In Salt Lake City, patients seeking that level of precision often turn to Dr. Derrick Gale, a fellowship-trained facial plastic and reconstructive surgeon whose background uniquely positions him to approach rhinoplasty from both a cosmetic and medical perspective. His work is not limited to reshaping the nose; it is rooted in restoring harmony, improving breathing, and creating results that feel natural to each individual. Continue reading to learn more about Dr. Gale and Gale Facial Plastics’ approach to rhinoplasty in Salt Lake City.

A Specialist in Both the Aesthetic and Functional Sides of Rhinoplasty

Rhinoplasty is unlike most cosmetic procedures. It requires an understanding of not just appearance, but also airway function, structural integrity, and long-term stability.

Dr. Gale’s training reflects that complexity. As a board-certified otolaryngologist (head and neck surgeon) and fellowship-trained facial plastic surgeon, he has advanced expertise in the relationship between nasal cartilage, bone, and the airway.

This matters more than most patients realize.

While many surgeons focus primarily on cosmetic changes, Dr. Gale routinely treats patients with:

• Breathing obstruction
• Deviated septum
• Nasal trauma or structural collapse
• Sleep-related breathing issues

His background in reconstructive and sleep surgery allows him to address these concerns simultaneously, often improving both appearance and quality of life in a single procedure.

A True Specialist in Facial Plastic & Reconstructive Surgery

As a facial plastic and reconstructive surgeon, Dr. Gale has dedicated his career specifically to the face, head, and neck. That level of specialization is critical in rhinoplasty, where millimeters make a difference.

He is trained in:

• Facial plastic and reconstructive surgery
• Skeletal facial surgery and orthognathic procedures
• Post-trauma and post-cancer facial reconstruction

This depth of experience allows him to approach the nose not as an isolated feature, but as part of a larger facial structure that ensures balance, proportion, and long-term stability.

A Philosophy Centered on Individualized Results

One of the most consistent themes throughout Dr. Gale’s practice is customization.

No two noses (and no two patients) are the same.

During consultation, Dr. Gale uses imaging and detailed discussion to help patients understand their anatomy, their options, and what is realistically achievable.

He encourages patients to:

• Bring reference photos
• Clearly describe their goals (bridge, tip, width, etc.)
• Ask detailed questions about outcomes

This collaborative approach ensures that the final result reflects the patient.

Precision Surgical Technique with a Focus on Longevity

Rhinoplasty is not just about the immediate result—it’s about how the nose looks and functions years down the line.

Dr. Gale prioritizes:

• Structural support of the nose
• Long-term airway function
• Stable, lasting results

In more complex cases, he may use cartilage grafting (including rib cartilage when needed) to rebuild and reinforce the nasal framework.

He often prefers open rhinoplasty for its superior visibility and precision, allowing for more controlled and refined adjustments when necessary.

Expertise in Revision Rhinoplasty

Revision rhinoplasty is widely considered one of the most challenging procedures in facial plastic surgery. Patients seeking correction after a previous surgery often face:

• Scar tissue
• Structural weakness
• Unpredictable anatomy

Many surgeons avoid these cases. Dr. Gale does not. His specialization in revision nose surgery, allows him to use advanced techniques to rebuild and refine the nose while correcting both aesthetic and functional concerns.

For patients who have unsatisfactory results from other providers, this level of expertise can be the difference between frustration and resolution.

A Down-to-Earth, Patient-Focused Experience

Dr. Gale and his team are known for creating an environment that is both highly professional and genuinely approachable. Patients are treated as individuals, not cases, with ongoing support throughout consultation, surgery, and recovery.

Follow-up care is thorough and structured, with multiple post-operative visits to ensure proper healing and optimal results over time.

Natural Rhinoplasty Results That Respect Your Identity

One of the most important and often overlooked aspects of rhinoplasty is surgical control. The goal is not to create a “perfect” nose in isolation, but a nose that fits your face.

Dr. Gale’s approach emphasizes:

• Facial harmony
• Subtle refinement
• Preservation of individual identity

Dr. Gale’s goal is to have patients look like themselves, just more balanced and confident.

Serving Salt Lake City with Advanced Rhinoplasty Care

Located just outside Salt Lake City, Gale Facial Plastics provides access to advanced rhinoplasty techniques in a setting that combines surgical expertise with personalized care.

Whether your goals are aesthetic, functional, or both, Dr. Gale offers a level of specialization and attention to detail that is difficult to replicate.

Interested in Rhinoplasty in SLC?

Choosing the best rhinoplasty surgeon in Salt Lake City means choosing someone who understands reshape the nose, preserve its function, support its structure, and integrate it seamlessly with the rest of the face.

With his advanced training, reconstructive expertise, and individualized approach, Dr. Derrick Gale offers a standard of care that goes beyond the typical cosmetic experience. To get started, simply contact Gale Facial Plastics online or call (801) 506-6344 today. We look forward to hearing from you!

The post Why Dr. Gale Should be Your Choice for Rhinoplasty in Salt Lake City appeared first on Gale Facial Plastics.

At Gale Facial Plastics in Utah, Dr. Derrick Gale specializes in facial reconstruction and plastic surgery. With his keen eye for aesthetics paired with technical surgical skills, Dr. Gale can deliver optimal results for your eyelid surgery.

What Is Eyelid Surgery (Blepharoplasty)?

Blepharoplasty, commonly known as eyelid surgery, is a surgical procedure that removes extra skin from the eyelids. It can include removing portions of the upper eyelid, lower eyelid, or both. Sometimes, if the upper eyelid droops so far down it covers the pupil, blepharoplasty can be performed to lift the eyelid in addition to removing extra skin.

Signs You May Benefit from Eyelid Surgery

You may benefit from eyelid surgery if these criteria apply to you:

• Sagging, loose skin that folds and disturbs the upper eyelid contour
• Puffiness in the eyelids from extra fat
• Bags under your eyes
• Lower eyelids that droop far enough to show white beneath the iris
• Extra skin and wrinkles in the lower eyelid

If you don’t live with chronic illness, have any severe eye conditions, or smoke, you could be a candidate for eyelid surgery.

Upper vs. Lower Eyelid Surgery: What’s the Difference?

There are a few differences between upper and lower eyelid surgery. Upper eyelid surgery removes portions of upper eyelid skin and is typically recommended to help the eyes look more open and refreshed. Lower eyelid surgery is designed to correct puffy, sagging bags under the eyes by removing excess fat and skin and sometimes tightening muscles.

