Performed by: Dr.JacobsGender: Female Description: This 74 year old is seen with complaints over facial and neck aging. There are skin wrinkling and relaxation problems. A combined facelift, neck lift with platysma muscle plication has corrected her aging to a more natural look for her age.

Performed by: Dr. Michael J. Denk Gender: Female Description: This 68 year old female complained about her sagging skin of her face and neck. She underwent a facelift and neck lift with upper and lower eyelid surgery. She is very pleased with her youthful appearance.

Performed by:Dr. Jonathan S. Jacobs Gender: Male Description: This active 74 year old with aging lower face and neck is seen for correction. He is seen again 3 months post procedure. A combined customized lower face and neck lift have been accomplished.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 62 year old lady was uncomfortable with the changes in the appearance of her neck. A facelift with fat injections to cheeks and pre-jowl area was accomplished.

Performed by: Dr. Jonathan S. Jacobs Gender: Female Description: This 54 year-old noted signs of aging about the neck and jowls along with wrinkling of the upper and lower lips. A customized procedure was designed which included the posterior portion of a face/neck lift with tightening of the platysma muscles of the neck. This was combined with a chemical peel around the lips and a small tissue graft placed in the deeper wrinkle lines between the brows. She has enjoyed a remarkable rejuvenation of facial features.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 71 year old complained that she often times looked as if she were asleep due to her heavy upper eyelids. She had problems when looking upward due to the age-related changes that caused the mechanism that lifts the upper lid to weaken. Surgery was performed to repair the muscle, improving both her upward vision and appearance.

Performed by: Dr. Jonathan S. Jacobs Gender: Female Description: Blepharoplasty.

Performed by: Dr. John S. Alspaugh Gender: Female Description: Blepharoplasty.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 54-year-old woman underwent upper blepharoplasty (eyelid lift), lower blepharoplasty and liposuction below the chin. She also softened the appearance of the folds around the mouth with dermal filler.

Performed by: Dr. Jonathan S. Jacobs Gender: Male Description: This 64 year old is troubled with bags and redundancy of the upper eyelid skin and muscle. He is seen after upper blepharoplasty with both correction of appearance and improvement in upper eye visual fields.

Performed by: Dr. Jonathan S. Jacobs Gender: Male Description: This 64 year old is troubled with bags and redundancy of the upper eyelid skin and muscle. He is seen after upper blepharoplasty with both correction of appearance and improvement in upper eye visual fields.

Performed by: Dr. Jonathan S. Jacobs Gender: Male Description: This 54-year-old suffered from redundancy of the upper eyelids and visual obstruction. An upper blepharoplasty was performed and she is seen again 3 and a half months after the correction.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 54-year-old woman underwent upper blepharoplasty (eyelid lift), lower blepharoplasty and liposuction below the chin. She also softened the appearance of the folds around the mouth with dermal filler.

Performed by: Dr. Michael J. Denk Gender: Female Description: This 55 year old woman was having difficulty seeing because of her drooping upper eyelids and brow. She underwent a browlift and upper eyelid blepharoplasty with removal or orbital fat.

Performed by: Dr. Jonathan S. Jacobs Gender: Female Description: This 46 year-old was concerned over premature aging of the neck. A neck lift was preformed through a modified facelift incision yielding a substantial correction with rejuvenation. This was accomplished using local anesthesia with only mild sedation. Recovery was complete in 10 days.

Performed by: Dr. Jonathan S. Jacobs Gender: Female Description: This 46 year old was seen with nasal tip deformation. She is seen again after nasal tip sculpting and cartilage reposition to restore tip shape.

Performed by: Dr. Jonathan S. Jacobs Gender: Female Description: This 26 year old was seen primarily for functional nasal surgery. At the time of airway improvement, refinement of the nasal shape was accomplished. Minor changes in the neck contour were made with liposuction.

Performed by: Dr. Jonathan S. Jacobs Gender: Female Description: Rhinoplasty.

Performed by: Dr. Michael J. Denk Gender: Male Description: This 39 year old male complained about protruding ears and large earlobes. He had an earlobe reduction and is very pleased with the results.

Performed by: Dr. Jonathan S. Jacobs Gender: Female Description: This 16 year old was seen with ear prominence. After otoplasty, the prominence of her ears has been corrected to a more desirable position.

