TotalFace® addresses three telltale problems of the aging face; jowling and sagging in the lower half of the face and neck, loss of volume in the midface, and changes in skin complexion that accumulate over time. It combines decades of surgical experience, backed by peer reviewed research, chosen for presentation at the 2014 Scientific Meeting of the prestigious American Academy of Cosmetic Surgery. There are no gimmicks and no shortcuts, but rather state-of-the-art, research proven techniques, that lead to the best possible, most natural appearing results.

Individual results may vary.

Please feel free to contact Triangle Facial Plastic Surgery if you are interested in scheduling a consultation with our facial plastics fellowship trained, board certified surgeon, Dr. Adam Becker. You can reach us at (919) 706-4900, or fill out our contact form.

When you compare the aging face with the youthful face, there are certain key characteristics that set them apart:

A youthful face has features that appear tighter and fuller due to having more volume. When we age, we naturally lose fullness as a result of the loss of bony thickness and decreased volume of soft tissue. Additionally, youthful skin is smoother and the complexion is more even.  The combination of genetics and environmental exposure can dull the skin over the years. Additionally, the effects of gravity and the accumulation of sun damage will show as signs of aging in the face. Over time, the sagging of the skin and deeper tissues in addition to changes in skin texture and complexion just can’t help but take away the beauty of youthful skin. Finally, the continued shrinking of fatty tissues in the face leads to a deflated appearance, particularly in the cheek area.

Recognizing these factors, TotalFace® was developed as a more comprehensive approach to minimize the signs of facial aging.



Our board certified Total Face surgeons perform the majority of procedures under IV (intravenous) sedation supplemented with local anesthetic numbing medications, making sure that you are completely unaware during the procedure. Using IV sedation can avoid the slow wake-up and post-operative nausea often seen with general anesthesia.  By using IV sedation enhanced with local anesthetic, the slow wake-up and post-operative nausea often seen with general anesthesia is usually avoided. After decades of experience, our Total Face surgeons have found that nausea after surgery is a very uncommon event and occurs in less than 1% of our patients. This technique helps patients feel alert much more quickly.


Immediately after the procedure, a soft gauze dressing is applied as well as a layer of Vaseline to the treated skin. Drains are very rarely used. Because sedating medications are used, you will need someone to help you the evening of surgery. The following morning, the dressing is removed, the incisions are thoroughly inspected, and a new, lighter dressing is applied. This dressing is removed the third day after surgery, at which time you can shower and wash your hair.

Once the bandages are removed, a supportive garment is worn until the 7th day after surgery.

You may usually resume light activity the day after surgery. However, it is best to wait two weeks before returning to work or public life. It is safest to delay major public engagements such as weddings or speaking appearance. Make-up can be worn all over the face ten days after surgery. Light aerobic exercise may be resumed within two weeks of your surgery and you may resume weight lifting within three weeks of surgery. The mild pinkness of the incisions is easy to cover with makeup after ten days and will fade over the next several months.