How Eyelid Surgery Can Refresh Your Appearance

Eyelid surgery can revolutionize your look from exhaustion to vivacious. Droopy eyelids can make you look drained and weary, even when you feel alert and well-rested. Removing fat and extra skin around the eyes can offer an instant lift to your appearance.

Can Eyelid Surgery Improve Vision?

Although blepharoplasty typically provides cosmetic enhancements, it can also improve your vision. In some cases, sagging upper eyelids can drop so low as to hinder your vision. Removing that extra skin can lift the lids and resolve the vision problems that come with it.

What to Expect During Eyelid Surgery with Dr. Derrick Gale

Before your procedure, Dr. Gale will clearly communicate what you can expect during the surgery and the results afterward. The team will ask you to have someone drive you to the clinic who can also drive you home. Depending on the extent of your procedure, blepharoplasty may be performed under local or general anesthesia.

During the procedure, you will receive anesthesia, and Dr. Gale will remove the extra skin and fat tissue from your eyelids and surrounding area, as determined during your consultation. Through his expert incision placement in your natural skin folds and close to your eyelashes, Dr. Gale helps support you with minimal visible scarring and optimal healing.

When you wake up after surgery, the team will monitor you in a recovery room until you’re ready to return home.

Eyelid Surgery Recovery: Healing and Results

Healing from blepharoplasty can involve some discomfort, including:

• Watery eyes
• Sensitivity to light
• Blurred or double vision (from protective lubricating ointment)
• Puffy or numb eyelids
• Bruising (similar to a black eye)

Take about a week to rest and relax as you heal. The following week, you can resume more of your normal activities, but start slowly. It can take a full second week for all the symptoms to resolve. Any scars will fade within a few months to a year.

Why Choose Dr. Derrick Gale for Eyelid Surgery in Utah?

Dr. Gale has expertise as a reconstructive and plastic surgeon, which allows him to perform both functional and cosmetic surgeries at the highest standard. With extensive training and experience, Dr. Gale is one of the best plastic surgeons in Utah, and he also contributes to the medical community by publishing research and giving national presentations. 

Choosing Dr. Gale can help you restore and refresh your appearance through eyelid surgery for an overall refreshed look.

Frequently Asked Questions About Blepharoplasty

What Are the Risks Associated with Blepharoplasty?

Rarely, complications can arise following blepharoplasty, such as impaired vision, muscle damage, dry eyes, and inability to close your eyes. When blepharoplasty is performed by an experienced surgeon like Dr. Gale, the risks are minimal.

How Long Does Eyelid Surgery Take?

Upper eyelid surgery alone takes about 45 minutes. For both upper and lower lids, it can take as long as an hour and a half.

How Much Does Eyelid Surgery Cost in Utah?

In Salt Lake City and Riverton, the cost of eye surgery depends on the extent of the procedure. You will receive an accurate estimate after your consultation with Dr. Gale.

How Long Will It Take Before I Look Normal?

Within a week, you should notice a more youthful appearance, and after the second week, most people won’t even be able to tell you had surgery!

Next Steps: Is Eyelid Surgery Right for You?

If you think you may benefit from eyelid surgery, don’t hesitate to contact us at (801) 506-6344 or visit us online to arrange your consultation. We’ll schedule a consultation, where you can benefit from an assessment from Dr. Gale and ask him any questions you may have.

The post How Can Eyelid Surgery Rejuvenate Your Look? appeared first on Gale Facial Plastics.

A facelift combats multiple unwanted results of aging by smoothing wrinkles and fine lines, removing sagging skin, and restoring lost facial volume. Furthermore, a facelift can result in an even more comprehensive renewal when combined with complementary rejuvenation treatments.

Should You Consider a Facelift?

Facelifts offer several long-lasting benefits; here are the top five.

1. Smoothing Wrinkles and Fine Lines

A facelift meticulously addresses the creases and lines that deepen with age, smoothing them out to bring back a smoother, more refreshed facial appearance. This procedure strategically targets areas prone to noticeable signs of aging, such as the forehead, around the eyes, and the mouth. By tightening the underlying muscles and repositioning the skin, a facelift reduces the appearance of deep wrinkles and fine lines, leading to a more vibrant and youthful look.

2. Tightening Sagging Skin for a More Youthful Appearance

A facelift can tighten loose, excess skin resulting from lost elasticity. This lift improves your appearance and self-confidence by restoring a firm, youthful texture.

3. Enhancing Jawline and Neck Contours

Sagging skin around your chin and jawline is one of the most visible signs of aging. A facelift can dramatically redefine these areas for a sharper contour and clearer line of demarcation between your face and neck. Refining this definition and angle can provide a striking improvement.

4. Restoring Facial Volume and Fullness

A facelift reverses age-related volume loss in your mid-face. Dr. Gale will adeptly redistribute your existing fat or integrate volumizing techniques to restore plump, youthful cheeks and features. Targeting areas that have become hollow or deflated results in a fuller, more balanced look.

5. Improving Overall Skin Tone and Texture

Beyond structural enhancements, a facelift can improve your skin’s tone and texture. Removing old, damaged skin and elevating your facial tissues can enhance blood flow to your face for a radiant complexion.

Combining a Facelift With Other Rejuvenation Treatments

You can combine your facelift with complementary procedures to maximize your aesthetic outcomes and address multifaceted age-related concerns. This holistic strategy ensures balanced and harmonious results, enhancing vitality and prolonging your results.

Botox Injections

Botox addresses dynamic wrinkles in the upper third of your face, such as crow’s feet, forehead furrows, and glabellar lines. Botox temporarily paralyzes the muscles that allow you to make habitual facial expressions like frowning. This non-surgical treatment complements a facelift’s tightening effects by reducing the appearance of superficial lines and wrinkles.

Dermal Fillers

Dermal fillers are another popular addition to facelift surgery, used to restore lost volume and enhance facial contours. Hyaluronic acid-based fillers plump areas that have become hollow or flat due to aging, such as your cheeks and lips. They can also smooth deep creases such as nasolabial folds, compounding your facelift’s results with a natural-looking augmentation.

Laser Skin Resurfacing

Laser resurfacing improves your skin’s tone and texture, making it an excellent complement to a facelift. This treatment uses concentrated light energy to remove damaged skin layer by layer, which stimulates collagen production. When paired with a facelift, laser resurfacing can enhance your skin’s smoothness and clarity for a healthy glow.