Performed by: Dr. Michael J. Denk Gender: Male Description: This 6 year old boy complained about his protruding ears. He underwent ear surgery (otoplasty) to correct this and is so happy with his results.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 28 year old woman wore a 34A bra prior to undergoing breast augmentation with a 425cc high profile silicone implant. She now wears a 34C or D cup and is quite pleased with her results.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 5’3″ 105lb 29 year old wished to increase the size of her breasts. Due to asymmetry, two different sized implants were placed behind the muscle through an incision placed at the lower border of the areola. A 320 cc full profile implant was placed on the right and a 360cc on the left.

Performed by: Dr. Michael J. Denk Gender: Female Description: This 35-year-old woman desired larger, fuller breasts. This 5’11″, 140lb. patient had a breast augmentation using moderate profile, 325cc saline implants filled to 375cc.

Performed by: Dr. Jonathan S. Jacobs Gender: Female Description: This 25 year old is seen with involutional breast changes after two pregnancies. Gel implants placed through incisions around the areolae in a submuscular in a submuscular plane are used for correction. 360 cc moderate smooth wall implants were employed for a symmetric correction.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 35 year-old desired a moderate increase in her breast size to decrease the appearance of droop of her breast. This was accomplished with a 275 cc moderate profile smooth saline implant filled to 300 cc.

Performed by: Dr. Jonathan S. Jacobs Gender: Female Description: Breast Augmentation.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 22 year old young lady was unhappy with her limited breast size. She underwent a submuscular breast augmentation through an incision beneath the nipple with a 375 cc high profile silicone gel implant.

Performed by: Dr. Michael J. Denk Gender: Female Description: This 27-year-old, who is 5’5″ tall and weighs 140lbs, wished to increase her breast size as well as improve the appearance of her breasts with a breast lift. She underwent a bilateral breast augmentation using 350cc moderate saline implants filled to 400cc as well as a periareolar breast lift. Her post-operative photos are taken 39 months after surgery.

Performed by: Dr. Jonathan Jacobs Gender: Female Description: This 25-year-old was concerned with change after pregnancy. Breast volume and lost of shape at the waist were addressed concurrently. 330 cc saline implants were placed through a periareolar incision into a submuscular pocket. Bilateral waist suction lipectomy was carried out, removing 200 cc of fatty tissue from each side. The post-operative result is shown at three months.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 32 year-old lady was concerned with the lack of fullness and projection of her breasts. She underwent breast augmentation (augmentation mammoplasty) with 375 cc moderate plus smooth round saline implants filled to 450 cc. The implants were placed beneath the muscle through incisions beneath the nipple.

Performed by: Dr. Jonathan S. Jacobs Gender: Female Description: This 33 year old is seen for breast augmentation. In order to maintain her desired breast shape and projection, a 350 cc smooth round high profile implant was used. It was placed through an inframammory fold incision which is barely visible 3 months post operatively.

Performed by: Dr. Michael J. Denk Gender: Female Description: This 39-year-old female underwent a previous breast lift and wished to add more volume to her breasts as well as improve the shape. She underwent a breast augmentation using 400cc high-profile silicone gel implants that were placed under the muscle. She also had a scar revision procedure to improve the appearance of scarring from her previous breast lift. The post-operative photos are taken 5 months after surgery.

Performed by: Dr. Jonathan S. Jacobs Gender: Female Description: This 33 year old female noted significant breast changes after two pregnancies. 330 cc saline implants filled to 360 cc’s on both sides were placed in a submuscular position to correct those changes.

Performed by: Dr. Michael J. Denk Gender: Female Description: This 26-year-old female wore a 34A and wished to enlarge her breasts to a “large C”. She underwent a bilateral breast augmentation using 325cc moderate plus saline implants filled to 390cc. The post-operative photos are taken 1 year after surgery.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 22 year old was unhappy with the size and appearance of her breasts and decided to have a breast augmentation. The result was accomplished with 325-390 cc moderate plus saline implant filled to 375 cc on the right and left through a periareolar incision.

Performed by: Dr. Jonathan S. Jacobs Gender: Female Description: This 21 year old is seen with limited breast development. She is seen again 3 months after placement of subpectoral gel implants through an areolar incision site.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 24 year old was unhappy with her limited breast size. She underwent a submuscular breast augmentation with a 350 cc high profile silicone gel implants through an incision beneath the nipple.

