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Facelift vs. Fillers: What’s the Right Choice for Natural Rejuvenation in Raleigh, NC?

Post author By tfpsadmin
Post date February 26, 2026

If you’ve started noticing sagging in your jawline, heaviness in your lower face, or deeper folds around your mouth, you’ve likely asked yourself:

Do I need a facelift… or can fillers fix this?

It’s one of the most common questions we hear at Triangle Facial Plastic Surgery. With social media promoting “liquid facelifts” and non-surgical solutions everywhere, it can be confusing to know what actually creates natural, long-lasting results.

Let’s break it down clearly.

Understanding Facial Aging: Volume Loss vs. Skin Laxity

Facial aging happens in layers:

Loss of volume (fat and collagen)
Descent of deeper facial tissues
Skin laxity
Bone remodeling over time
Fillers treat volume loss.

Facelifts treat tissue descent and skin laxity.

Knowing which issue is dominant is the key to choosing the right treatment.

What Fillers Can (and Cannot) Do

Fillers such as hyaluronic acid products are excellent for:

Softening nasolabial folds
Restoring cheek volume
Improving under-eye hollowness
Enhancing lips
Subtle contouring

They work beautifully in patients with early signs of aging who primarily have volume loss.

However, despite what many injectors suggest, fillers do not:

Lift sagging jowls
Tighten loose neck skin
Reposition descended facial tissues
Correct significant lower face heaviness

Over time, some patients begin to feel they are “chasing” sagging with more filler — which can lead to facial heaviness and an unnatural appearance rather than rejuvenation.

What a Facelift Actually Does

A facelift is not about pulling skin tight.

Modern facelift techniques such as deep plane facelifts repositions the deeper structural layer of the face (SMAS layer) and removes excess skin, restoring a more youthful contour in a natural way.

It effectively treats:

Jowls
Jawline definition loss
Neck laxity
Deep marionette lines
Lower face heaviness

When performed properly, the goal is refreshing — not overdone.

At Triangle Facial Plastic Surgery, Dr. Becker focuses on results that look like you — just more rested, defined, and youthful.

Signs You May Be Ready for a Facelift

You may be a better candidate for surgery if:

You feel your lower face looks heavy or “pulled down”
You’ve had filler for years but still see sagging
Skin laxity is more noticeable than volume loss
You’re spending several thousand dollars per year on injectables
You want a longer-lasting solution

Many patients in their late 40s to 60s begin exploring facelift options when filler alone no longer gives balanced results.

Cost Comparison: Fillers vs. Facelift Over Time

While fillers are less expensive upfront, they require maintenance.

Here’s a general comparison:

Typical Annual Filler Maintenance
3–6 syringes per year
$700–$900 per syringe
Approximate yearly investment: $2,100–$5,400
Over 5 years:
$10,500–$27,000+

Facelift Investment
One surgical procedure
Long-lasting results (8–12+ years)
No annual volume “maintenance” required for sagging
When viewed long-term, many patients find surgery to be more cost-effective.

Neck Rejuvenation Without Surgery: Advanced Filler Treatments by Dr. Becker

Post author By tfpsadmin
Post date January 20, 2026

The neck is often one of the first areas to show signs of aging—sometimes even before the face. Fine lines, crepey texture, loss of firmness, and horizontal “neck lines” can subtly change your appearance over time. At Triangle Facial Plastic Surgery, all non-surgical neck rejuvenation treatments are personally performed by Dr. Becker, ensuring expert technique, precision, and natural-looking results.

With advanced injectable options such as Radiesse® and Skinvive™, Dr. Becker offers customized, non-surgical solutions designed to restore skin quality, firmness, and youthful smoothness—without surgery or extended downtime.

Why the Neck Ages So Early

The skin of the neck is thinner and more delicate than facial skin, with fewer oil glands and less natural collagen support. Combined with sun exposure, repetitive motion (“tech neck”), and gravity, this area is especially prone to:

Horizontal neck lines
Crepey or thinning skin
Loss of elasticity and firmness
Mild skin laxity

Dr. Becker approaches neck rejuvenation with a deep understanding of anatomy and aging patterns, selecting treatments that improve both skin quality and structure.

