If you are bothered by the signs of aging in your face, a facelift may be right for you. In general, a facelift is a surgical procedure that corrects sagging facial skin and muscles, removes excess fat and restores firmness to create a more youthful, rested and vibrant appearance. Dr. Merkel will evaluate your skin, muscle, bone structure and the specific conditions that contribute to your aging appearance. These factors are the most significant considerations in determining the appropriate technique or combination of procedures to best achieve your realistic goals. Many patients now ask for non-surgical options and consequently, we have a full array of lasers and other equipment to help reverse aging. Check out the non-surgical section on our website.

You can be reassured to know that a facelift will not change your basic appearance, but will restore you to a younger version of yourself that will then continue to age naturally over time. Your goals, anatomy and Dr. Merkel’s judgement are all factors in determining the best approach to your individual case.  Visit www.instalift.com for more  information.


Cosmetic medical techniques have advanced greatly in recent years. Many aspects of facial aging can be addressed with safe and effective procedures that offer little downtime and natural-looking results. While wrinkles, brown spots and lost volume can be treated with existing procedures, until now there has been no minimally invasive way to lift the deeper layers of facial skin, one of the major contributors to an aged and tired appearance. 

Silhouette InstaLift™ is a simple procedure to re-contour your face, lifting the deeper layers of your skin for a more youthful appearance.

Dr. Merkel will discuss whether this technique is suitable for you and will create a treatment plan to ensure you achieve the results you desire.  The in-office procedure typically takes approximately 45 minutes to complete. You will see immediate results and have minimal recovery time after the procedure. Over time the sutures will naturally be absorbed by your body while stimulating production of collagen.



With Lipo-Infiltration, Dr. Merkel can now use your own fat to alter the structure of the face and restore lost youthful features. Body fat is gently harvested with a technique much like liposuction, refined with minimal handling and painstakingly layered into miniscule deposits within the tissues of the face. By placing fat at different layers or by using different "weaving" techniques, Dr. Merkel can augment the tissues to change structure and contour. He can fill out your lip to show more of the vermillion, or support your drooping eyelid or add some chin projection. Using this method, he can sculpt the tissues of your face and body.

The Lipo-Infiltration can, and often is, combined with lifting techniques and laser resurfacing if your condition requires any more. The combination of procedures chosen is based on the degree or extent of your aging and your individual lifestyle. Ideally, Lipo-Infiltration can begin in the early aging years of 35 - 45 to keep the face properly augmented and structurally supported to prevent drooping.

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