Expert Facelift Surgery in Riverton, UT

A facelift’s benefits are more than skin-deep. This surgery provides far-reaching anti-aging benefits for people who want to look and feel their best, targeting facial contours while improving definition and volume. At Gale Facial Plastics, we understand the importance of a personalized approach and pledge to help you achieve your aesthetic goals. For more information or to schedule a consultation, contact our friendly team at (801) 506-6344 or complete our online contact form today.

The post 5 Ways a Facelift Can Rejuvenate Your Look appeared first on Gale Facial Plastics.

You likely need a revision rhinoplasty if you’re experiencing persistent aesthetic concerns, such as asymmetry, a bulbous tip, or an unnatural appearance, or if functional issues like nasal obstruction or difficulty breathing have developed. This corrective surgery addresses these problems, helping you achieve a balanced, natural look while restoring proper nasal function.

Dr. Derrick Gale specializes in revision rhinoplasty, offering tailored solutions to meet each patient’s needs.

In this blog, we’ll explore the signs that indicate the need for a revision rhinoplasty, from aesthetic concerns to breathing difficulties, and provide insights into the process to help you make an informed decision.

Understanding Revision Rhinoplasty: What It Entails

Revision rhinoplasty is a corrective procedure designed to improve the outcomes of an initial rhinoplasty. Whether addressing functional issues, aesthetic concerns, or both, revision rhinoplasty aims to refine the results and restore balance to the nose.

This surgery often requires advanced techniques due to the structural changes made during the first procedure. Dr. Gale’s expertise in facial aesthetics and reconstructive techniques ensures that every revision is meticulously planned and executed for optimal results.

Common Reasons Patients Consider Revision Rhinoplasty

Patients seek revision rhinoplasty for a variety of reasons, including:

• Residual Aesthetic Concerns: If the initial procedure didn’t achieve your desired appearance, revision surgery can help refine the shape, size, or proportions of your nose.
• Functional Problems: Issues like breathing difficulties, nasal obstruction, or collapsed nasal structures can develop after surgery and may require correction.
• Trauma or Injury Post-Surgery: Accidental injury after your first rhinoplasty can compromise results and require revision.
• Scar Tissue Formation: Excessive scar tissue can alter the appearance or function of your nose, requiring surgical intervention to correct.

Identifying Functional Issues Post-Rhinoplasty

Functional problems can be frustrating and impact your quality of life. Common symptoms that indicate the need for revision include:

• Difficulty breathing through the nose
• Nasal congestion unrelated to allergies or colds
• Whistling or making noises when breathing

These issues can stem from a variety of causes, including over-resection of cartilage or improper structural support during the first surgery. Revision rhinoplasty can help restore proper nasal function, allowing you to breathe comfortably again.

Assessing Aesthetic Concerns After Initial Surgery

Aesthetic dissatisfaction is one of the most common reasons for seeking revision rhinoplasty.

You may notice that your nose looks asymmetrical, the bridge is too prominent or flat, or the tip is bulbous or overly narrow. In some cases, subtle changes made during the first surgery may not align with your expectations or overall facial harmony.

Dr. Gale understands the importance of achieving a natural, balanced look and works closely with patients to address their specific concerns during revision procedures.

When to Consult a Specialist About Your Rhinoplasty Results

If you’re unhappy with the results of your rhinoplasty or experiencing functional problems, it’s essential to consult a specialist.

Dr. Gale recommends waiting at least 12 months after your initial surgery to allow full healing and stabilization of the tissues. During your consultation, Dr. Gale will carefully evaluate your concerns and determine whether revision rhinoplasty is the best option.

The Importance of Choosing an Experienced Surgeon for Revision Procedures

Revision rhinoplasty requires advanced surgical expertise due to the complexities of working with altered nasal structures.

Choosing a surgeon with extensive experience in revision procedures, like Dr. Gale, is critical to achieving successful outcomes. Dr. Gale’s meticulous approach ensures that each revision is tailored to your unique needs, addressing both functional and aesthetic concerns.

What to Expect During a Revision Rhinoplasty Consultation

During your consultation, Dr. Gale will take the time to thoroughly understand your concerns and goals to ensure that your revision rhinoplasty addresses both aesthetic and functional needs. Here’s what you can expect:

• Detailed Discussion of Your Concerns and Goals: Dr. Gale will listen carefully as you explain what aspects of your initial rhinoplasty didn’t meet your expectations or caused functional issues. This is your opportunity to share your vision for the outcome you hope to achieve.
• Review of Medical History and Surgical Records: To plan your revision surgery effectively, Dr. Gale will review your medical history and any records from your previous rhinoplasty. This helps  Dr. Gale to understand the changes made during your initial procedure and identify potential challenges.
• Comprehensive Examination: A thorough assessment of your nose’s structure and function will be performed, including evaluating scar tissue, cartilage integrity, and airway function. This step is essential in determining the best approach to correct the issues and enhance your results.
• Personalized Surgical Plan: Based on your concerns, goals, and the findings from the examination, Dr. Gale will develop a customized surgical plan. This plan will outline the techniques required to address your specific issues and achieve a natural, balanced appearance.

This comprehensive approach not only ensures that all aspects of your concerns are addressed but also gives you a clear understanding of the procedure, recovery process, and expected outcomes.

Dr. Gale is dedicated to providing transparent communication so you can move forward with confidence and realistic expectations.

Preparing for a Successful Revision Rhinoplasty Journey

Proper preparation is key to achieving the best results. Dr. Gale will provide detailed pre- and post-operative instructions, including:

• Stopping certain medications or supplements that can increase bleeding risk
• Avoiding smoking, as it can hinder healing
• Setting realistic recovery expectations and following post-operative care guidelines

With the right preparation and guidance, you can look forward to a smoother recovery and satisfying results.

Revision Rhinoplasty in Riverton, UT

If you’re considering revision rhinoplasty, Dr. Gale offers specialized care to help you achieve your desired outcomes.

Combining advanced surgical expertise with a deep understanding of facial aesthetics, Dr. Gale focuses on both form and function to address multiple concerns, from correcting cosmetic issues to improving nasal airflow. Schedule your consultation today by calling (801) 506-6344 or filling out our online contact form. Begin your journey toward improved comfort, confidence, and personalized care with revision rhinoplasty tailored to your needs.