Dr. Becker’s Injectable Options for Neck Rejuvenation

Radiesse®: Collagen Stimulation for Firmer, Stronger Skin

Radiesse is a biostimulatory injectable that works by stimulating your body’s natural collagen production. Rather than simply filling lines, it improves the skin’s underlying framework—making it an excellent option for neck rejuvenation.

Dr. Becker often recommends Radiesse for patients with:

Crepey or thinning neck skin
Loss of firmness or elasticity
Mild skin laxity
Desire for gradual, long-lasting improvement

Results develop progressively as collagen production increases, creating a smoother, firmer, and more youthful neck appearance over time.

Skinvive™: Deep Hydration and Skin Quality Enhancement

Skinvive is a hyaluronic acid injectable designed to improve skin quality from within. Delivered through precise micro-droplet placement, it enhances hydration, smoothness, and overall skin texture without adding volume.

Skinvive is ideal for patients seeking:

Improved hydration and skin glow
Smoother texture and fine-line softening
A refreshed, natural-looking neck
Early intervention for signs of aging

A Personalized, Physician-Led Approach

Every injectable treatment at Triangle Facial Plastic Surgery is performed exclusively by Dr. Becker. Your neck rejuvenation plan is carefully customized based on:

Skin thickness and elasticity
Degree of laxity or crepiness
Presence of neck lines
Your aesthetic goals and lifestyle

Many patients benefit from combination treatments, using Radiesse to strengthen and stimulate collagen, paired with Skinvive to enhance hydration and surface smoothness.

What to Expect from Your Treatment

In-office procedure with minimal discomfort
Little to no downtime
Gradual, natural-looking improvement
Results that enhance—not alter—your appearance

Dr. Becker’s philosophy emphasizes subtle rejuvenation, balance, and results that look elegant and age-appropriate.

Is Non-Surgical Neck Rejuvenation Right for You?

You may be an excellent candidate if you:

Want improvement without surgery
Are not ready for a surgical neck lift
Prefer physician-performed injectable treatments
Want natural, refined results

During your consultation, Dr. Becker will evaluate your anatomy and discuss whether non-surgical rejuvenation or a surgical approach would best meet your goals.

Schedule Your Consultation with Dr. Becker

If you’re noticing changes in your neck and want a smoother, firmer, more youthful appearance, we invite you to schedule a consultation with Dr. Becker at Triangle Facial Plastic Surgery. We proudly serve patients in Raleigh, Wake Forest, Cary, and the surrounding Triangle area, offering personalized, physician-led aesthetic care at the highest level.

Expertise matters—especially when it comes to your face and neck.

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Welcome ISDINceutics Skincare Products!

Post author By tfpsadmin
Post date October 22, 2024

We are excited to announce that we’ve added ISDINceutics, an exclusive collection of advanced, medical grade skincare products from Spain!

At Triangle Facial Plastic Surgery, we’re always on the lookout for innovative skincare solutions to complement our aesthetic treatments and our patient’s needs. In this blog post, we’ll take a closer look at the outstanding ISDIN products that our medical esthetician, Yelena, has carefully selected to enhance your at home skin care regime.

Cleansing

Micellar Solution
A gentle, yet effective cleansing formula designed to remove impurities, makeup, and excess oil from the skin without stripping it of its natural moisture. Infused with micellar technology, this solution uses tiny micelles to attract and lift away dirt and makeup particles, making it perfect for all skin types, including sensitive skin.

Pigment & Skin Imperfections

Melaclear Advanced
A powerful serum specifically formulated to combat pigmentation and uneven skin tone. Its unique blend of active ingredients works synergistically to reduce dark spots and enhance overall luminosity. With consistent use, this serum helps achieve a more even and radiant complexion, making it an essential part of any skincare regimen.

Retinal Advanced
As a potent anti-aging solution, Retinal Advanced is a must-try. This advanced retinaldehyde treatment promotes cell turnover, improves skin texture, and reduces the appearance of fine lines and wrinkles. It’s gentle formulation is suitable for most skin types and can be incorporated into your routine to achieve visibly smoother, firmer skin.

Melatonik
A groundbreaking nighttime serum that works with your skin’s natural circadian rhythm. Formulated with melatonin, it helps rejuvenate and repair the skin overnight. This product is perfect for those looking to enhance their skin’s recovery process, reduce signs of fatigue, and wake up with a more radiant complexion.

