection for Injectable Fillers

Isn’t it enough that there are so many different fillers out there? Now we have to keep up with HOW they’re injected? Bear with me, as I think this is an important topic for anyone that is undergoing filler injections – more important that the type of filler. What is a microcannula? A microcannula is […]

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Thinking about your first Botox consultation?

So you’ve heard about Botox and your friends may be getting it BUT you still have a lot of unanswered questions before you schedule a consultation like “What happens during the consultation?”. So here is my rundown of some common Q&A’s to get everyone caught up. Some common questions: Where should I start learning about […]

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Introducing our new Concern Based Website!

I am very excited to launch our new website! I have always thought finding information on which plastic surgery procedure may be the right one for you can be such a long and confusing process. This was at the forefront of my mind when designing my new website. By clicking on the Concerns menu, you are […]

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What’s the difference between Botox and Dysport?

I have received an increasing number of questions about the difference between Botox and Dysport, so I thought it would be good to address the question here. I use both products almost interchangeably. Are Botox and Dysport both used for the same purpose? Yes. Both are derived from botulinum toxin and are simply different in […]

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Trends in Facial Volume – Achieving Natural Results

I recently spoke about a topic that has increasing importance in the field of facial plastic surgery and I want to sum up a few of those concepts here. 1. Surgery of the aging face began with removal of extra, loose skin but has made great advances as we learn more about facial aging. Suzanne […]

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Refer Friends, Earn Points for Injectables, Products and Services

Referring your friends but not feeling appreciated? We understand! We are making the process super easy with our plastic surgery reward points program. Refer your friends to receive points whenever they purchase products or services. You use those points to apply towards Botox/Dysport, Filler, skin care products, and clinic services.  What do your friends get? They […]

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Top cosmetic procedures for men

Statistics from the American Society of Plastic Surgeons show overall numbers of plastic surgery procedures are on the rise. Men continue to increase as a proportion of those total numbers. Here are the top facial cosmetic procedures for men (minimally invasive and surgical). 1. Botox (up 4% from 2014) Men are increasing using Botox to improve […]

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How young is too young for rhinoplasty (nose job)?

Many parents ask me what the appropriate age may be to consider a rhinoplasty, or nose job, for their children. The reasons for desiring surgery range from a traumatic injury, cleft deformities, or a nasal appearance that is the subject of teasing. I therefore want to explore a few myths and provide some insight into […]

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Understanding Cosmetic Lasers

I will try to keep this short and informative… Lasers are simply light that is amplified at a certain light wavelength. Think of the spectrum of visible light. We are able to see different colors based on the wavelength of light that is emitted (red corresponds to 650 nm wavelength, for example). There are a […]

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Your Face, Your Story, Your Results: Kay and Basal Cell Carcinoma

My blog series “Your Face, Your Story, Your Results” features patients in their own words as they make the transition through a surgical procedure – whether it be for reconstructive or elective reasons. My goal is to shed insight into the thought process, the emotions, and to encourage conversation and social interaction between patients undergoing […]

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About Jordan Rihani, M.D. and the Facial Plastic Surgery Institute

Understanding what we do is key to understanding us. We specialize exclusively in cosmetic and reconstructive surgery of the head and neck, focusing on facelift, rhinoplasty, eyelid lifts, botox and fillers. Through his training in head and neck surgery, Dr. Rihani has remained committed to optimizing results for his patients by providing the most up […]

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If Celebrity Faces Were Symmetrical…

We have seen these before but thought I would link into this great demonstration of the impact of facial symmetry. And another example here Just a reminder that it is normal to have one side slightly differ from the other. Although we aim to correct large disparities between the sides – a small amount of variation […]

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Easy way to get rid of neck fat?

You may be asking is this too good to be true? One of the newest, most asked about procedures I do, is an injectable that dissolves fat – known as Kybella. Kybella is the first FDA approved product of its kind and is having great results in correctly selected patients. We are excited about this easily […]

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Hormones and Skin Elasticity

When it comes to skin aging, it is helpful to think of two forces at play – external and internal. The external forces include things you can change such as sun and tobacco exposure. The internal are not easily avoided, such as hormonal changes that occur over time. Perhaps it may come as a surprise […]

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Essential Skin Care for 2016

Every good skin care regimen starts with a solid foundation so I want to highlight THREE essential (and simple) concepts of skin care to get you looking and feeling your best in 2016. 1. Microtrauma – This is an important concept that seems counterintuitive, but is great for overall skin health. The idea is to provide […]

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Blepharoplasty – What to Expect

Dr. Jordan Rihani of the Facial Plastic Surgery Institute reviews the post-operative course for patients undergoing blepharoplasty. This effective procedure has relatively little downtime and can make a dramatic improvement for patients with excess skin above their eyes.  For more information, please see our Blepharoplasty page. 

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