Facial Surgery - Hillcrest Plastic Surgery Orlando, FL "Voted Best Plastic Surgeon in Orlando"
by Orlando Magazine 6 years in a row

Facial Surgery

Aesthetic Plastic Surgery

At Hillcrest Plastic Surgery in Orlando, facial plastic surgery specialist Dr. Kenrick Spence offers innovative procedures that are customized to help you look naturally younger and more beautiful. Dr. Spence combines his years of extensive experience with his innate aesthetic awareness to help you achieve your full potential.

With a unique approach to achieving the exquisite results you want, Dr. Spence performs a full range of facial plastic surgery procedures. To learn more, visit the following pages:

A picture is worth a thousand words – and our Photo Gallery shows the beautiful results that Dr. Spence has achieved for thousands of other men and women at his cosmetic surgery practice.

To learn more about facial plastic surgery in Orlando, request a consultation at Hillcrest Plastic Surgery today. Or, you can give us a call at (407) 999-2585, and one of our knowledgeable staff members will be happy to help you.

Facial Surgery Frequently Asked Questions (FAQ)

Face Lift

When should I have a facelift?

You should consider a face lift in Orlando when what you see in the mirror does not match what you feel on the inside, when your support structure is in place to facilitate a comfortable recovery, when you have found a surgeon whose work you are comfortable with, and when you are confident you are doing this for yourself and not to please others. There is no "correct" age, and if you are not ready for a facelift, there are other methods to rejuvenate your face such as chemical peels, injectable fillers, microdermabrasion, lasers, and BOTOX® Cosmetic.

What are the elements of a natural face lift?

The elements of a natural face lift include smooth, toned skin that reflects light, volume restored to the cheeks and temples, a sharp jaw line and neck, soft nasolabial folds, and absence of deep furrows and lines.

How do I choose my face lift surgeon?

Ensure that your facial plastic surgeon in Orlando is board certified, specialized in the procedure you are considering, a member of plastic surgery societies, and is able to show you plenty of before and after photographs.

Will a facelift address my drooping brow?

No. A brow lift is often combined with a facelift to address drooping brows and excess upper lid skin.

My skin has sun damage. Is it wise to have a facelift?

Sun damaged skin should be conditioned first because improvement in skin tone and texture prior to undergoing a facelift helps to achieve maximum benefits.

What does a lower facelift do?

Lower facelifts address signs of aging in the neck such as lax neck skin jowling at the jaw line and drooping cheeks.

What is a mid-facelift?

A mid-facelift essentially lifts the cheeks, blending the junction between the lower eyelids and the middle of the face, while improving the deep folds in the middle of the face.

The rest of my face appears young but I have aging skin on my neck with fat; what can be done for this?

A neck lift works well to correct the effects of an aging neck. This is done in conjunction with liposuction of the neck to remove the excess fat. The scars from the neck lift are hidden behind the ears.

What do you mean by prepping the skin for a facelift?

This is done with a number of topical agents designed to exfoliate the skin, to mention a few: Tretenoin, Hydroquinone, Alpha Hydroxy acids, and Vitamin C. These are physician prescribed agents and should only be used under the close supervision of your plastic surgeon.

I would like to have a facelift but I am afraid of looking pulled; what should I do?

In Orlando, a face lift from a skilled surgeon like Dr. Spence should not result in a pulled look, as the SMAS (underlying muscle tissues of the face) is the essence of creating a youthful look by repositioning the tissues that have fallen. A youthful look is not created by pulling the skin tight.

How can I maintain the results of my face lift in Orlando?

Dr. Spence believes that surgery for a natural face lift is only part of the process, which is why his face lift patients see him as part of their total facial aesthetic care. Dr. Spence is intimately involved in designing facial age management protocols, including detailed management of their skin care and non-invasive resurfacing techniques to maintain a youthful look. After surgery, you'll need to minimize sun exposure, use sun block liberally, and follow Dr. Spence's recommended skin care program.

As I have aged my face seems to have lost a lot of fat; why is this?

Part of aging of the face is the loss of facial fat. This is restored by fat injections during the component facelift.

What can be done about the lines around my mouth, which causes my lipstick to run?

These lines can be resurfaced, e.g. with dermabrasion, or they may be filled out, for example, with fat.

Where are the scars from a mid-facelift?

The scars for a mid-facelift can be hidden in the hairline of the temple or hidden in a wrinkle on the lower eyelid.

I like wearing my hair up and I am afraid that I will not be able to do so after my facelift; will I still be able to wear my hair up and not have scars show?

For patients that wear their hair up, the facelift scars can be taken into the scalp where they can be well hidden as opposed to along the hairline.

