Dermal Fillers And The 7 To 9 Point Facelift

Dermal Fillers And The 7 To 9 Point Facelift

By | Facelift New, Facelift
When patients notice sagging skin or facial wrinkles, the only solution that comes to mind may be a facelift. However, in recent years, new types of facial fillers have opened the doors to younger-looking, wrinkle-free skin. The fact that these changes can occur without undergoing surgery creates the opportunity for additional patients to seek improvements to these cosmetic issues.

What Are Dermal Fillers?

Injectors use dermal fillers to produce the effects of a facelift–lifting and smoothing the facial features–without surgery. These fillers usually contain hyaluronic acid. This substance is found organically in the body. In addition to collagen and elastin, hyaluronic acid acts as a skin rejuvenator, helping moisturize and restore.

Dermal Fillers For A Liquid Facelift

Depending on the areas that require treatment, injectors will use various fillers to accomplish the desired results. Some fillers are suited to the midface region, such as the cheeks and nasolabial folds, while others are better equipped to deal with aging and wrinkles in the chin and jaw. Let’s discuss fillers frequently used by injectors and the locations where they are most effective. Some of the most popular dermal fillers are those produced from the naturally occurring element called hyaluronic acid. This substance can enhance the face, decrease lines, and add volume and bounce to the skin. Hyaluronic acid serves these purposes in many areas and through many different products. Juvederm can create plump lips and less hollow-looking under eyes, while Restylane has several formulas that target areas like the cheeks and fine lines around the mouth. One option for a long-term filler is Sculptra. This acid-based medicine is a collagen producer that helps restore the appearance of the skin and brings back a youthful look and feel. Sculptra’s effects can last for several years after the initial treatment sessions. While dermal fillers are the star of the liquid facelift, injectors may also use Botox or other wrinkle relaxers such as Xeomin, Dysport, and Jeuveau. These neurotoxins temporarily affect the muscles, relaxing them so they produce less movement at the surface. This limitation allows the skin above these muscles to rest and lose the wrinkled texture gained by overuse. What Are The 7 To 9 Points Of A Dermal Filler Facelift? Depending on the gender of the patient, injectors will target the majority of the following points.
  • Cheeks
  • Upper & Lower Cheekbones 
  • Under Eyes Or Tear Troughs
  • Around The Eyes
  • Near The Temples
  • Chin
  • Jawline
  • Lips
  • Around The Mouth
Enhancing these points helps provide facial definition and shapes that flatter the patient. Qualified injectors can alter the liquid facelift to suit the patient. For example, men often wish to concentrate on enhancements to their masculine features, such as a well-defined jaw. Women prefer to focus on creating volume and lift in strategic areas like the cheeks to produce a classically feminine appearance. A master injector will be able to help patients showcase their best features.  

Are You Considering a Liquid Facelift

The 7 to 9 point facelift, also known as the liquid facelift, is a viable procedure for patients desiring quick and natural results. Injections of dermal fillers and wrinkle relaxers can produce stunning results without surgical intervention. The various choices of medicines and the specific areas they can target make this a highly customizable and personalized treatment option. Are you considering a facelift or a minimally invasive alternative? Call The Gallery of Cosmetic Surgery at (425) 775-3561 to schedule a consultation today.
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Is A Tummy Tuck Similar To A C-Section?

By | Tummy Tuck New, Abdominoplasty
Abdominal surgery can include various procedures. Some of these surgeries are medical, such as an appendectomy, hernia repair, or even a C-section. Cosmetic abdominal surgery usually refers to a tummy tuck, known as abdominoplasty. Women across the world undergo emergency and pre-planned C-sections to deliver babies. Some of these women have relatively easy recoveries, while others experience intense pain and discomfort for the first few days after delivery. Women considering a tummy tuck after having a C-section may wonder how the two procedures compare–especially when it comes to pain levels and recovery time. Let’s break down the details of each surgery to distinguish the differences.