Moisture

Age Contour
A daily moisturizer designed to combat the visible signs of aging. With its unique blend of peptides and antioxidants, it helps improve skin texture and tone while providing essential hydration. This cream not only enhances firmness but also boosts shine, making it an excellent choice for daily use.

Age Contour Night
As we age, our skin needs also change. Age Contour Night is a rejuvenating night cream that targets the signs of aging while you sleep. This luxurious formula works to firm and contour skin on the face and neck, promoting a more youthful appearance by morning. It helps repair and replenish your skin overnight, ensuring you wake up looking refreshed and revitalized.

Hyaluronic Concentrate
Hydration is key to maintaining youthful skin, and Hyaluronic Concentrate delivers just that. Packed with hyaluronic acid, this serum deeply hydrates and plumps the skin, improving elasticity and reducing the appearance of fine lines and wrinkles. It’s perfect for all skin types and can be used as a standalone treatment or as part of a layering routine for added moisture.

K-Ox Eyes
K-Ox-Eyes is a specialized eye cream designed to target the delicate area around the eyes, addressing common concerns such as dark circles, puffiness, and fine lines. Formulated with a unique blend of peptides and antioxidants, this cream helps strengthen the skin’s barrier while also providing intense hydration. The lightweight, refreshing texture absorbs quickly, leaving the skin feeling revitalized and smooth. After regular use, K-Ox Eyes promotes a brighter, more youthful appearance, making it an essential addition to your daily skincare routine.

Natural Skin Enhancement

Skindrops
Skindrops can be used alone for a dewy finish or layered under makeup for a radiant boost, available in 2 colors – bronze or sand. This versatile serum offers a multi-dimensional approach to skincare & is infused with a blend of hyaluronic acid and other potent ingredients. It delivers deep hydration while providing a natural glow to the skin. Perfect for all skin types, this serum is designed to enhance your skin’s luminosity, leaving you with a fresh and radiant complexion.

Whether you’re looking to address pigmentation, enhance hydration, or combat the signs of aging, these products offer effective solutions tailored to your skin’s needs.

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Revitalize Your Skin This Fall – The Best Rejuvenating Skincare Treatments

Post author By tfpsadmin
Post date September 27, 2024

As the leaves change and the air cools, it’s the perfect time to rejuvenate your skin after a long summer. Fall is ideal for skincare treatments that can help you achieve a radiant, refreshed complexion. Yelena at Triangle Facial Plastic Surgery is here to share her top pics for rejuvenating skincare treatments to consider this season:

1. Tetra CoolPeel CO2 Laser

The Tetra CoolPeel CO2 laser is a game-changer for those looking to minimize fine lines, wrinkles, and sun damage. This minimally-invasive treatment uses controlled energy to target the outer layer of skin, stimulating collagen production with less downtime compared to traditional lasers. It’s perfect for achieving smoother, healthier skin just in time for the holiday season!

2. Halo Laser

Combining ablative and non-ablative technology, the Halo laser is designed for maximum results with minimal recovery time. It effectively treats issues like uneven tone, texture, and pigmentation. This treatment is suitable for all skin types, making it a versatile option as we transition into cooler weather.

3. BBL Photofacial

If you’re looking to combat sun damage and hyperpigmentation, the BBL (BroadBand Light) photofacial is a fantastic option. This treatment uses advanced light therapy to target redness, age spots, and overall skin tone. As we say goodbye to summer, it’s an excellent time to refresh your skin’s appearance and restore its natural glow.

4. Morpheus8

For those seeking a non-surgical facelift, Morpheus8 combines microneedling with radiofrequency energy to tighten and lift the skin. This treatment stimulates collagen production deep within the skin, leading to firmer, more youthful-looking skin. Fall is the perfect season to start this treatment and enjoy the results for the upcoming festivities.

5. Microneedling

Microneedling is a minimally invasive procedure that promotes skin renewal and improves texture. By creating tiny micro-injuries in the skin, it encourages collagen and elastin production. This treatment is great for addressing scars, wrinkles, and large pores, making it a must-try for anyone looking to rejuvenate their skin. Add on PRP to your treatment to maximize your results!