The post How Do I Know if I Need a Revision Rhinoplasty? appeared first on Gale Facial Plastics.

Sleep apnea surgery can help patients who have not found relief through other treatments such as CPAP therapy or lifestyle changes. By addressing the physical causes of sleep apnea, surgery can significantly improve sleep quality and overall health. Read on to learn about the different surgical options, how they work, and what you can expect from the process.

Understanding Sleep Apnea

Sleep apnea is a serious sleep disorder characterized by repeated interruptions in breathing during sleep. These interruptions can last from a few seconds to a minute or more and can occur multiple times throughout the night, disrupting the sleep cycle and leading to poor sleep quality and various health complications. There are two main types of sleep apnea: obstructive sleep apnea (OSA) and central sleep apnea (CSA).

Obstructive Sleep Apnea (OSA)

Obstructive sleep apnea is the more common form of the disorder, and it occurs when the muscles in the throat relax excessively. This relaxation causes the airway to narrow or close completely, preventing adequate airflow. Common signs and symptoms of OSA include:

• Loud Snoring: A prominent symptom, often noticed by a bed partner.
• Gasping or Choking During Sleep: Episodes of breathing cessation can cause sudden gasps or choking sounds.
• Daytime Sleepiness: Due to disrupted sleep, individuals with OSA often experience excessive daytime drowsiness and fatigue.
• Morning Headaches: Frequent awakenings during the night can lead to headaches in the morning.
• Difficulty Concentrating: Poor sleep quality can impair cognitive function and concentration.
• Mood Changes: Irritability, depression, and anxiety can result from chronic sleep deprivation.

Central Sleep Apnea (CSA)

Central sleep apnea occurs when the brain fails to send the appropriate signals to the muscles that control breathing. Unlike OSA, CSA is less common and does not involve a physical blockage of the airway. Symptoms of CSA include:

• Episodes of Breathing Cessation: Similar to OSA, but without the physical obstruction.
• Insomnia: Difficulty falling asleep or staying asleep.
• Shortness of Breath: Waking up feeling short of breath.
• Fatigue and Daytime Sleepiness: Similar to OSA, due to frequent interruptions in sleep.

Mixed Sleep Apnea

Some individuals may experience a combination of both OSA and CSA, known as mixed or complex sleep apnea. This condition requires a comprehensive approach to diagnosis and treatment, as it involves both physical obstructions and neurological factors.

Risk Factors and Causes

Several factors can increase the risk of developing sleep apnea:

• Obesity: Excess weight can contribute to the narrowing of the airway.
• Neck Circumference: A thicker neck can narrow the airway, increasing the risk of obstruction.
• Age: Sleep apnea is more common in older adults.
• Gender: Men are more likely to develop sleep apnea than women.
• Family History: A family history of sleep apnea can increase the likelihood of developing the condition.
• Alcohol and Sedatives: These substances relax the muscles in the throat, exacerbating OSA.
• Smoking: Smoking can increase inflammation and fluid retention in the airway.

Health Implications

Untreated sleep apnea can lead to a range of serious health issues, including:

• Cardiovascular Problems: High blood pressure, heart disease, stroke, and arrhythmias.
• Metabolic Disorders: Increased risk of developing type 2 diabetes.
• Daytime Impairment: Increased risk of accidents due to daytime sleepiness.
• Mental Health Issues: Depression, anxiety, and other mood disorders.

Diagnosing Sleep Apnea: The First Step

Before considering surgery, a proper diagnosis is essential. This typically involves an overnight sleep study (polysomnography) or a home sleep apnea test to monitor your breathing patterns, oxygen levels, and other vital signs. A comprehensive evaluation by a sleep specialist can determine the severity of your sleep apnea and the most appropriate treatment options.

Common Surgical Options for Sleep Apnea

There are several surgical procedures available to treat sleep apnea, each targeting different anatomical issues that contribute to the disorder. Common options include:

1. Uvulopalatopharyngoplasty: This procedure removes excess tissue from the throat to widen the airway.
2. Genioglossus Advancement: This surgery repositions the tongue muscle attachment to prevent airway collapse.
3. Maxillomandibular Advancement: This involves moving the upper and lower jaws forward to enlarge the airway space.
4. Tonsillectomy: Removing the tonsils can help if they are contributing to airway obstruction.
5. Inspire Therapy: A newer, minimally invasive option that involves implanting a device to stimulate airway muscles.

How Does Surgery Address Sleep Apnea?

Surgery addresses sleep apnea by removing or repositioning tissues that obstruct the airway during sleep. These procedures aim to enlarge the airway and reduce the likelihood of collapse, allowing for normal breathing patterns and improved oxygen flow. The specific surgical approach depends on the patient’s unique anatomy and the severity of their sleep apnea.

Benefits of Surgery for Sleep Apnea

Surgical treatment for sleep apnea offers several benefits, including:

• Improved Sleep Quality: Restful sleep without interruptions from breathing pauses.
• Better Overall Health: Reduced risk of complications associated with untreated sleep apnea, such as heart disease, stroke, and high blood pressure.
• Increased Daytime Alertness: Reduced daytime fatigue and improved concentration.
• Enhanced Quality of Life: Better mood, cognitive function, and overall well-being.

Risks and Considerations of Sleep Apnea Surgery

Like any surgery, sleep apnea procedures come with potential risks and considerations. Dr. Gale will ensure you understand all of the risks involved with your surgery before agreeing to a treatment plan. These considerations can include:

• Pain and Discomfort: Post-surgery pain and discomfort in the treated areas.
• Infection: Risk of infection at the surgical site.
• Bleeding: Possibility of excessive bleeding during or after surgery.
• Swelling and Breathing Difficulties: Temporary swelling that can affect breathing and swallowing.
• Recurrence: In some cases, sleep apnea symptoms may return over time.

Sleep Apnea Surgery Recovery and Post-Surgery Care

Recovery from sleep apnea surgery varies depending on the type of procedure performed. Generally, you can expect:

• Initial Recovery: A few days to a week of rest and limited activity.
• Pain Management: Prescription pain medications to manage discomfort.
• Follow-Up Appointments: Regular check-ups with Dr. Gale to monitor healing and progress.
• Lifestyle Adjustments: Temporary changes in diet and activity to support recovery.

Dr. Gale will provide you with specific post-operative instructions and remain available for you to contact if you have any questions or concerns.