Tummy Tuck Procedure And Recovery

A tummy tuck is the most popular cosmetic procedure to create a smooth, taut stomach. One of the top cosmetic surgeries in the world, this operation has seen many developments over the years. During this procedure, the surgeon can craft an aesthetically pleasing abdomen, tighten loose or stretched stomach muscles, and complete hernia repair when necessary. The surgeon begins the procedure by making an incision low on the stomach. After making the incision, the surgeon will remove tissue such as excess fat and skin from the abdomen. To achieve the tucked appearance, the surgeon will tighten the remaining skin and reposition the belly button to a more aesthetically pleasing location. During this surgery, the surgeon can repair abdominal muscles if they have stretched due to pregnancy or weight gain. Hernias that form in the abdomen can be uncomfortable and painful. Surgeons can repair these protrusions during a tummy tuck. Tummy tuck recovery is less intense than that of a C-section. There will still be pain and discomfort after surgery, especially if the patient has had muscle repair. Complete recovery occurs six to eight weeks after the procedure.

C-Section Procedure And Recovery

The primary purpose of a Cesarean section is to deliver a baby. If there are health concerns about the mother or baby during childbirth or if labor does not progress naturally, doctors will perform a C-section. For this operation, the surgeon makes an incision through seven layers of skin, tissue, muscle, and the uterus. After delivering the baby through these layers, cutting the umbilical cord, and removing the placenta, the surgeon closes the incisions. The initial C-section recovery period may be rougher than that of a tummy tuck due to the many layers of tissue involved. Pain should improve after a week. Patients usually recover from a C-section in a similar time frame to that of a tummy tuck–six to eight weeks.

Tummy Tuck versus C-Section

A tummy tuck and a C-section are both abdominal surgeries. Another similarity between the two is the incision location. Both procedures involve incisions placed low on the abdomen. If a patient has had a C-section, their surgeon will try to use the site for a tummy tuck incision to reduce or even repair scarring.


A C-section and a tummy tuck have similar recovery times and incision locations. While a tummy tuck and a C-section possess similarities, they are unique procedures that accomplish vastly different purposes. The Gallery of Cosmetic Surgery is here to help you accomplish your aesthetic goals. Call us at 425-775-3561 to learn more and schedule a consultation.
Breast Implant Sizes & Profile - Cosmetic Surgery for You

Are Breast Implant Sizes Customizable In 2024?

By | Breast Augmentation New
Breast augmentation ranks highly among the most popular cosmetic procedures. Breast implants are some of the most researched medical devices in existence. Technological advancements have led to increasingly safe implants. With these improvements comes the ability to customize breast augmentation. Patients can now choose implant type, shape, and size. They can also opt for different incision locations and methods of implant placement. The ability to customize most details of breast augmentation may partially explain its popularity. Another possibility is that a growing number of women pursue breast augmentation as a procedure to provide definition and femininity to their natural figures. This change shows the shift in the focus of breast implants. Their purpose is no longer to create volume and dramatically alter the appearance. Instead, more women see it as a way to add a more subtle enhancement to their figure while improving their self-confidence.

Current Size Options In 2024

Breast implants come in a range of sizes. Where profile is concerned–how far the implants extend from the chest–there are four options: low, moderate, high, and extra high. The next choice is how many cubic centimeters make up the volume of the implant. The usual sizes are 120cc to 800cc, though some cases require sizes outside this range.

Breast Implant Customization Options

Patients can choose the shape of their implants along with the size. Traditional implants have a round shape, creating equal volume at the top and bottom of the breast. Teardrop implants provide a more natural, subtle shape that starts narrow at the top and widens toward the base. These implants are anatomically correct and mimic the organic shape of the breast tissue. During a consultation, patients may be able to see the projected outcome of their procedure. Most plastic surgery offices provide patients with digitally altered images or 3D models, showing how their implant choices will impact their overall appearance.

