Frank Agullo, MDBoard Certified Plastic Surgeon

Fact or Myth – The Fallacies Behind Facial Procedures

Category: Fillers

Fact or Myth – The Fallacies Behind Facial Procedures

Facelift Before and After PhotosFor every facial procedure, there seem to be three or more corresponding myths. Misconceptions may be the reason you won’t get a facial procedure or the reason you won’t get the results you want. Here are some of the most common myths and truths about facial procedures.

Myth: Everyone ages the same way.

Research has shown that not all individuals age the same way. A study showed that even identical twins age differently based on lifestyle factors. You should discuss your personal situation with your plastic surgeon to determine the best course of treatment for you.

Myth: Facial fillers and BOTOX® Cosmetic are just as effective as facelift surgery.

Facial fillers and BOTOX® Cosmetic can significantly enhance your appearance, but they cannot compare to facelift surgery, especially after a certain age. These treatments create the appearance of a lift and fewer wrinkles, but a facelift surgically lifts and tightens the underlying facial tissues for more permanent and dramatic results. Unlike injectables, facelift surgery offers long-lasting results and a solution for skin laxity. Some patients may benefit from receiving both types of treatment for facial rejuvenation.

Myth: To improve your profile, you should undergo rhinoplasty.

Rhinoplasty may be the answer for some individuals, but it is not right for everyone. For example, some patients who are dissatisfied with their profiles already have a well-balanced nose, but they have a small chin. Depending on your needs, chin surgery could be a more appropriate way to enhance a weak profile.

Myth: It doesn’t matter where you go for BOTOX® Cosmetic treatments.

Patients who receive BOTOX® Cosmetic treatments at discounted rate run the risk of having received a diluted form of BOTOX® Cosmetic or something else entirely. They also risk that their treatment may be performed by individuals who are not properly trained. To get reliable, high-quality results, only undergo BOTOX® Cosmetic treatments with a plastic surgeon or a trained expert nurse injector.

Myth: It doesn’t matter which filler you choose because they all do the same thing.

Each facial filler works in a different way and is comprised of a different substance or concentration. Some are better for lip enhancement, others are better for cheek volume, and still others are better for around the eyes or mouth. Most patients should receive a combination of fillers on different areas of their faces to get the best results.

Myth: Age-related fat loss in the face and neck makes you look younger.

The truth is that age-related fat loss in the face and neck makes you look older. Newer facial procedures such as fat injections can restore youthful softness to the face.

Myth: A facelift can get rid of sagging brows and forehead wrinkles.

Contrary to belief, facelift surgery does not target the upper face. Rather, it rejuvenates the middle and lower regions of the face. To target the brow area, you may need to undergo brow lift surgery.

Myth: BOTOX® Cosmetic and facial fillers are only for women.

More and more men are undergoing facial treatments. In fact, according to the American Society for Aesthetic Plastic Surgery, men underwent over 600,000 facial injectables treatments in the U.S. in 2015.

Myth: Facelift surgery gives you a windswept appearance.

This used to be true with older facelift techniques or amateur surgeons. Now, facelift surgery can restore a naturally youthful appearance so that you do not look “operated on.”

Myth: BOTOX® Cosmetic gives you a frozen appearance.

When administered properly, BOTOX® Cosmetic only “freezes” the muscles that cause wrinkles. You should be able to make normal facial expressions with fewer wrinkles and without any sign of a frozen appearance. It is essential that you choose an expert plastic surgeon so that BOTOX® Cosmetic is safely, carefully, and strategically administered.

If you are interested in learning more about facial procedures, schedule your consultation with board-certified plastic surgeon Dr. Frank Agullo. To book your appointment, call our office at (915) 590-7900 or complete our online contact form today.

What’s Your Jaw Saying Behind Your Back?

Society judges a person mostly by their face and body language. Do their eyes scream, “Trust me!” or do they shift around creating a feeling of unease and distrust? A wide, bright smile states, “Come talk to me,” while pursed lips might as well be a “stay away” sign. So what is the jawline trying to say?

Strong chins with a defined jawline are often associated with dominance and power. People with strong jaws are often assumed to have assertive personalities, are seen as successful, and are commonly considered to be more attractive. On the other hand, weak jaws are associated with people who are timid and easily controlled.