Alternatives to Surgery for Sleep Apnea

Before opting for surgery, you may want to consider non-surgical alternatives such as:

• Continuous Positive Airway Pressure (CPAP): A machine that delivers air pressure through a mask to keep airways open.
• Oral Appliances: Devices worn in the mouth to reposition the jaw and tongue.
• Lifestyle Changes: Weight loss, avoiding alcohol, and sleeping on your side can alleviate symptoms for some patients.

Is Sleep Apnea Surgery the Right Option for You?

Determining if sleep apnea surgery is right for you involves a thorough evaluation of your condition, medical history, and previous treatment attempts. Dr. Gale will help you weigh the benefits and risks, considering your unique needs and health goals to help you make an informed decision about your health. As a highly trained reconstructive head and neck surgeon with fellowship training in sleep surgery and airway reconstruction, you can feel confident in your choice of sleep apnea surgeon in Riverton, UT.

Sleep Apnea Surgery in Riverton, UT with Dr. Derrick Gale

If you’re considering surgery for sleep apnea, schedule a one-on-one consultation with Dr. Derrick Gale in Riverton, Utah. He will explain your options, answer any questions, and help you make an informed decision. For more information or to schedule a consultation, contact Dr. Gale 801 506 6344 or fill out our online form today.

The post How Can Surgery Help With Sleep Apnea? appeared first on Gale Facial Plastics.

Combining eyelid surgery with other facial procedures can optimize your results, creating a more comprehensive and harmonious facial rejuvenation. From facelifts to non-surgical options like Botox, each combination offers distinct benefits. Keep reading to discover how you can enhance your eyelid surgery and achieve the look you desire.

Maximizing Results: Popular Procedures to Pair with Eyelid Surgery

It’s possible to further enhance the aesthetic benefits of eyelid surgery by combining it with complementary procedures like facelifts, brow lifts, and laser resurfacing. Each of these treatments compliments eyelid surgery to address broader signs of aging and improve overall facial harmony.

The Benefits of Combining Facelift with Eyelid Surgery

A facelift, when paired with eyelid surgery, can provide a more comprehensive rejuvenation. This combination addresses sagging skin, wrinkles, and loss of volume in the lower face, while eyelid surgery focuses on the eyes, resulting in a balanced and youthful appearance.

Brow Lift and Eyelid Surgery: A Comprehensive Approach to Rejuvenation

Combining a brow lift with eyelid surgery at Gale Facial Plastics offers a complete solution for rejuvenating the upper face. This powerful combination addresses aging signs by lifting drooping eyebrows and smoothing forehead wrinkles with a brow lift, while eyelid surgery removes excess skin and fat from the eyelids to counteract puffiness and droopiness. Together, they rejuvenate the eye area, creating a more alert, youthful appearance.

Incorporating Laser Resurfacing with Eyelid Surgery for Enhanced Skin Texture

Laser resurfacing, when paired with eyelid surgery, significantly enhances skin texture and tone. This combination addresses multiple concerns: while eyelid surgery corrects sagging skin and bags under the eyes, laser resurfacing targets the surface level. It smooths out fine lines, diminishes sun damage, and evens out skin pigmentation.

The Synergy Between Rhinoplasty and Eyelid Surgery for Facial Harmony

Combining rhinoplasty, or nose reshaping, and eyelid surgery offers a powerful synergy in achieving facial harmony and balance. Rhinoplasty focuses on reshaping the nose to achieve a more harmonious relationship between the nose and the face, and eyelid surgery helps the patient appear younger, better rested, and more alert. Individuals can achieve a more harmonious and balanced facial profile by addressing these key areas simultaneously.

Eyelid Surgery Plus Botox: Addressing Aging Signs for the Entire Face

Combining eyelid surgery with Botox offers a dual approach to addressing aging signs. While eyelid surgery corrects sagging and puffiness around the eyes, Botox smooths out forehead lines and crow’s feet, enhancing the overall rejuvenation effect.

Fat Transfer with Eyelid Surgery: Adding Volume for a Youthful Appearance

Fat transfer involves using your body’s fat to add volume to areas that have lost fullness due to aging. When combined with eyelid surgery, it can provide a more youthful and vibrant look.

Customizing Your Aesthetic Journey: Choosing the Right Procedures to Complement Eyelid Surgery

When it comes to enhancing your appearance through cosmetic procedures like eyelid surgery, the decision-making process can feel overwhelming. At Gale Facial Plastics, we understand that each patient’s journey is unique, and we’re here to support you every step of the way.

As you contemplate which procedures to combine with eyelid surgery, it’s essential to consider your own goals and concerns. Take the time to reflect on what aspects of your appearance you’d like to address and how you envision your ideal outcome.

During your consultation with our team, express your thoughts openly and ask any questions you may have. Together, you’ll explore the options available and discuss how each procedure could contribute to achieving your desired look.

Understanding Recovery and Timelines When Combining Cosmetic Procedures

Combining procedures can be efficient, often reducing overall recovery time compared to having multiple separate surgeries. However, it’s crucial to understand the specific recovery timelines and care for each procedure.

Safety Considerations for Multiple Cosmetic Procedures with Eyelid Surgery

When considering multiple cosmetic procedures alongside eyelid surgery, safety is paramount. At Gale Facial Plastics, we prioritize your well-being above all else. Our experienced team meticulously evaluates your medical history, current health status, and individual factors to ensure that you are a suitable candidate for combined procedures.

We adhere to strict safety protocols and only proceed with treatments when we are confident in their appropriateness for you. Additionally, we provide thorough pre-operative assessments and post-operative care to minimize risks and optimize recovery. Rest assured that your health and safety are our top priorities, and we are committed to delivering excellent results in the safest possible manner.

Choosing the Best Eyelid Surgeon for Combination Procedures

Selecting a skilled and experienced surgeon is crucial for achieving the best results. Dr. Gale’s expertise in facial plastic surgery ensures that your combination procedure will be tailored to your unique facial structure and aesthetic goals.

Eyelid Surgery and Other Procedures in Riverton, UT

Combining eyelid surgery with other procedures offers a path to enhanced rejuvenation and a more comprehensive transformation. At Gale Facial Plastics, we understand the importance of a personalized approach and are committed to helping you achieve your aesthetic goals. For more information or to schedule a consultation, contact Dr. Gale at 801 506 6344 or fill out this online form today.

The post What Procedures Can I Combine With Eyelid Surgery in Salt Lake, UT? appeared first on Gale Facial Plastics.