Choosing Breast Implant Sizes: Medical Considerations

Breast implant sizes are about more than aesthetics. Surgeons recommend different implant sizes and profiles for each patient. These sizes depend on the patient’s chest width, weight, and height. Sizes too large can interfere with daily life and cause discomfort. An experienced surgeon will suggest sizes that produce a balanced, proportionate figure.

Advancements In Breast Implant Technology

There have been significant improvements to breast implant materials. These advancements in safety and efficacy have led to a procedure that produces better, more satisfying results. Patients are also less likely to experience adverse reactions or surgical complications. Surgeons can perform breast augmentation through a procedure designed to have as little impact on the body as possible. With these advancements, patient recovery times have improved significantly.

Patient Satisfaction And Breast Implant Customization

Allowing patients more control over their surgical decisions has proved to be beneficial to the success of breast augmentation. Patients who choose their implant sizes are less likely to seek revision surgery or express dissatisfaction with their results. These patients report an increase in self-esteem and overall confidence.


Advancements in breast implant technology have led to many choices regarding implant sizes. With options for the shape, material, and implant placement method, patients can customize much more than the size of their implants. The Gallery of Cosmetic Surgery offers patients various breast augmentation choices. Contact us today at 425-775-3561 to schedule a consultation.

What Happens If Breast Implants Aren’t Replaced?

By | Breast Augmentation, Breast Revision
Breast augmentation is a popular surgery for women who want to feel comfortable and confident in their bodies. The recent trends show patients have chosen appropriately sized breast implants that suit their frames and highlight the organic curves of their figures. There are many questions patients should ask before their breast augmentation. Most questions will primarily focus on the pre-operative process, the surgery, and the immediate aftermath. However, patients should inquire about the long-term conditions of the implants and possible revision surgery. Before patients decide to undergo plastic surgery, they want to know that it will be worth the time, effort, and expense they spend on the procedure. Questions for patients to ask their surgeon about their procedure include: How long will the surgical results last? Do the implants need to be replaced? Are there any risks associated with implants that remain in place for years? Do other options exist besides replacing the breast implants? Patients can trust a board-certified plastic surgeon to address these and other concerns.  

What Makes Implant Replacement Necessary?

These are a few conditions patients can develop that may require implant replacement. Capsular Contract Most cases of capsular contraction are mild and don’t require treatment. A scar tissue barrier that forms around the implants is natural and can be beneficial. If an individual is prone to scar tissue development, this can lead to thicker tissue that begins to harden and contract around the implants. Severe cases can cause the implants to feel overly firm and produce an unnatural look. Rupture/Leakage A patient with saline implants will likely notice a rupture or leak. Saline-filled implants will shrink if the interior fluid leaks, leading to a flat, deflated appearance. The sterile salt water at the core of these implants shouldn’t be a concern since the body can absorb and dispose of this solution. Leaks and ruptures of silicone gel-filled implants are more difficult to detect. Doctors recommend regular scans to ensure the implants are in good condition. If a leak does occur, the gel will likely hold its shape and cling to itself, preventing the silicone from seeping out of the chest. Change In Implant Position Or Shape Over time, breast implants can rotate or move in the chest. The shape of the implants can also alter. These changes can lead to a disproportionate or asymmetrical appearance.  

How Long Do Breast Implants Last?

The general belief is that breast implants will last for ten years. While this may be the average number of years patients have their implants before undergoing revision surgery to replace them, ten years doesn’t necessarily speak to the lifespan of the implants. Some patients have had their implants for twenty years or more. As long as the implants are in good condition and the patient isn’t experiencing any difficulties, the implants can remain in place.  

The Next Step: Breast Revision

Patients may choose to have revision breast surgery if they experience issues with their implants. During a revision procedure, the surgeon can remove and replace the implants with a similar size or larger ones. If the patient doesn’t want to replace the implants, they can choose to have a breast lift. This procedure will remove any skin stretched by the implants and tighten the remaining tissue. Revision procedures are excellent ways to regain the youthful, feminine figure the implants first produced.  