Embrace Fall with a Fresh Glow

As you prepare for the cozy months ahead, consider incorporating one or more of these rejuvenating treatments into your skincare routine. Contact us to schedule your complimentary consultation with Yelena to find the best options tailored to your needs. Your skin deserves a little extra love this fall—let’s make it glow!

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The Aesthetic Benefits of Botox Injections

Post author By tfpsadmin
Post date June 18, 2024

Botox injections are a popular cosmetic treatment and have become a go-to solution for a variety of aesthetic concerns. Collectively known as botulinum type A injections (or neurotoxin/tox injections), they work by temporarily paralyzing muscles, which can smooth out wrinkles and fine lines. Dr. Adam Becker at Triangle Facial Plastic Surgery in Raleigh administers a variety of neurotoxin injections (including Botox, Dysport and Xeomin) to his patients’ to address the cosmetic issues below to deliver beautiful, natural looking results that last approximately 3-4 months.

1. Forehead Lines

One of the most common areas treated with neurotoxins is the forehead. Horizontal lines that form due to repetitive facial expressions can be significantly reduced, resulting in a smoother and more youthful appearance. Depending on the individual patient, an estimated 8-20 units may be injected into the forehead to achieve the desired result.

2. Frown Lines

Also known as glabellar lines or “11s,” these vertical lines between the eyebrows are another frequent target for Botox. By relaxing the muscles that cause these furrows, Botox helps to soften their appearance. An estimated 10-30 units may be injected in between the eyebrows to achieve the desired result. In cases where frown lines are more severe, a dermal filler may be necessary to achieve a more desirable result.

3. Crow’s Feet

The fine lines that radiate from the corners of the eyes, often referred to as crow’s feet, can be minimized with neurotoxin injections. This treatment helps to maintain a youthful and refreshed look around the eyes. An estimated 2-16 units may be injected around the corner of each eye to achieve the desired result.

4. Brow Lift

Botox can be used to achieve a subtle brow lift. By injecting neurotoxins into specific areas, the muscles that pull the eyebrows down are relaxed, allowing the muscles that lift the brows to work more effectively.

5. Bunny Lines

These are the lines that appear on the sides of the nose when you scrunch it. Neurotoxin injections can help reduce the appearance of these lines, creating a smoother nose area. Dr. Becker typically injects 2-4 units into the sides of the nasal bridge to smooth bunny lines.

6. Lip Flip

Fine lines around the mouth, sometimes called smoker’s lines, can be softened with neurotoxins. This treatment can enhance the smoothness of the lips and surrounding skin. Approximately 2-4 units may be injected into the bottom corners of the mouth and at the cupids bow on the top lip to smooth out lines and result in a fuller, plumper upper lip. A lip flip is often considered as an alternative to lip filler injections.

7. Chin Dimples

A dimpled or “orange peel” appearance of the chin can be improved with neurotoxin injections. By relaxing the mentalis muscle, the skin on the chin appears smoother. 4-8 units are typically injected into the chin to smooth out chin dimples.

8. Neck Bands

Vertical neck bands, or platysmal bands, can become more prominent with age. Neurotoxins can be injected into these bands to reduce their appearance and create a smoother neck profile. 6-8 units on each side of the neck is typically injected to achieve the desired result.

9. Gummy Smile

For those who show a significant amount of gum when they smile, neurotoxins can help. By relaxing the upper lip, neurotoxins can reduce the exposure of gums, leading to a more balanced smile.

Neurotoxin injections are a temporary versatile treatment with a variety of applications to turn back the hands of time and rejuvenate the aging face. If you are wondering if neurotoxins can help achieve your anti-aging goals, contact us to schedule you consultation with Dr. Becker and to learn more about your options.

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Maximize Your Wedding Day Glow With These Tips

Post author By tfpsadmin
Post date April 14, 2022

Glowing wedding day skin is on every bride’s wish list, and it’s absolutely attainable with proper planning and guidance. Our team of highly experienced anti-aging experts at Triangle Facial Plastic Surgery in Raleigh is here to share some tips to boost and maximize your glow so you can feel your very best on your special day!

