Face Procedures
Facial plastic surgery has helped patients everywhere balance their facial features and reduce visible signs of aging, offering a highly enduring means of cosmetic enhancement that can complement the character and natural beauty of your face. Well-trained in the technical skills and aesthetic sensibilities required to create beautiful results, Dr. John Ayala performs a multitude of facial procedures to achieve your unique cosmetic goals.
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Cheek Lift
With the forces of gravity and the natural aging process, it is common for the volume supporting the cheeks and underlying facial structure to descend downward over time. This often causes mid-facial creases, such as nasolabial folds, to deepen and the cheeks to flatten and lose their youthful contour. Dr. Ayala offers a surgical cheek lift to raise sagging tissue in the mid-face and restore volume in the cheeks for a fuller, more youthful aesthetic.
Eyelid Surgery (Blepharoplasty)
When people regularly remark that you look tired, stressed, or angry, it can be a sign that puffy eyelids and under-eye bags are compromising your ability to appear energetic and youthful. Blepharoplasty is a procedure designed to smooth the contours around the eyes by tightening loose skin and musculature while repositioning fatty deposits. Also commonly referred to as an eyelid lift, eyelid surgery can help patients eliminate upper eyelid “hooding” and achieve a brighter, more rested appearance.
Facelift
A facelift is often considered the ideal solution to rejuvenate an aging facial appearance. As gravity, sun exposure, and reduced collagen production cause the skin to grow increasingly lax, many men and women struggle with jowls and facial creases that can create the look of premature aging. With the ability to tighten loose or hanging skin in the face and neck, as well as smooth wrinkles and facial contours, a facelift can offer natural-looking results that allow a patient to look ten years younger.
Fat Transfer to the Face
Facial fat transfer can be a highly effective technique to restore volume and fullness in your facial features. This procedure involves collecting excess fat from elsewhere on the body, and reinjecting the purified fat into creases and facial planes that experience a volume deficit. Often achieving results that outlast those of cosmetic dermal fillers, fat injections to the face can rejuvenate areas that appear sunken or flat, such as under-eye hollows, temples, deep wrinkles, or cheeks.
Choosing Where to Start Based on the Change You Notice
Facial procedures overlap, and patients often arrive researching one procedure when their real concern points to another area. Starting with the change you notice in the mirror makes your research easier.
Changes along the jaw and neck. Patients who notice changes in the jawline or neck often read about the facelift and neck lift, and come across terms such as mini, full and deep plane.
A tired look around the eyes. Patients who feel they look tired often explore eyelid surgery and the brow area, where both surgical and non-surgical options exist.
Changes in the cheeks. Patients who notice flatter cheeks often read about the cheek lift and fat transfer.
The shape of the nose. Patients interested in their nose often read about rhinoplasty, including considerations for thicker skin and revision procedures.
Profile and jawline balance. Patients interested in their profile often read about chin augmentation and fullness under the chin.
Planning ahead. Patients considering more than one change often want to understand what a quote includes.
Your consultation looks at your face as a whole. Photographs from a few years ago can help show what has changed, and bringing a short note of the areas that bother you most helps keep the discussion focused on your goals. Many patients find it reassuring to understand all of their options before deciding where to begin, including whether a non-surgical treatment might be a good first step.
It also helps to think about your timeline, and there is no pressure to decide at your first visit. Patients drawn to a change in profile rather than a lift often ask how chin augmentation fits into overall facial balance, while those considering a nose change with thicker skin have their own rhinoplasty considerations to talk through.
Which facial procedure should I research first?
Start with the area you notice most, such as the jawline, eyes, cheeks, nose or profile. Your consultation will help clarify which option suits you.
Can facial procedures be combined?
Some patients ask about addressing more than one area. Whether that suits you is discussed at consultation.
Are there non-surgical options for facial concerns?
Some facial concerns may be discussed with non-surgical treatments at the med spa. Your consultation will cover the options.