The lifespan of breast implants varies. Some patients may need replacement implants after ten years. Other patients have gone two decades with the same implants. If the patient doesn’t experience any issues, breast implants can remain in place for many years. If you’re interested in revision breast surgery or breast augmentation, the Gallery of Cosmetic Surgery can help. Call us at 425-775-3561 or fill out our online contact form to learn more about our procedures.
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How Long Does A Midface Lift Last?

By | Facelift New
A midface or cheek lift targets the midface region by lifting and tightening the skin around the cheeks and eyes. It can significantly impact the face and help you rejuvenate your complexion. However, many wonder if the results are worth the surgery, so how long does a midface lift last?  A midface lift is a comprehensive surgery that can rejuvenate and transform the cheeks and skin around the eyes. For many people, age has a harsh effect on the midface, as loss of collagen can cause the skin around the cheeks and eyes to droop. A midface lift corrects this sagging skin and rejuvenates one’s appearance.   If you’re wondering if a midface lift is worth the process, a midface lift can last ten years or longer and prevent severe signs of aging. Most patients feel that a midface lift is worth the process and are extremely satisfied with their results.  The best way to ensure your midface lift lasts for years is to use an experienced and knowledgeable provider. At The Gallery Of Cosmetic Surgery, Dr. Jonov is a dedicated cosmetic surgeon with decades of expertise. He provides the leading midface lifts for every patient.  To learn more and schedule a consultation with Dr. Jonov, call us at 425-775-3561. You can also reach us online via our Price Simulator.
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Is It Better To Inject Mounjaro In Stomach Or Thigh?

By | Weight Loss
Mounjaro Bellevue—also called tirzepatide—is an injectable medication that can help patients lose and manage weight. It is a second generation of semaglutide weight loss injections that may offer better results and fewer side effects to some people. After receiving their prescription, patients generally learn to perform the injections themselves. Provided with three different possible injection locations—the upper arm, stomach, and thigh—patients frequently ask questions like, “Is it better to inject Mounjaro in stomach or thigh?  

How Mounjaro Works

When injected into the issue, Mounjaro mimics and intergrates with appetite and hunger hormones. This helps reduce cravings, hunger, and how much a person eats. This helps promote weight loss. Though, it is best used in conjunction with diet and exercise.    The medication is injected into one of the three aforementioned areas because they tend to have a good amount of fat and/or tissue where the medication can quickly and easy reach the bloodstream. Additionally, the upper arm, stomach, and thigh are very vascular which makes them ideal for injectable medications meant to work quickly.  

Is One Area Better?

No, injecting Mounjaro Bellevue into the upper arm, thigh, or stomach will all provide equally effective results. However, it is recommended that patients rotate the area they inject during each weekly injection. This has nothing to do with the efficacy of the medication. Rather, it helps reduce skin irritation and give the most recently injected area time to heal. This also prevents infections, rashes, or further skin lesions due to continuous injection in the same area.  

How Does This Compare To Similar Medications?

The instructions for injecting Ozempic—or semaglutide—are the same. While the injections are shallow and only use a small needle, injecting in the same area week after week may cause irritation or infection. To avoid this, The Gallery of Cosmetic Surgery’s providers recommend rotating areas in three week cycles. Therefore, for the three injections in a three week period, they would all be in a different location.  

Does Mounjaro Target The Areas It’s Injected In?

  No, weight loss occurs all over the body and cannot happen in a localized manner with Mounjaro or Ozempic. These areas serve as ways for the medication to reach where it needs to be quickly. Now, with weight loss, patients are likely to see the stomach, thighs, and arms get smaller,  but this is due to the overall affect of the medication and not because those are the specific areas injected.  