If you haven’t already established a consistent daily skincare routine, NOW is the time! Your daily skincare routine should include:
- Gentle cleanser in the morning, evening and after exercise.
- Moisturizer application to keep your skin hydrated and smooth.
- Vitamin C + retinol products for anti-aging. Vitamin C brightens the skin, evens skin tone and protects the skin from environmental stressors that can come during the day. Retinol (aka Vitamin A) firms and tightens the skin. Both products can be used together, but they should not be applied at the same time – apply Vitamin C in the morning and Retinol in the evening.
- Sunscreen application to your face and neck (YES, even if it’s cloudy out) and reapply after prolonged periods out in the sun.
Exfoliate with a gentle exfoliation product 1-3 times each week (depending on your skin type). ZO SKIN HEALTH® Exfoliating Polish is an amazing, gentle polish that delivers an insta-glow and amazingly smooth skin!
Consider additional skincare products to address specific concerns, such as acne, redness, spots and pigmentation. The best way to determine the best products to improve your skin condition is to consult with a licensed medical esthetician.
Hydrate from within! You should consume plenty of water each day. A good rule of thumb is to drink 0.5-1.0 ounces of water for each pound you weigh.
Schedule monthly facials to refresh and hydrate your skin, unclog pores, and improve the appearance of specific skin concerns. HydraFacial gives you glowing, firm and more youthful looking skin in just 30 minutes! And there are a variety of booster options to address your specific concerns, whether it be hyperpigmentation, acne, redness, wrinkles, etc.
Erase forehead wrinkles, glabellar lines (aka the dreaded 11’s) and crows feet around the eyes with a neurotoxin treatment 1-2 months before the big day.
If you’re looking to soften & contour your facial profile, and add volume to the areas including the cheeks, chin, jawline and lips, you may consider non-surgical filler treatments. Filler treatments should be done several months in advance to ensure satisfactory results. Definitely plan ahead!
If you are looking for more dramatic results to improve the appearance of aging and problematic skin vs. skincare products and facials alone, you may consider laser and IPL (intense pulse light) treatments. They are more intensive treatments, and when combined, they are even MORE powerful! These treatments should also be scheduled several months in advance to make time for multiple treatments if needed to achieve the desired results.
- CoolPeel CO2 laser treatments deliver a total skin rejuvenation with little downtime. CoolPeel treatments dramatically reduce fine lines and wrinkles, hyperpigmentation, acne scars, minimize pore size and improve dullness and skin texture in 1-3 appointments (typically scheduled a month apart).
- BBL Hero treatments penetrate into the deeper layers of skin and deliver remarkably clear and refreshed skin. BBL Hero is great for addressing hyperpigmentation, uneven skin tone, acne, inflammation and redness. It also helps to remove unwanted dark colored hair.

Do you want to learn more about specific products and treatments that are right for YOUR skin and your goals? Let’s talk! Contact us to schedule your complimentary skincare consultation with Yelena, our licensed medical esthetician, and she will assess your skin, discuss your goals and timeline to create a customized treatment plan for you!

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Droopy Nose Q&A w/Dr. Becker

Post author By tfpsadmin
Post date January 27, 2022

“Droopy nose” (aka nasal tip ptosis) occurs when the tip of the nose hooks downward or is elongated, rather than pointing forward and elevated. Dr. Adam Becker, award-winning facial plastic surgeon and rhinoplasty expert in Raleigh, NC, often treats patients with droopy nose to correct a droopy nasal tip and yield a beautiful, balanced nasal profile. Dr. Becker is here to answer the most commonly asked questions about a droopy nose.

Q: Why does the nose start to droop with age? Is it just the tip or the entire nose?

A: The nasal tip can often begin to droop starting around 30-40 years of age. This happens because the cartilages that form the tip of the nose are held in place by ligamentous structures. These ligaments, as well as the soft tissue components, begin to relax and this can cause the tip to begin to rotate downward.

Q: Is a droopy nose more common in men? Women? Both?

A: There is very little literature regarding gender differences in age related tip drooping. One group of researchers did not see a difference between men and women.

Q: Will a previous rhinoplasty do anything to limit the amount of drooping?

A: Possibly. Not all rhinoplasty surgeons use the same techniques, but when the surgeon uses techniques that strengthen the tip support, then there is potential to resist age related drooping.

Q: What do you suggest for those people who are genetically inclined to experience drooping? Is there anything they can do from a proactive viewpoint to limit the drooping?