Here, expert facial surgeon Dr. Derrick Gale discusses “what happens 10 years after a facelift” so that you understand what to expect and how to best maintain your facelift results.

How Does Aging Affect Facelift Results After a Decade?

Aging after facelift procedures can influence the results in various ways, particularly a decade post-facelift.

Over time, natural aging processes, such as skin elasticity loss and collagen reduction, continue to affect the facial structure. This means that, even after an anti-aging facelift, patients will still see gradual changes in their facial contours, skin laxity, the re-emergence of some wrinkles, or a need for minor touch-ups to maintain their desired appearance.

It’s important that patients considering a facelift understand that a facelift doesn’t halt the aging process, but rather resets it, offering a more youthful look that evolves naturally over time.

How Do Lifestyle Choices Impact Long-Term Facelift Outcomes?

Lifestyle choices significantly impact the longevity and effectiveness of facelift plastic surgery outcomes over time. Healthy habits, such as maintaining a stable weight, following a balanced diet, avoiding smoking, and minimizing sun exposure, can greatly prolong the results and youthful appearance achieved through a facelift.

Conversely, factors like smoking, substantial weight fluctuations, and excessive sun exposure can accelerate aging and diminish the facelift’s benefits.

What Role Does Skincare Play in Extending Facelift Results?

Skincare post-facelift plays a crucial role in enhancing and prolonging facelift results. A disciplined skincare routine, incorporating products that focus on hydration, nourishment, and protection, can significantly extend the youthful appearance achieved by the surgery.

Regular use of high-quality moisturizers, sunscreens, and products containing ingredients, such as retinoids and antioxidants, helps with facelift maintenance and keeps skin healthy and smooth.

How Do Environmental Factors Influence Facelift Longevity?

The environmental effects on the skin, such as factors like sun exposure, pollution, and extreme weather, will significantly impact the longevity of facelift results. Prolonged sun exposure, for instance, can lead to premature aging, breaking down collagen and elastin that keep the skin firm and youthful. Pollution can cause skin damage and exacerbate the signs of aging.

Protecting the skin from these elements through proper skincare and lifestyle choices is essential to maintain the benefits of a facelift for as long as possible.

Can You Expect to Need a Secondary Facelift After 10 Years?

The possibility of needing a secondary facelift after 10 years depends on various factors, including the individual’s skin quality, genetics, lifestyle, and personal aesthetic goals.

While some people may find their initial facelift results satisfactory for a longer period, others may opt for a secondary procedure to address continued aging changes. It’s a personal decision, often made through consultation with a plastic surgeon, who can assess the unique aspects of each case and provide tailored advice.

What Maintenance Procedures Can Prolong Facelift Results?

Several non-surgical, minimally invasive procedures can help enhance and prolong facelift results.

Non-surgical facial procedures like Botox and dermal fillers can effectively address fine lines and restore facial volume. For skin texture and tone, laser treatments are excellent options that also aid in collagen production and skin cell turnover. These combined efforts help maintain the youthful appearance achieved through a facelift.

Are There Non-Surgical Options to Refresh a 10-Year-Old Facelift?

Yes, for refreshing a 10-year-old facelift, a “liquid facelift” is a popular non-surgical facial procedure to accomplish added aesthetic enhancements. This procedure involves using a combination of injectables, such as Botox and dermal fillers, to refresh the appearance by reducing wrinkles, restoring volume, and enhancing facial contours.

It offers a minimally invasive way to rejuvenate the appearance, with no downtime. The results can temporarily mimic some aspects of a surgical facelift by smoothing lines, lifting sagging areas, and improving overall facial aesthetics.

What Signs Indicate That Your Facelift Is Aging?

Facelift aging signs include the reappearance of wrinkles and fine lines, sagging skin, especially around the jawline and neck, and diminished facial volume or contour changes.

Additionally, changes in skin texture and tone may also be indicative of the aging of a facelift. It’s important to consult with a plastic surgeon to assess these changes and discuss potential treatments as discussed above.

How Do I Maintain My Facelift Results?

To maintain your facelift results and to help with graceful aging, follow a comprehensive skincare routine including sunscreen, moisturizers, and anti-aging products. Consider non-surgical cosmetic procedures like Botox, dermal fillers, and laser therapy for addressing signs of aging and assisting with long-term facelift care.

Additionally, maintaining a healthy lifestyle with a balanced diet, regular exercise, and avoiding smoking and excessive sun exposure is crucial to facelift follow-up care.

Regular follow-up appointments with your plastic surgeon can also help in managing and maintaining the results of your facelift. During these consultations, some patients might consider a secondary facelift based on their unique goals and aesthetic appearance.

Facelift Surgery and Facelift Preservation Treatments in Riverton, UT

For individuals interested in facial rejuvenation procedures like facelift surgery or seeking to preserve their facelift results in Riverton, UT, Dr. Gale offers expert guidance. Understanding which procedures are most appropriate—whether you’re considering a facelift, Botox, dermal fillers, or other treatments—and best suit your aesthetic goals requires professional consultation. To explore your options for facial rejuvenation and maintenance, schedule your consultation with Dr. Gale. For more information or to discuss personalized treatment plans, contact Dr. Gale at (801) 506-6344 or complete our online form.

The post What Happens 10 Years After a Facelift? appeared first on Gale Facial Plastics.

The answer lies with the patient’s needs. Dermal fillers and Botox aren’t inherently better than one another. What might be a better treatment for one patient might not be the best choice for another. To help you determine which is best for you, dermal fillers or Botox, Dr. Gale has put together this guide comparing the two options, so patients can select the best facial enhancement treatment for their own personal situation.

What are Dermal Fillers?

Dermal fillers are injectable substances used to restore or add volume to various areas of the face, smooth out wrinkles, and reduce the appearance of fine lines.

They are especially popular for enhancing facial contours, plumping thin lips, softening facial creases, and improving the look of recessed scars. Dermal fillers are made from substances that are designed to mimic natural components of the skin or stimulate collagen production.  

What is Botox^®?

Botox, a brand name for “botulinum toxin type A,” is a product derived from Clostridium botulinum bacteria. Botox is a neuromodulator, which means it alters and inhibits muscle activity. By doing so, Botox reduces the appearance of fine lines and wrinkles, resulting in a smoother and more youthful complexion.

What are the Unique Benefits of Botox and Dermal Fillers?