There is not one of the three tirzepatide injection sites that is better than the areas. The medication itself simply relies on a vascular and fatty areas to be effective. Once prescribed Mounjaro Bellevue, a provider will instruct you how to inject it correctly and safely. Most patients have no issues, but we do offer in-office injections for local patients.   To learn more and schedule a semaglutide weight loss or Mounjaro consultation, call us at 425-775-3561. Patients can also reach out online via chat, contact form, or Price Simulator. Initial consultations—both in person and virtual—can be made through our online booking portal.
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Can Buccal Fat Grow Back?

By | Buccal Fat Removal
Buccal fat pads lie in the middle region of the cheek and provide a natural contour to the facial structure. However, some are genetically inclined to excess buccal fat, creating a rounder face with little contour. Buccal fat removal is a cosmetic surgery that eliminates excess buccal fat and can provide a stunning facial profile. However, those considering the procedure often wonder if buccal fat can grow back.  Fat cells eliminated from a target area cannot grow back, meaning buccal fat removal is often a permanent solution to excess buccal fat. However, weight fluctuation and gain can cause fat to expand, which can cause existing fat cells to grow and fill out the face. Although, if this occurs, it is unlikely to be as significant as before the surgery. Buccal fat pads do not grow back, so it’s essential to ensure that your face is done thinning out before undergoing the procedure. At the Gallery of Cosmetic Surgery, your provider can help every patient find the perfect treatment to provide a stunning contour and facial profile.  To learn more and schedule a consultation, call us at 425-775-3561. You can also reach us online via our Price Simulator.    
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Professional Techniques: How to Find the Best Place To Inject Mounjaro For Weight Loss

By | Weight Loss
Weight loss has been a constant topic of discussion among society for many decades. With many searching for an effective method to lose weight and keep it off, fad diets, harmful workout programs, and unhealthy mindsets have become abundant. Diet culture can be toxic and harmful to many people, not to mention its lack of effectiveness. Finding the correct diet and exercise tailored to your body’s genetics and makeup can be extremely challenging.    The rise of weight loss medications like Mounjaro has created a healthier, more straightforward path to shedding weight and living a healthy life. However, these medications are often self-injected, which can cause some worry among potential patients. This guide will show you the best places for Mounjaro Bellevue injections that provide the best results.

Ideal Injection Sites 

Mounjaro is an FDA-approved market name for tripeptide-based medications, which help curb the appetite and promote healthy habits. However, when a patient is prescribed Mounjaro for weight loss, the medication is often self-injected, creating many questions for patients. There are a few optimal locations for Mounjaro injections that optimize the medication.   
  • Stomach: An ideal location for Tirzepatide Bellevue injections is the abdominal region. Fat tends to collect in this area, making the injections more comfortable for many patients. However, you should avoid the area around the belly button and focus on areas with higher fat content. 
  • Thighs: The thighs are an ideal location due to the stubborn fat pockets that can accumulate and the sheer mass of the location. There is plenty of surface area to rotate the injection location. 
  • Upper Arms: The upper arms provide an added muscle and fat wall that helps the injection enter the body smoothly. Rotating between each arm in different spots is ideal. 

Rotating The Injections 

For all weight loss medications, including tirzepatide and semaglutide weight loss, rotating the injection site is an essential step in the treatment process. Because Mounjaro is a thicker medication that can cause discomfort, the skin can become bruised or irritated with overuse. This can lead to the build-up of scar tissue, which can interfere with the medication’s practical use.    Because Mounjaro Bellevue is injected weekly, rotating between each location and around different areas helps minimize the risk of scar tissue, bruising, and irritation. Additionally, finding a provider to walk you through the injection process is crucial to ensure your comfort and safety before beginning treatment. 

Mounjaro Injection Timing 

Patients on tirzepatide treatment plans should inject the medication on the same day and time every week. It does not matter what exact day or time you choose, just that you remain consistent with the injections. 


