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Who Is a Candidate?

In our experience, we have found that most patients are currently satisfied with how they look—they’re just unhappy with changes caused by age. Most patients don’t want to alter the nature of their face via invasive procedures, such as a nose surgery or chin implant, rather they desire to look fresher and younger. In other words, they want to “turn back the clock.” Many patients comment that they look older than they feel, but are wary of cosmetic surgery, especially if they've seen poor outcomes in others. Often those considering a peel they will express their concern by saying, “I don’t want to have white, waxy, or unnatural-looking skin.” However, an experienced surgeon can prevent these types of problems.

If you have surface changes of the skin, such as wrinkles or pigment changes that are making you look older, you might be a good candidate for facial resurfacing or a facial peel. While not as invasive as surgical cosmetic procedures, skin rejuvenation is still a medical procedure. In fact, some resurfacing and peels can even require a longer recovery time than surgery.

Skin rejuvenation may be a good option for you if:

  • You are physically healthy
  • You are not taking Accutane®, or have not taken it within the last 6 months
  • You have a positive outlook and specific but realistic goals in mind for the improvement of your appearance.
  • You have surface wrinkles and lines
  • You have significant sun damage
  • You have been or are a smoker
  • You have pigment irregularities from the sun

For more information about our smoother skin surgery procedure, please contact us online or call us at We look forward to helping you look your best.


Prior to your procedure, we will have you:

  • Begin taking preventive antibiotics (24 hours before) or adjust your current medications
  • Possibly begin pretreatment with Retin-A and/or bleaching creams
  • Stop smoking well in advance of surgery

During a preoperative appointment, usually 1-2 weeks before surgery, we will:

  • Get lab testing or a medical evaluation
  • Tell you what to do on the night before and morning of surgery
  • Discuss the use of anesthesia during your procedure
  • Explain post-operative care and follow-up as well as what help you will need after the procedure


Pain from facial resurfacing is usually minimal. Out of the three procedures, dermabrasion tends to cause the most discomfort. Patients usually experience heat or a burning sensation over the treated areas during the first 24 hours. Pain pills are provided but are usually not required after a couple of days.

The decision to receive skin rejuvenation treatment is extremely personal, and you will have to decide if the benefits will help you achieve your goals and if the risks are acceptable.

We will explain in detail the risks associated with the procedure. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks and potential complications.

The risks include:

  • Infection (rare)
  • Prolonged redness
  • Pigmentation problems
  • Lightening of the skin
  • The need for additional treatments

It’s very important to ask Dr. Alexander questions about your procedure. It is natural to feel some anxiety, whether it’s excitement for your anticipated new look or a bit of preoperative stress. Don’t be shy about discussing these feelings with us.


Cost is always an important consideration with cosmetic procedures. However, when choosing a plastic surgeon for Facial Rejuvenation, remember that the surgeon’s experience and your comfort are just as important as the final cost.

A quote will be provided to you after your consult with Dr. Alexander. Be sure to ask about our patient financing plans.

Cost may include:

  • Surgeon’s fee
  • Operating Room and Supplies
  • Prescriptions for medication
  • Medical tests
  • Anesthesia fees


Ablative: Resurfacing treatments that remove the uppermost layers of the skin (epidermis and dermis) to varying degrees.

  • Anesthesia—General: The patient is asleep, requiring that the airway be protected either by a standard breathing tube or by a laryngeal mask (LMA), an inflatable mask that is placed in the back of the throat but not down the trachea. An anesthesiologist releases gases through the airway which put the patient asleep. Drugs may also be given through the IV.
  • Anesthesia—Local: The surgical area is numbed up with an injection, but the patient is awake. Sometimes a patient will be given an oral medication, like Valium, to help with relaxation.
  • Anesthesia— Sedation (Twilight): The patient is made sleepy with medications given through an IV. The level of sedation can be adjusted, from barely sleepy to very sleepy. Sometimes sedation is given by the surgeon, but most of the time it is administered by an M.D. anesthesiologist.
  • Dynamic Wrinkles: Expression lines that may appear as folds when the skin is not moving and that deepen with facial movements or expressions.
  • Hypertrophic Scar: A hyperactive, usually temporary scarring process that makes a scar raised and red, sometimes called a “baby keloid.” More common on the chest, trunk, and shoulders, as well as in patients with a pigmented complexion. Very uncommon on the face and neck.
  • Laser and Energy Therapies: Ranging from ablative to non-ablative, these treatments use laser energy, light energy, radio waves, ultrasonic energy, or plasma energy to treat the skin.
  • Loss of Skin Tone: Weakening of the supportive skin structure that results in a loss of skin firmness or the development of cellulite.
  • Mesolabial Fold (Marionette Lines): The crease that extends from the corner of the mouth down the side of the chin.
  • Nasolabial Fold: The crease that extends from the side of the nose to the corner of the mouth.
  • Non-Ablative Therapy: Treatments that do not remove any skin but rather penetrate the skin or treat the skin superficially (only on the surface).
  • Pigmentation: Freckles, sun spots, melasma, or other darkened patches of skin which result mainly from sun exposure.
  • Scar: Disfigured skin resulting from acne or injury to the skin, scars may be rolling (a wavy appearance to the skin), pitted, discolored, or have raised borders.
  • Static Wrinkles: Wrinkles that are visible at all times.
  • Tear Trough: A groove below the lower eyelids extending from the nose across the upper cheek.
  • Vascular Conditions: Blood vessels visible on the surface of the skin, vascular lesions that appear as tiny blood filled blisters, or even a constant flush of facial redness.

BEFORE AND AFTER Laser-Skin: Before & After Photos: Alexander Cosmetic Surgery San Diego, California (CA) Laser-Skin: Before & After Photos: Alexander Cosmetic Surgery San Diego, California (CA) Laser-Skin: Before & After Photos: Alexander Cosmetic Surgery San Diego, California (CA)

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