A: Outside of living a healthy lifestyle, there are no known strategies to limit tip drooping. It’s just part of the aging process.

Q: What are some of the reasons for the droopiness?

A: Aside from age related tip drooping, some other causes of a droopy nasal tip include trauma, which can damage the supporting ligaments or the cartilages of the nasal tip. Some individuals also have a droopy nasal tip due to their inherent nasal shape.

Q: What are the best solutions for lifting a droopy tip? What if someone doesn’t want to go through with surgery?

A: Surgery is most often the only solution for a droopy nasal tip. In certain patients, dermal fillers can be used to give the appearance of a more elevated tip. This should be done by an experienced injector as filler injections into the nose carry some risk of damage to the skin due to the unique anatomy of the nose compared to other areas of the face.

If you’re concerned with a droopy nose and want to learn more about your options to improve your nasal profile, contact us to schedule a consultation with Dr. Becker and he will provide you with a full assessment and recommended treatment plan for you.

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6 Tips to Help You Glow-Up This Holiday Season

Post author By tfpsadmin
Post date November 16, 2021

The holidays are fast approaching and with a calendar that is filling up quickly, have you thought about being ready to look and feel your very best this season? Don’t fret! Your friends at Triangle Facial Plastic Surgery in Raleigh, NC have your back! We want your season to stay merry and bright! Follow these 6 tips that will be sure to help you glow up this holiday season!

Exercise regularly – you will feel better physically and mentally. Regular exercise improves your mood, boosts energy, helps work off extra calories you’ll be consuming during get togethers and parties and promotes better sleep.
Drink plenty of water! A hydrated body looks and feels good. Good hydration delivers benefits for the body, including maintaining a more youthful looking glow!
Get plenty of sleep! The holiday season is packed with extra social activities, which are fun, but add that to everything else going on in your life, it may become stressful to keep up with it all. Don’t let yourself get run down, or you could get sick and miss out on the fun.
Treat yourself to a facial! Facials are a quick and relaxing way to take a peaceful moment for yourself, while deep cleaning, exfoliating and moisturizing the skin will refresh your look and keep you glowing all season! The Hydrafacial is our most popular facial here at TFPS because it’s quick, customizable and leaves you with the most radiant glow!
Plan your Botox and filler treatments with Dr. Becker in advance! Neurotoxins (Botox, Dysport and Xeomin) and fillers do a wonderful job with smoothing lines and wrinkles with very little downtime. While results from filler treatments are instant, neurotoxin injection results take full effect in 7-14 days.
Don’t forget to WEAR SUNSCREEN EVERY DAY! Wear at least SPF 30 on your face, neck and areas not covered by clothing. Even though you’re not laying out in the sun this time of year, the sun’s harmful rays will still damage the skin and cause premature skin aging.

Incorporating these simple tips into your holiday lifestyle will help give you that glowing boost you need to get you through the busiest and most joyous time of year! Give us a call (919) 706-4900 or complete our contact form to schedule your treatments. We are also available by DM on our Instagram and Facebook accounts anytime to answer any questions you may have! We wish you and yours a beautiful and glowing holiday season! ❤️

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Treat Dark Circles & Puffiness Under Your Eyes

Post author By tfpsadmin
Post date June 7, 2021

Under Eye Circles and Puffiness Do you see tired-looking eyes every time you look in the mirror, even though you’re not feeling tired? Dark circles and puffiness under the eyes are a common issue that many men and women inquire about here at Triangle Facial Plastic Surgery in Raleigh, NC. We are most often asked about what causes them and how to get rid of them. While this condition may be quite challenging to treat, Dr. Adam Becker, Facial Plastic Surgeon, and Yelena Migirova, Licensed Medical Esthetician, are here to shed some light (pun intended) and address some options that may help improve and brighten the appearance of dark circles under the eyes.

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Restore Your Glow With HALO

Post author By tfpsadmin
Post date June 4, 2020

Have you noticed signs of sun damage, such as hyperpigmentation, fine lines, and uneven texture on your face? Are you looking for a safe and effective treatment with minimal downtime that delivers remarkable results? The team of experts at Triangle Facial Plastic Surgery has helped patients in Raleigh restore their facial glow and confidence with HALO™️ hybrid fractional laser powerful skin rejuvenation treatments.