With the right providers, Mounjaro injections don’t have to be as worrisome as they seem. The Gallery of Cosmetic Surgery offers every patient the leading Mounjaro Bellevue weight loss plan. Through dedicated weight loss providers, personalized doses, and monthly check-ins, patients find all the tools they need to create an improved and healthy life.

How To Inject Semaglutide For Weight Loss

By | Weight Loss, Body
Semaglutide injections are an effective way to lose weight. The medication was FDA-approved for weight loss and weight management earlier this year. The medication requires that patients undergo weekly injections. Most people give themselves the injections at home; however, patients can also come into the office for the injections. Giving yourself injections can sound daunting, but it is something that many people do every day.  

Injecting Semaglutide Weight Loss Medication

  Semaglutide may come in either an injectable pen form or a traditional syringe. This ultimately depends on several factors, but both can be safely self-administered at home. When prescribed the medication, the patient’s provider will also demonstrate the right injection technique.  

Injectable Pen

  To inject semaglutide with an injectable pen, patients will first select the injection site. Semaglutide injections should be in the upper arm, stomach, or thigh. Additionally, patients should rotate these locations for each weekly injection. Next, patients should use an alcohol wipe to disinfect the injection site.   Then, holding the pen firmly in their hand, they press it into the injection site. The patient never sees the needle this way, similar to injecting an Epi-pen.  


  A traditional syringe injection of semaglutide may require drawing medication up from a vial, or it may come pre-loaded in the syringe. Regardless, the injection process is similar following that initial step. Patients disinfect the area and should pinch the skin lightly. Then, carefully placing the needle underneath the skin, patients then push down the syringe and pull it out.  

Tips For Injecting Semaglutide For Weight Loss

  • Set a schedule and perform the weekly semaglutide injections on the same day of the week at roughly the same time.
  • Inject two inches from the belly button on either side when injecting into the stomach. This area tends to hold more fat and be a less painful place to inject into the stomach.
  • Know that there is little pain overall when it comes to subcutaneous injections. These injections reach just below the skin and require a tiny needle in comparison to other injections you may have received. This is why certain injection sites are preferred and easier to inject into.
  • Rotating the injection site every week prevents skin irritation. This is especially important for patients who may have certain skin conditions. While patients are unlikely to experience major swelling following their injections, injecting semaglutide weight loss medication into the same place week after week would become painful, uncomfortable, and more likely to be injected.

Semaglutide Weight Loss Injections

  Semaglutide weight loss injections brands, known as Ozempic and Wegovy, offer patients the freedom to take charge of their own weight loss journey in a way that is encouraging and prevents setbacks. If a patient has significant weight to lose, the semaglutide injections should not deter them. For most patients, it tends to become routine after a while.   To learn more and schedule a free semaglutide weight loss consultation, call us at 425-775-3561. Patients can also reach out and schedule online via chat, contact form, Price Simulator, or our online booking system.
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How Long Does It Take For Botox To Stop Migraines?

By | Botox New, BOTOX®
Botox has many incredible uses aside from anti-aging. It can help prevent excessive sweating, promote TMJ healing, muscle spasms, and more. One of the top medicinal uses of Botox is its effectiveness in treating migraines. However, many patients worry that Botox won’t work for their migraines and wonder how long it takes to stop them.  Botox is one of the most effective treatments for migraines because it reduces muscle spasms and chemical reactions in the nervous system. While it does not eliminate migraines, it successfully lowers their frequency. However, it usually takes two injection sessions before a patient begins to see the results. The treatments are spaced twelve weeks apart, so if you are not seeing results after the first round of injections, don’t worry. This doesn’t mean the treatment isn’t working. It just needs time to build up in the system. Patients will need maintenance treatments every twelve weeks to continue to experience the benefits of Botox injections. The providers at The Gallery of Cosmetic Surgery understand the best ways and methods to administer Botox for migraines. They help patients through every step of the process and work to provide the best results.  To learn more and schedule a consultation with Dr. Jonov, call us at 425-775-3561. You can also reach us online via our Price Simulator.