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Facial Rejuvenation

Conveniently located to serve the areas of Maryland, Virginia and Washington, D.C.

Facial Rejuvenation Options

Facial rejuvenation procedures have become increasingly popular over the past ten years, as advances in surgical technology have led to shortened post-operative recovery periods, more natural-looking results, and a wider range of procedural options. During your initial consultation at Cosmetic Surgery Associates, Dr. A. Dean Jabs, M.D. Dr. Franklin D. Richards, M.D. and Dr. Keshav Magge, M.D., will conduct a thorough medical evaluation in order to determine the optimal approach to address your individual aesthetic goals. Cosmetic Surgery Associates is located in Bethesda, MD and offers a wide variety of facial cosmetic procedures, including, but not limited to:

Motivations For Facial Rejuvenation

Facial skin is extremely delicate, and is often the first area of the body to show the unwelcome signs of aging.  A number of factors impact the appearance of one’s face over time, including: gravity, stress, injury, sun exposure, genetics, repetitive facial expressions, and environmental factors.  In addition to these factors, some patients seek out facial rejuvenation surgery to enhance or correct a facial feature that they are dissatisfied with.

Collagen and elastin are two key proteins that contribute to the smooth, supple, and resilient nature of the skin.  With age, collagen and elastin levels decrease, leading to the sagging and wrinkling of the skin.  With age, the effects of previous sun damage also become increasingly apparent, and our previously smooth, glowing skin may become pigmented and dull.  At Cosmetic Surgery Associates, we are committed to helping men and women enhance their natural facial appearance, and improve upon whichever facial elements they are displeased with.

Because of the precise and intricate nature of facial cosmetic surgery, it is imperative that these procedures are performed by a surgeon like Dr. Jabs, Dr. Richards or Dr. Magge, who are highly experienced, have exceptional technique, and take pride in staying up-to-date with the latest technological advances and innovations in the field of facial rejuvenation.

General Information

The desire for a more youthful appearance is common among men and women. The decision to seek a change in your appearance is highly personal and should be made only after you have considered all of the options along with the risks and benefits.

As we age our skin and connective tissue loses elasticity and the shape of our facial features changes. We begin to notice a “droop” to our tissues often associated with a loss or displacement of fat that leads to a sagging appearance. A common complaint is “I am starting to look like my mother/father”. A marked improvement can be made by realigning and tightening both the underlying soft tissue and the skin. In some cases the addition of soft tissue fillers or an implant can have dramatic effects.

Frequently Asked Questions

This section will answer many of your questions regarding facial rejuvenation. Actual recommendations will depend upon your individual situation and cannot be made until an examination has been performed.


Many people notice excess skin in the upper and lower eyelids and attribute this to loss of elasticity. What in fact has often occurred is the eyebrow has become too low and needs to be lifted. This can have a dramatic effect on appearance. In addition, at the time it is done, the corrugator (wrinkler) muscles that cause lines between the eyes can be weakened to give a better appearance. Click here to view our Browlift before and after photos.


Sagging and bagging of the lids can be corrected by a judicious removal of fat and skin. This removes the appearance of being tired and opens the eye to allow the natural shape to be seen. The lower lid often requires tightening (canthopexy) to restore a youthful appearance. All of this can be done with minimal incisions. View our Blepharoplasty before and after photo gallery.


The area of tissue beneath the eye down to the naso-labial fold can be elevated to restore a youthful roundness to the face and decrease the fold formed when we smile. This can be performed through the mouth or with tiny incisions in the fold itself. To view our Midface lift gallery, click here!

Face and Neck

Two of the most obvious areas of facial ageing are the cheeks and the neck. A clear jaw line with a smooth neck devoid of sagging skin looks younger. This can often be achieved by sculpting the neck with liposuction, tightening the neck muscles and removing excess skin with an “S” shaped incision around the ear. This “mini” or ‘S” lift is very safe, heals quickly and does not look overdone.

Where is surgery performed?

Surgery is performed in a certified surgery center.
Plan on spending 4 to 6 hours from beginning to end. You will need a ride home afterward.

Post op discomfort

Your surgery is performed in a precise manner using the latest techniques which include: local anesthesia infiltration of the surgical site to decrease bleeding and pain, minimal incisions around the ear to decrease the appearance of scars and self absorbing sutures for the most part. Local anesthesia provides several hours of pain free recovery while you are awakening from anesthesia.

Contact Us

Regardless of your motivation to undergo a facial rejuvenation procedure, you can rest easy knowing that Dr. Jabs, Dr. Richards and Dr. Magge will take all steps necessary to ensure your safety, and will work tirelessly to ensure that you achieve your desired results. If you have any questions or concerns, or would like additional information about facial rejuvenation procedures, please contact Cosmetic Surgery Associates today, and we will be happy to answer any and all of your questions, and to schedule an initial consultation with Dr. Richards, Dr. Jabs or Dr. Magge.  Please contact us  or call our Bethesda office at  (301) 329-5430 .

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Our Plastic Surgery Associates team includes Dr. Franklin Richards, Dr. A. Dean Jabs, and Dr. Keshav Magge. Each of our plastic surgeons is board-certified, and together they have over 60 years of combined experience. Drs. Richards, Jabs, and Magge are all highly qualified in procedures for the face, breast, and body, and pride themselves in providing excellent results through our state-of-the-art, Quad A certified operating centers