Screen Shot 2015-01-14 at 3.35.54 PMWhat’s Your Jaw Saying About You… in the Boardroom?

Having a strong facial appearance contributes to a dominant presence in the business world. When a person is perceived as assertive and powerful, they are often shown respect and command people’s attention. But success isn’t simply what other people think, its what you think about yourself. A strong jawline makes people feel more attractive, which in turn makes them more confident. Confidence is key in a business environment where you need to be sure of yourself and your ideas. Looking great and feeling powerful will cause others to see you as a force to be reckoned with.

What’s Your Jaw Saying About You… in the Bedroom?

A Ruggedly handsome manLike in business, people are attracted to power in their personal lives, and power is often a result of self-confidence. People generally look for a mate that is in control and who has a dominant personality. Women are commonly attracted to men with a rugged handsomeness, and a strong jawline is a contributing factor to a rugged facial appearance. This isn’t just because some women love a full lumberjack beard, it actually has a lot to do with biology. A strong jawline is indicative of high testosterone levels. Testosterone levels are what women are actually attracted to, they just don’t realize it. Subconsciously, the primal part of a woman is looking for a mate with dominant reproductive capabilities. So when a woman sees a man with a good jawline, she says he’s handsome while her brain says he has good genetic material.

How to Change the Conversation

You’re not doomed to be a passive nobody if you have a weak or undefined jawline. With chin augmentation, you can give yourself a jawline that not only exudes power but also makes you feel confident in the process. There are two options for chin augmentation: fillers or an implant.


Fillers are administered with a non-surgical injection to the chin and help provide definition and shape to the jawline. Fillers are biodegradable, which the body will absorb over time, so repeat treatments will be needed to maintain results.

Chin Implant:

Chin augmentation with an implant does involve surgery, during which Dr. Agullo inserts a silicone implant or a Medpor implant (made of a biocompatible material) into a pocket he has created in the chin.

Why Use Implants?

Even though filler injections are quick and easy, they aren’t a long-term solution to jawline problems. Additional fillers will need to be injected for touch-ups over the years. Implants, on the other hand, are long lasting and permanent. Even though most people want to avoid surgery, the time and money saved in the long run is worth it.

The other benefit of an implant is that it is hand sculpted by Dr. Agullo, which provides a unique and perfectly tailored jawline for the patient.

This procedure, while longer than filler injections, takes less than an hour to complete (unless accompanied by other procedures).

Choose Dr. Frank Agullo

Dr. Frank Agullo is double board certified in both plastic surgery and general surgery. He specializes in facial cosmetic surgery. This qualifies him to perform anything from a simple augmentation to a complex facial reconstruction. It’s this skill that allows him to expertly craft and sculpt the perfect chin for you.

Call today to start the conversation with Dr. Agullo aboutt giving you a stronger, more confident chin. For the El Paso office contact (951) 590-7900 or contact him online. For the Las Cruces office contact (575) 520-5041 or contact him online.




Finally – An Answer to Hollow Cheeks

a cropped version of previous photoWhen it comes to the aging process, hollowed or sunken-in cheeks rank right up there with turkey necks and droopy eyebrows.  Fortunately there is now a simple way to instantly add volume to the cheek area – and without the time and expense of surgery!

Juvederm Voluma XC, the first and only Hyaluronic Acid (HA) filler approved by the FDA to address this issue, is an injectable gel that subtly lifts and contours your cheeks to help you recapture your youthful profile.  Hyaluronic Acid is a natural anti-aging substance in the body that supports cell growth and repair.  As we age, the body reduces its production of this precious material.  Used cosmetically by an experienced physician, HA builds up collagen in the cell tissues and helps the skin retain water, temporarily plumping up the skin and smoothing out wrinkles.

 What Results Can I Expect?

When used optimally, Juvederm Voluma XC has been clinically proven to last up to two years.

 Are There Any Side Effects?

Side effects are moderate and can include itching, tenderness, firmness, swelling, bruising, pain, redness, and lumps or bumps at the site of injection.  These reactions are temporary and generally disappear within two to four weeks.  Most patients are able to resume their normal activities 24 hours after receiving the injection.

Dr. Agullo can help you restore your cheeks to their more youthful appearance.  To find out more and schedule a consultation, please contact Southwest Plastic Surgery at (915) 590-7900.

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