The responses to Frequently Asked Questions listed here are not intended to be medical advice, but are the practice of Dr. Spence and will vary from surgeon to surgeon and patient to patient.

« Back to Face Lift

Dr. Spence will be happy to discuss how a facelift in Orlando may benefit you. To schedule a consultation with Dr. Spence at Hillcrest Plastic Surgery, call 407-999-2585 or request a consultation online.

Brow Lift Frequently Asked Questions (FAQ)

Brow Lift

Will a brow lift get rid of the deep lines between my eyes when I knit my brows?

Yes, during a brow lift the muscles pulling down the brows that create the deep lines can be released, causing the lines to become less obvious. Permanent creases existing in that area may not go away. BOTOX® Cosmetic along with the use of a filler, such as Restylane (hyaluronic acid) or fat, can be used to treat these deep lines. In some skin types dermabrasion or a chemical peel may also be used to improve these lines.

What will happen to the lines across my forehead after I have a brow lift?

Sometimes the central muscles of the forehead can be released to make these lines less prominent. More importantly, when the brows are repositioned the constant need to raise the brows will be diminished and the lines created by raising the brows will be less apparent.

Can I get rid of the lines around my eyes (crows feet)?

By opening up the eyes with a brow lift these lines become less apparent. One of the best tools for these lines is BOTOX® Cosmetic. The muscles that enable you to open and close your eyes cause these lines; they can be relaxed, but not completely removed.

The skin on my forehead is severely sun damaged; can this be taken care of during a brow lift?

Some surgeons will perform a resurfacing procedure to the skin of the forehead at the same time as a brow lift; this is dependant upon the depth of the resurfacing and the safety of combining the procedure. In Dr. Spence's practice, brow lift patients with sun damaged skin are placed on skin care products prior to surgery to improve their sun damaged skin.

I look tired because of my drooping brows and I think I need a brow lift, but I am afraid of losing the natural arch of my brows and having a startled look.

You are correct; lifting your drooping brows will help to correct your tired appearance. Dr. Spence asks his patients to bring a picture of the way that they looked 10 years prior to their consultation; this helps him understand their natural appearance of the brows before they descended. During surgery emphasis is placed on reserving the natural arch of the brows.

The responses to Frequently Asked Questions listed here are not intended to be medical advice, but are the practice of Dr. Spence and will vary from surgeon to surgeon and patient to patient.

To schedule a consultation with Dr. Spence at Hillcrest Plastic Surgery, call 407-999-2585 or request a consultation online.

Facial Surgery Frequently Asked Questions (FAQ)


I have been unable to breathe for years through my broken nose. Do I need Rhinoplasty?

This depends on the cause of your nasal obstruction. Very common with a broken nose is a deviated septum. A Septoplasty is actually what would improve breathing in this case, but it would not change the actual cosmetic appearance of your nose.

I have a large nose and a small chin. Can Rhinoplasty improve my appearance?

With any correction of the size of the nose, the appearance of the chin must be taken into account. Often times, a chin implant is used in conjunction with nasal work to achieve facial harmony.

I am dark skinned and thick skinned. I have been told that nothing can be done to change the shape of my nose. Is that true?

Thick skin does respond differently than thin skin. Because of this, reshaping must be approached differently. This does not, however, exclude you from having Rhinoplasty and achieving your goals.

The responses to Frequently Asked Questions listed here are not intended to be medical advice, but are the practice of Dr. Spence and will vary from surgeon to surgeon and patient to patient.

To schedule a consultation with Dr. Spence at Hillcrest Plastic Surgery, call 407-999-2585 or request a consultation online.

Patient Reviews

Hillcrest Plastic Surgery


Based on 28 reviews

Roxanne Jones

I love the office and staff here, They are always so friendly and pleasant. I love the different Promotion they offer for the holiday also the doctors are ausome the best that I have ever encounterd and I have had a few nits and tucks done here and there.

Jamie Chisolm

I have been a patient of Dr. Spence twice now. I didn't hesitate to contact him when I was ready to move forward with my adominoplasty. It has been a long and, at times, rough recovery but Dr. Spence and his staff have been right by my side every step of the way.

Connie Hansen

I have been a patient of Dr. Spence twice now. I love the results and thanks to him I feel great! Dr. Spence and his team are very friendly and professional, they make you feel right at home. I would definitely recommend all my friends and family.

The American Society of Plastic Surgeons The American Society for Aesthetic Plastic Surgery The American Association for Accreditation of Ambulatory Surgery Facilities, Inc. The American Board of Plastic Surgery, Inc.