Because of their different chemical makeups, Botox and dermal fillers each have different properties and provide different aesthetic benefits for patients:

Botox

Wrinkle relaxation

Botox primarily targets dynamic wrinkles, which are wrinkles caused by muscle movements. Frown lines along the forehead and crow’s feet are prime examples of dynamic wrinkles that Botox can help reduce.

Preventive treatment

Regular Botox treatments can prevent the deepening of existing wrinkles and the formation of new ones by limiting excessive muscle contractions.

Fast procedure

Botox treatments are often dubbed “lunchtime procedures” due to their swiftness and minimal downtime, meaning patients can complete them during their lunch break!

Dermal Fillers

Volume restoration

Dermal fillers excel at restoring lost volume, particularly in areas like the cheeks, lips, and nasolabial folds, offering an immediate plumping effect.

Smoothening static wrinkles

Fillers address static wrinkles, which are visible regardless of muscle movement, by filling them in and lifting the skin. Static wrinkles come from repeated muscle movements which, over time, crease the skin.

Contour enhancement

Beyond wrinkle treatment, fillers can enhance facial features, such as augmenting lips or defining cheekbones.

Stimulating collagen production

Some dermal fillers, like those containing poly-L-lactic acid, stimulate the body’s collagen production, offering long-term skin rejuvenation.

Which Lasts Longer, Botox or Dermal Fillers?

Botox and dermal fillers both provide temporary cosmetic enhancements, but their durations differ.

Botox results generally last between 3 to 6 months, whereas dermal filler results vary significantly based on the product used. Some hyaluronic acid-based fillers can last 6 to 12 months, while others, such as those made from calcium hydroxylapatite or poly-L-lactic acid, can remain effective for up to 2 years or more.

Are dermal fillers a suitable alternative for individuals who are not good candidates for Botox?

Yes, dermal fillers can be a suitable alternative for individuals who might not be ideal candidates for Botox. Botox primarily targets dynamic wrinkles caused by muscle movements, whereas dermal fillers target static wrinkles and add more contour definition and volume to a patient’s face. If a patient’s primary concern isn’t related to muscle-induced wrinkles, or if they have contraindications for Botox, dermal fillers might be recommended instead.

Which Do I Need, Botox or Dermal Fillers?  

If wrinkles appearing when making facial expressions, such as smiling or frowning, are your primary concern, Botox is the more fitting choice. By relaxing specific muscles, Botox minimizes these dynamic wrinkles, offering a smoother facial appearance.

On the other hand, if you’re addressing issues like loss of facial volume, static wrinkles that persist regardless of expression, or a desire to enhance certain features like lips or cheeks, dermal fillers are the way to go.

For many patients, a combination of both Botox and dermal fillers is the best choice. For those who desire comprehensive aesthetic facial rejuvenation, both dermal fillers and Botox will provide the best results. By tackling various concerns simultaneously, this combination can provide a more holistic, youthful, and refreshed appearance.

Botox and Dermal Fillers in Riverton, UT

Botox and dermal fillers are both hugely popular procedures, but it can be difficult to know which one is best suited for your unique personal aesthetic goals and needs.

If you or a loved one are considering Botox or dermal filler treatments, then a consultation with Dr. Gale, one of the leading board-certified plastic surgeons in the Salt Lake City area is the best way to determine the optimal treatment plan for you. To learn more or discuss Botox and dermal fillers in Riverton, UT, contact Dr. Gale at (801) 506-6344 or fill out our online form today.

The post Are Dermal Fillers Better Than Botox®? appeared first on Gale Facial Plastics.

To maximize every Botox treatment, you should follow some simple post-injection do’s and don’ts, as provided by leading reconstructive and plastic surgeon Dr. Derrick Gale.

3 Botox Do’s

One crucial step patients should take after getting Botox injections is to follow their provider’s aftercare advice. You’d be surprised how many times we tell patients to limit sun exposure and avoid touching the treated area, only to have those words fall on deaf ears.

Other than listening to your doctor, here are three things you must do after getting Botox.

1. Stay Hydrated and Lead a Healthy Lifestyle

Though there’s no direct link between hydration and Botox effectiveness, staying well-hydrated is vital for your overall health and well-being. It aids in flushing out toxins and can promote better skin health. You can also prolong your Botox treatment by eating a healthy diet, exercising regularly, and getting plenty of restful sleep every night. These lifestyle factors can contribute to overall well-being and may help your body respond better to the treatment.

2. Monitor for Side Effects and Use Cold Compresses for Comfort

While Botox is generally safe, you should still watch for potential side effects, which might include pain or bruising at the injection site, headache, or flu-like symptoms. If you notice any adverse effects, contact your provider immediately.

If you experience discomfort or swelling at the injection site, a cold pack can alleviate these symptoms. Be sure to wrap the cold pack in a cloth before applying it to your skin to avoid ice burn, and do so very, very gently – as we’ll learn in the next section, it’s vital to prevent Botox from migrating outside the treated area.

3. Plan a Maintenance Schedule

Botox’s effects gradually wear off, making regular touch-ups a must if you want to maintain your results. Your provider will recommend a schedule based on your specific needs, usually every three to six months. You can also consider adding dermal fillers to your treatment plan to minimize smaller, finer wrinkles in parts Botox isn’t ideal for, such as lips and eyelids.

3 Botox Don’ts

Now we know what you should do after Botox treatment, let’s look at three things you should do your best to avoid.

1. Don’t Rub or Massage the Treated Area

After receiving a Botox injection, it’s crucial not to touch or massage the treated area for at least 24 hours. Botox works by blocking nerve signals in targeted muscles, causing a temporary paralysis that smooths wrinkles and prevents new ones from forming.

If you manipulate the treated area too soon after injection, the Botox can migrate to nearby muscles, leading to unwanted side effects like drooping eyelids, crooked smiles, or even blurred or double vision. To avoid these potential complications, it’s best to leave the injection sites undisturbed.

2. Don’t Lie Down or Bend Over

We mention this as an additiona “don’t” to prevent the spread of Botox to unintended areas. Bending over or lying down can increase blood flow to the face, potentially causing Botox to spread from the injection site.

Most practitioners recommend staying upright for at least four hours following treatment, though some suggest avoiding lying down for as long as possible post-injection. Again, the risk of Botox migration is low, but safe is always better than sorry.

3. Don’t Engage in Strenuous Activity

Physical activity increases blood flow throughout the body, which could theoretically spread the Botox toxin beyond the intended treatment area.

