Facial Procedures Wayne & Philadelphia

Now seeing patients in Wayne and the surrounding Main Line area and Center City Philadelphia

As a facial plastic and reconstructive surgeon, Dr. Ho specializes exclusively in aesthetic and reconstructive procedures of the head and neck region, including rhinoplasty and eyelid surgery.

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​Facial Contouring

Female Facial Contouring

Facial contouring can be defined as any surgical or non-surgical treatment intended to improve the definition and shape of the face. The aging process induces skin and soft tissue descent as well as loss of soft tissue and bony volume, resulting in loss of definition throughout the face, particularly in the midface and the jawline. Older patients with signs of facial aging may seek out facial contouring procedures to turn back the clock on their facial appearance. Younger patients also often pursue facial contouring if they are seeking more definition or a certain shape to their jawline to achieve a more feminine or masculine look.

Filler injection is a prevalent non-surgical treatment in facial contouring. Hyaluronic acid is the most common type of material found in fillers. Depending on the type of product used and the area of the face treated, the duration of effect ranges from 1 to 2 years. Common filler products used by Dr. Ho for facial contouring include Juvederm® Voluma XC, Restylane® Defyne, Restylane® Refyne, and Radiesse®. Filler injection to multiple areas of the face may be performed alone or in conjunction with other injectable procedures such as neurotoxin injection to the masseter muscles and Kybella®. Dr. Ho can further improve the jawline with liposuction of the neck. Facial contouring requires the expertise of a surgeon who specializes in plastic surgery of the face and understands facial anatomy well. Dr. Ho is highly experienced in filler injections and performs each procedure in an artistic manner according to the anatomic features and aesthetic goals of the individual patient.


What procedures are routinely performed under Facial Contouring?

Facial contouring is often pursued as a series of multiple procedures that each produce a small enhancement and in combination achieve a more aesthetically appealing, more balanced, and more youthful face. It is common for several surgical or non-surgical procedures to be performed at the same time and/or in stepwise fashion, depending on the patient’s anatomic issues and rejuvenation goals. Patients may choose to pursue only surgical or non-surgical treatments or a combination of both. Facial contouring procedures include but are not limited to the following:


What is Dr. Ho’s approach to Facial Contouring?

Female Facial Contouring

As a facial plastic surgeon, Dr. Ho specializes exclusively in aesthetic and reconstructive procedures of the face. She possesses dedicated training in injectable procedures from one of the top facial plastic and reconstructive surgery fellowship programs in the country and is an emerging regional specialist in facial contouring, attracting patients from all over Pennsylvania, New Jersey, and New York as well as the broader East Coast. During each consultation, Dr. Ho devotes the needed time and effort to establish trust as well as realistic treatment expectations with every patient. She is extensively experienced in a variety of non-surgical and surgical facial contouring procedures and will help each patient determine which procedures best meet their aesthetic goals. Filler injections are extremely popular among Dr. Ho’s facial contouring patients, as patients experience immediate results with minimal downtime. Her treatment philosophy is centered on producing results that are beautiful and natural and enhance facial harmony.

Depending on the individual patient’s facial anatomy and treatment goals, Dr. Ho may pursue a series of intended facial contouring procedures at the same time or in a stepwise fashion across a series of visits in a careful, methodically planned out approach and obtains pre and post-treatment photographs throughout the process to allow for objective comparison. Dr. Ho usually pursues a cannula technique for filler injections as this technique minimizes the risks of bruising and swelling as well as vascular compromise. Dr. Ho understands that pain tolerance varies by patient and incorporates topical and local anesthesia techniques into her injectable treatments and other in-office procedures to ensure each patient is as comfortable as possible. She also maintains an excellent hygienic protocol to minimize the risk of infection.



What should patients expect after Facial Contouring?

