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Dr. Spence specializes in revisionary facial plastic surgery and he is seeing a dramatic increase in the number of patients coming to him with facial deformities, serious infections, and in some cases irreversible damage after being injected with bootleg "Botox" and folly (illegal) fillers. More and more people are being lured into clandestine hotels, 'spas' and people's homes, no questions asked,…

More often than not, when patients hear Dr. Spence say the word 'facelift,' I see an immediate change in their posture and a grimace come across their faces.  This is because the traditional facelift done years ago typically resulted in a 'windblown' or 'pulled back,' unnatural look which is definitely NOT a desired look for most patients and it certainly is not a look Dr. Spence wishes to deliver.…

The answer is...it depends.   It depends on the person, the timing, the doctor, and the procedure.  The possibility of being able to breast feed after cosmetic breast surgery is correlated to a number of variable.  It is…

Keloids

Why the Keloid Clinics of Hillcrest Dermatology and Plastic Surgery? We at the Keloid Clinics at Hillcrest Dermatology and Plastic Surgery have a strong interest in the treatment and care of keloids. We have a unique practice of plastic surgeons and dermatologists who together coordinate care in the various treatment modalities.   We are the only…

TCA CROSS (Trichloroacetic Chemical Resurfacing of Skin Scars) treatment is proving to be highly effective for the treatment of acne scars.  For best results, the treatment should be done once a month for about 4 to 6 months by a board certified plastic surgeon and should be accompanied by a medical grade skincare regimen.

The procedure is done right in the office in about an hour and requires…

Surgery after extreme weight loss for the removal of excess sagging skin is usually inevitable.  That's why it is so important for you to understand what your insurance does and does not cover.  Many patients believe the results a procedure that is 'covered by their insurance' will be the same result as paying out-of-pocket for plastic surgery. This could not be further from the truth.

Insurance…

We understand just how nerve wrecking the diagnosis of skin cancer can be and how devastating the prognosis is when left untreated.

Before the combination of Mohs surgery, superficial radiotherapy, and reconstructive surgical interventions, the removal of cancers in sensitive areas such as the eyelids, nose, hands, face and neck meant being left with disfiguring scars. What makes this collaborative…

All moisturizers are not created equal.  Humectants, such as Hydrating Serum by Revision, are able to pull moisture into the skin to ad to your skins current moisture content while emollients, like Bionic Face Cream by NeoStrata, are great at providing a protective barrier to hold your skins moisture in (the most common of which is petrolatum). Find out which moisturizer is best for your skin by…

Facial rejuvenation procedures are not 'one size fits all.'  If you are considering cosmetic surgery it is crucial to choose a Plastic Surgeon who recommends and performs the right procedures on the right people. In other words, if you are 40 years old, have tight skin, and wish to look more refreshed, simply adding volume to your face with fillers,…

Facial rejuvenation procedures are not ‘one size fits all.’ If you are considering cosmetic surgery it is crucial to choose a Plastic Surgeon who recommends and performs the right procedures on the right people. In other words, if you are 40 years old, have tight skin, and wish to look more refreshed, simply adding volume to your face with fillers, softening wrinkles with…