Performed by: Dr. Jonathan S. Jacobs Gender: Female Description:

Performed by: Dr. Michael J. Denk Gender: Female Description: This 25-year-old female presented with a previous breast augmentation done outside of the practice. She wanted to correct the poor positioning and shape of the previous procedure.To address the positioning problem, she underwent a breast implant revision with 450cc moderate plus silicone gel implants. She is seen nearly 1 year after the revision and is very pleased with her results.

Performed by: Dr. Jonathan S. Jacobs Gender: Female Description: This 39 year old underwent breast augmentation. She is a body builder and the initial procedure yielded the appearance of a severe “double bubble” from an actual pectoralis contraction over the implants. Repair included revising the position of the implants above the muscle.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 44 year-old female wished to correct the droop of her breasts. She achieved this by undergoing a vertical breast lift. The photos are take 6 months after the surgery with the expectation that scars will fade over the next 18 months.

Performed by: Dr. Jonathan S. Jacobs Gender: Female Description: This 29-year-old suffered breast convolution after pregnancies. She is seen after subpectoral breast augmentation with a vertical mastopexy (breast lift).

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 45 year old presented with concerns of inadequate breast size and drooping that affected her self-esteem. A breast lift (bilateral vertical mastopexy) was performed to correct the drooping. She also underwent a subpectoral breast augmentation with 325 cc smooth moderate profile saline implants filled to 390 cc on both the left and right side.

Performed by: Dr. Michael J. Denk Gender: Female Description: This 28 year old woman complained of developing drooping breasts following childbirth. She is 5’9″ and weighs 135lbs. Breast augmentation with saline moderate plus 175cc implants filled to 210cc. A vertical mastopexy (breast lift) improved her shape and provided additional fullness.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 5′ 10″, 160-pound, 39 year old lady had a vertical breast lift to improve the appearance of her breast.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 27 year-old female was unhappy with her large breast size. She is 5’0″ tall and weighs 158 pounds. A breast reduction was performed to address her concerns and she is very pleased with her results.

Performed by: Dr. Jonathan S. Jacobs Gender: Female Description: This 32 year old is seen with large, ptotic breasts after weight gain and pregnancy. The areolae have become markedly large. A bilateral reduction with removal of approximately one pound of breast tissue from each side has corrected her appearance and helped her discomfort.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 22 year old young lady is 5’2″ and weighed 105lbs. She complained of upper back pain, shoulder discomfort and difficulty finding clothes that fit properly. She underwent a small breast reduction.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 5 foot, 125-pound, 47 year old lady underwent breast reduction surgery. 225 grams were removed from each breast.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 5′ 8″, 155-pound, 39 year old lady had a breast reduction surgery. 316 grams was removed from the right breast and 334 grams from the left breast.

Performed by: Jonathan S. Jacobs Gender: Female Description: This 30-year-old suffered from shoulder grooving as well as back and neck pain. A breast reduction, removing three pounds from the right breast and four pounds from the left, has relieved her symptoms. She is seen again 2 months post-operatively.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 44 year-old female was unhappy with the fullness to her abdomen. A standard abdominoplasty was performed. Liposuction to the hips helped give her better contour.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 5’5″, 146 pound, 40 year old lady lost a large amount of weight and underwent an abdominoplasty. Liposuction of 500-cc of fatty tissue from the right and left hips was performed as well.

Performed by: Associates in Plastic Surgery Gender:Female Description:

Performed by: Dr. John S. Alspaugh Gender:Female Description: This 5’3″, 169 pound, 42 year old lady presented with redundant lower abdominal tissue. This was corrected with an extended abdominoplasty. Removal of 650-cc of fatty tissue with liposuction from the right and left hips was performed to achieve this result.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 5’5”, 140-pound, 33- year-old lady presented with redundant lower abdominal tissue. This was corrected with an extended abdominoplasty. Removal of 2105-cc of fatty tissue from the both hips was performed using liposuction to achieve this result.

Performed by: Dr. Jonathan S. Jacobs Gender: Female Description: This 45 year old had undergone two c sections 15 years prior to her consultation. She pondered suction lipectomy for removal of this abdominal excess. She decided on formal abdominoplasty with muscle plication to yield optimal results.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 5’2”, 135-pound, 51 year old lady improved the appearance of her midsection with an abdominoplasty and liposuction to her hips and flanks.