Each facial contouring procedure is unique and catered to the individual patient. In regards to filler injections, results will vary depending on how much filler product is injected and where it is injected. Therefore, the extent of swelling and bruising that occurs after filler injection will differ by patient. There may be swelling or bruising at the injection sites or in the treated areas that may be mild to moderate in nature. Swelling and bruising are controlled well with icing for the first two days after the procedure and head elevation the first few evenings following the procedure. Bruised injection sites can be covered with concealer makeup starting 24 hours after the procedure. Post-treatment pain is usually not significant and may be managed with Tylenol as needed. The results of filler injection in the treated areas are typically observed immediately or after most of the immediate swelling has subsided. It is not uncommon for slight asymmetries to be observed initially after an injectable procedure that typically resolves by two weeks out when the treatment product has settled out and is in maximal effect. Dr. Ho seeks follow-up with her patients two weeks after each injectable procedure to ensure that every patient is satisfied with their treatment outcome.

When it comes to surgical facial contouring procedures, the types of incisions utilized and the extent of swelling, bruising, and tenderness that occur after surgery will vary by patient. Sutures are typically removed at one to two weeks after the surgical procedure. Each patient then follows up with Dr. Ho at weeks to months out at regular intervals for re-evaluation. Patients should expect immediate bruising and swelling after surgery that can be managed well with icing and head elevation. Post-operative pain is usually controlled well with prescribed pain medication. Improvement in the appearance of the operated areas is typically observed after most of the bruising and swelling has subsided, with final results requiring six months or longer to take full effect. Dr. Ho seeks regular follow-up with her patients to ensure that every patient heals well and is satisfied with their surgical outcome.

For surgeries that improve jawline definition as well as neck contour, a compression dressing is placed around the head and neck region at the conclusion of surgery to minimize post-operative swelling during recovery. This dressing needs to be worn during the first two weeks following surgery. More information on what to expect after facelift and neck lift, mini facelift, fat transfer, chin/neck liposuction, and chin augmentation can be found on the corresponding surgical procedure pages.



What is the ideal facial shape and structure?

Dr. Ho believes that while every face is unique, the ideal aesthetically pleasing face possesses youthful, sharp definition and volume as well as harmony throughout. The ideal female face follows an inverted pyramid shape where the upper two thirds including the cheeks demonstrates adequate volume and lateral projection, and the lower third of the face including the jawline is more tapered. In an ideal male face, the cheeks and jawline are well-defined and follow an overall squarer appearance. Furthermore, the ideal jawline demonstrates adequate chin projection as well. The most anterior point of an ideal chin should be at or approach a vertical line referred to as the Zero Meridian of Gonzalez-Ulloa that passes through the nasion (the root of the nose) and is perpendicular to the Frankfort horizontal line, which passes through the inferior orbital rim and superior limit of the ear canal.

Male Facial ContouringFemale Facial ContouringThe ideal female face follows an inverted pyramid shape where upper two thirds including the cheeks demonstrates adequate volume and lateral projection, and the lower third of the face including the jawline is narrower. In an ideal male face, the cheeks and jawline are well-defined and contribute to a square shape.



What are the advantages and disadvantages of Injectable Procedures versus surgery for facial contouring?

Injectable procedures are an appealing non-surgical treatment option as they are less invasive and involve fewer risks and downtime compared to surgery. On the other hand, surgery typically achieves more permanent results and may be considered advantageous from a long-term cost-benefit analysis when compared against repeated injectable treatments. Dr. Ho is experienced in both non-surgical and surgical facial contouring procedures and will discuss with each patient the best treatment options that meet their aesthetic concerns and goals.

Facial ShapeOn profile view, the most anterior point of an ideal chin should be at or approach a vertical line (Zero Meridian of Gonzalez-Ulloa) that passes through the root of the nose and is perpendicular to a horizontal line that passes through the inferior orbital rim and superior limit of the ear canal (Frankfort horizontal line).


American Academy of Otolaryngology- Head and Neck Surgery
Facial Plastic Surgery - American Academy of Facial Plastic and reconstructive surgery, inc.
American Board of Otolaryngology- Head and Neck Surgery

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