While there’s no definitive research proving exercise decreases Botox’s effectiveness, many practitioners recommend avoiding vigorous physical activity for at least 24 hours post-injection as a precaution. Taking a rest day also helps minimize bruising and swelling at the injection site, as working out can lead to increased inflammation.

Learn More About Botox in Riverton, UT

Botox is a global phenomenon, with millions of people benefiting from its FDA-approved cosmetic benefits. If you or a loved one are considering Botox treatments for skin rejuvenation, following the advice Dr. Gale offers in this article on what to do and not do after treatment will significantly enhance your results. To learn more or discuss Botox in Riverton, UT, contact us at (801) 506-6344 or fill out this online form today.

The post 3 Things to Do and Avoid After Botox appeared first on Gale Facial Plastics.

Understandably, patients considering rhinoplasty for the first time often wonder “is getting a rhinoplasty painful?”

Overall, patients can expect little to no pain during the procedure; however, once the anesthesia wears off and during the recovery process, patients will require pain management medication.

In this article, leading reconstructive and cosmetic plastic surgeon, Dr. Derrick Gale discusses exactly what patients can expect from rhinoplasty, covering operative and post-operative pain, recovery, and how to best minimize any pain associated with the procedure.

What Is Rhinoplasty?

Rhinoplasty, also known as a nose job, is a surgical procedure that aims to change the shape or size of the nose. Patients generally choose rhinoplasty to enhance the nose’s appearance, correct a structural deformity, or improve breathing difficulties.

Rhinoplasty is performed by an experienced plastic surgeon who makes incisions inside the nostrils or across the columella (the area between the nostrils) to access the underlying bone and cartilage. The surgeon then reshapes the nose to the desired form and size, before closing the incisions and finalizing the procedure.

If a patient is unhappy with the results from their first rhinoplasty, revision rhinoplasty is the procedure that helps change the results. This procedure can be more painful, as it treats already manipulated tissue. 

How Hard Is the Recovery from Rhinoplasty?

Recovery from rhinoplasty varies in difficulty depending on several factors, including the complexity of the procedure and the individual’s overall health. Generally, the initial recovery period lasts for several days to a week, during which time the individual may experience swelling, bruising, and discomfort.

During this first week, it is important to avoid strenuous activities and keep the head elevated as much as possible to minimize swelling. Most people are able to return to work or school within a week, although some may need to take additional time off if their job requires physical exertion.

Then, for the months immediately following the surgery, patients may experience some residual swelling while they wait for the final results of the procedure to manifest. During this phase, it is important to follow all post-operative instructions carefully and attend all follow-up appointments with the plastic surgeon to ensure that the healing process progresses as expected.

Overall, the recovery from rhinoplasty can be challenging, but with proper care and attention to post-operative instructions, it’s a very manageable process with patients achieving their desired results.

What Causes Pain from Nose Surgery?

Pain after nose surgery comes from several factors, including tissue trauma, inflammation from the surgical procedure, and swelling and pressure on the surrounding nerves.

Additionally, secondary swelling and bruising associated with the procedure around the eyes can cause discomfort, headaches, and nasal stuffiness, which can all contribute to the overall pain and discomfort experienced after rhinoplasty.

It is important to note that pain after rhinoplasty can be managed with over-the-counter pain medication or prescription pain medication, as directed by the patient’s plastic surgeon. The surgeon may also prescribe anti-inflammatory medication to help manage swelling and reduce pain.

Most importantly, the pain experienced after rhinoplasty, especially if using pain-management medication, shouldn’t be unbearable. Patients should contact their plastic surgeon for further evaluation and treatment if pain after rhinoplasty persists or becomes severe.

How Long Does Pain Last After Rhinoplasty?

Generally, patients can expect some degree of discomfort in the first several days following the procedure, which may last for up to a week or more.

In the first week after the procedure, the symptoms experienced by most patients tend to improve day by day, with the pain subsiding significantly.

It is important to note that some degree of residual swelling and discomfort for several weeks or even months after the procedure is a normal part of the healing process, and your rhinoplasty surgeon will provide guidance on how to manage these symptoms.

How Can I Prevent Pain After Rhinoplasty Surgery?

After your rhinoplasty surgery, your surgeon will give you strict post-operative instructions to manage pain. It is essential that patients follow these instructions thoroughly, including:

• Medications: Taking pain medication as your surgeon directs can help manage any discomfort after the procedure. Over-the-counter pain medication or prescription pain medication can be used, depending on your individual needs.
• Cold compresses: A cold compress or an ice pack can help reduce swelling and minimize discomfort after the procedure.
• Elevation: Sleeping with your head elevated can help to reduce swelling and minimize pain after rhinoplasty.
• Avoid strenuous activities: Patients should avoid strenuous activities, such as heavy lifting and intense exercise, for at least the first few weeks after their procedure to reduce the risk of swelling and discomfort.
• Follow-up appointments: Attending all follow-up appointments with your plastic surgeon is important to ensure that the healing process is progressing as expected and to address any concerns about pain or discomfort.

Finally, patients should avoid smoking during their recovery, as it can impede healing and increase the risk of complications after rhinoplasty.

Why Is It Important to Partner with a Board-Certified Plastic Surgeon?

Partnering with a board-certified plastic surgeon is crucial to getting the best results from any plastic surgery procedure. This is because of the rigorous education, training, ethical and professional standards, and ongoing education board-certified plastic surgeons must adhere to if they are to maintain their accreditation.    

Many patients consider going overseas for plastic surgeries; however, in many cases, the work performed by doctors in cheaper economies is of a less rigorous standard with fewer safety protocols in place. Before considering a cheaper option, consider your rhinoplasty as an investment in yourself and your future.

By partnering with a board-certified plastic surgeon, like Dr. Derrick Gale, patients can have confidence in their procedure’s safety, expertise, and results and be sure that they are receiving the best care possible with the most advanced technologies available.

Rhinoplasty in Riverton, UT

The desire for a more aesthetically appealing nose is prevalent among people of all ages and backgrounds—and rhinoplasty is a highly effective treatment that can help you achieve your goals.

While the process does involve some degree of discomfort, this pain is easily handled by following surgeon instructions, resting, and using pain medication.

To discuss rhinoplasty in Riverton, UT, contact Dr. Gale (801) 506-6344 or complete our online form today.

The post <strong>Is Getting a Rhinoplasty Painful?</strong> appeared first on Gale Facial Plastics.