Performed by: Associates in Plastic SurgeryGender: Female Description:

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 35 year old 5’4″, 150 lb mother of two was unhappy with the appearance of her abdomen. She underwent a skin-only abdominoplasty with liposuction of the abdomen, flanks and thighs.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 47 year old lady was unhappy with the appearance of her abdominal area. She is 5’4″ tall and weighed 200 lbs at the time of her surgery. She underwent a lipoabdominoplasty and liposuction of the hips and flanks.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 61-year-old female was unhappy with the appearance of her abdomen. An abdominoplasty was performed. Liposuction of the upper abdomen and hips helped decrease fullness and provide better contour.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 39 year old woman who is 5’4″ tall and weighs 154 lbs underwent a posterior body lift with augmentation of the buttock fullness with the tissue that would have been removed in order to improve the contour and projection of the buttocks. Liposuction of the was performed as well.

Performed by: Jonathan S. Jacobs Gender: Female Description: This 40-year-old desired buttocks augmentation. 4000cc of fat, suctioned from the arms, hips and flanks, which was out of proportion to her frame, was consolidated to 1000cc of fat for injection. 500cc was tunnelled to each side of her buttocks for enhancement. She is seen again 3 months afterward.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 36 year-old female was concerned with the excess skin and fat to her upper arms. She underwent a bilateral brachioplasty.

Performed by: Dr. Jonathan S. Jacobs Gender: Female Description: Brachioplasty.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 61 year-old woman was dissatisfied with the excess skin and fat to her upper arms. A bilateral brachioplasty was performed to improve the appearance of her arms.

Performed by: Dr. Jonathan S. Jacobs Gender: Female Description: This 60 year old is seen after 90 lbs weight loss following gastric bypass. Among other issues, she is left with bilateral bat wings, extra tissue of the upper arms. An open brachioplasty was done to remove the excess tissue. She is seen just 2 months after surgery with scars yet to fade.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 66 year old successfully lost 75 lbs with determination, diet and exercise. As a result of this profound weight loss, she presented with redundant skin in multiple areas, namely her arms and thighs. She underwent a bilateral brachioplasty (arm lift) to correct the excess skin of her upper arms.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 36 year-old woman presented with profound weight loss that allowed for her body contouring after massive weight loss procedures to be far less extensive. The loss of this weight left her with excess skin about her arms. She underwent an arm lift(bilateral brachioplasty) to correct this problem.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 66 year old successfully lost 75 lbs with determination, diet and exercise. As a result of this profound weight loss, she presented with redundant skin in multiple areas, namely her arms and thighs. She underwent a vertical thigh lift to correct this excess skin.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 46-year-old female was unhappy with the excess skin on her thighs after massive weight loss. A vertical thigh lift was performed.

Performed by: Dr. Michael J. Denk Gender: Female Description: This 41 year old female complained about the poor definition of her waist due to the unwanted fullness of her abdomen, hips and back. After having liposuction of these areas, she sees an “amazing” difference in her waist.

Performed by: Dr. John S. Alspaugh Gender: Female Description: This 33 year old complained of having saddle bags. She wished to improve the appearance of her outer thighs, which was achieved through liposuction. She is quite pleased with her results.

Performed by: Dr. John S. Alspaugh Gender: Male Description: This 24-year-old active, young man presented with complaints of breast tissue due to low testosterone levels. Gynecomastia, a condition of over-developed breasts in men, was corrected with liposuction and direct excision of breast tissue.

Performed by: Dr. Michael J. Denk Gender: Female Description: Botox.

Performed by: Dr Michael J. Denk Gender: Female Description: Botox.

Performed by: Dr. Michael Denk Gender: Female Description: This 46 year-old female complained about the aged appearance of her hands, specifically how her skin looked. She was troubled because she could see the outline of her tendons through her skin. Fat was removed from her waistline, processed, and carefully injected into the back of both hands and wrists. Her results 6-months post-operatively demonstrate improved contour, fullness and a more youthful skin texture.

Performed by: Dr. Michael Denk Gender: Female Description: A filler was used to reduce the appearance of dark circles under the eye and to improve the appearance of under eye “bags”.

Performed by: Dr. Michael Denk Gender: Female Description: A filler was used to reduce the appearance of dark circles under the eye and to improve the appearance of under eye “bags”.