Cosmetic surgery
Facial Cosmetic Surgery in Pasadena & Sherman Oaks
Facelift, neck lift, brow lift, eyelid surgery, fat transfer, and lip lift, each planned by Dr. Husam Elias, a triple board-certified facial cosmetic surgeon who understands the bone beneath your features and designs results that look refreshed, balanced, and entirely your own.
Facial Rejuvenation That Starts With Structure
Facial cosmetic surgery is a group of procedures that reposition, tighten, or restore the tissues of the face and neck to soften visible signs of aging and bring your features back into balance. At Cosmetic Doc, every facial plan begins with a question most practices skip: what is happening underneath? Aging is not only loose skin. Fat pads descend and thin, ligaments loosen, and the bones of the midface and jaw gradually lose projection, so the skin has less support to drape over.
Dr. Husam Elias is board certified in cosmetic surgery, facial cosmetic surgery, and oral and maxillofacial surgery, and much of his early career was spent operating on the facial skeleton. That training lets him see which changes come from soft tissue, which come from volume loss, and which come from bone, and then choose the procedure that addresses the real cause instead of pulling the skin tighter.
Who Facial Surgery Helps
Many patients come to us because they look tired or stern when they feel energetic, because jowls have blurred a once-crisp jawline, or because heavy lids and brows make them appear older than they are. Others want to refine a single feature, such as a long upper lip or prominent ears. Whatever brings you in, the goal is the same: you should look like yourself on a good day, not like someone who has had surgery.
Procedures
Facial Procedures We Offer
Each procedure below can stand on its own or be combined into a single, coordinated plan. Select a procedure to learn how Dr. Elias approaches it.
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Facelift
Repositions the deeper muscle and tissue layers of the lower face and jawline to correct jowls, deep folds, and sagging cheeks, with incisions placed to follow the natural contours around the ear.
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Neck Lift
Addresses loose neck skin, vertical bands, and fullness beneath the chin to restore a defined angle between the neck and jaw. Often paired with a facelift for a seamless transition.
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Brow Lift
Raises and reshapes low or heavy brows that cast a tired or angry look, and can reduce the hooding over the upper eyelids that descended brows often create.
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Eyelid Surgery
Upper and lower blepharoplasty removes or repositions excess skin and fat around the eyes to reduce hooding, puffiness, and under-eye bags while keeping the eye shape you were born with.
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Facial Fat Transfer
Uses your own purified fat to restore lost volume in the cheeks, temples, under-eye hollows, and jawline, adding soft, lasting fullness that complements lifting procedures.
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Lip Lift
Shortens a long space between the nose and upper lip to reveal more of the lip's natural color and shape, creating a more youthful mouth without relying on repeated filler.
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Facial Rejuvenation
A combined plan that pairs surgical lifting with non-surgical skin treatments, fillers, or neuromodulators so that structure, volume, and skin quality are each addressed in the right order.
More Facial Procedures at Cosmetic Doc
The procedures above are the ones patients ask about most, but they are not the whole picture. If you have had facial surgery before and are unhappy with the result, a secondary facelift or broader revisional facial surgery can correct pulled, flattened, or uneven features. A forehead lift smooths deep horizontal lines and can reset the position of your hairline, while otoplasty sets prominent ears closer to the head. For fuller, better-defined lips, lip augmentation is an option, and facial feminization and masculinization surgery reshapes both soft tissue and bone to align your face with your gender identity.
Combining Surgical and Non-Surgical Care
Surgery repositions tissue, but it does not change the texture or tone of your skin. That is why many of our most natural results combine a lift with non-surgical treatments such as resurfacing, radiofrequency skin tightening, hyaluronic acid fillers, or neuromodulators. Dr. Elias will explain which steps make sense before surgery, which can be done at the same time, and which are best saved for maintenance afterward.
When the concern is a weak chin, a flat midface, or an uneven jaw, soft-tissue surgery alone may fall short. Because Dr. Elias also performs skeletal procedures, he can recommend facial contouring or, when the answer lies in the bone, plan treatment through our maxillofacial surgery practice without sending you elsewhere.
Why Cosmetic Doc
What to Expect From Facial Surgery Here
The face is where subtle differences in judgment show most. These are the principles that guide every facial plan at our practice.
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Treat the True Cause
Dr. Elias identifies whether a concern stems from skin, fat, muscle, or bone, so you receive the procedure that corrects the problem instead of one that only masks it.
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Preserve Your Expression
Lifting deeper layers rather than stretching skin helps keep your smile, your eye shape, and the small expressions that make your face recognizably yours.
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Plan the Whole Face
A refreshed lower face can make untreated eyes or brows look older by contrast. Your plan considers how each area relates to the others before anything is recommended.
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Recover Just Once
When it is safe for your health, related procedures such as a facelift, neck lift, and eyelid surgery can be performed together, so you schedule one recovery instead of several.
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Operate in Accredited Settings
Facial procedures take place in our AAAHC-accredited Pasadena surgery center or our accredited Sherman Oaks surgical suite, with anesthesia matched to the procedure and your comfort.
Recovery and Results
Recovery depends on which procedures you choose and how many are combined. Many patients return to desk work within one to two weeks after eyelid surgery or a brow lift, and within about two weeks after a facelift or neck lift. Swelling and bruising typically fade over several weeks, and final results continue to refine for a few months as tissues settle. You will have detailed pre- and post-operative instructions and follow-up visits with Dr. Elias throughout.
Cost and Scheduling Your Consultation
The cost of facial cosmetic surgery depends on the procedures involved, the surgical technique, the type of anesthesia, facility fees, and whether treatments are combined. After your consultation you will receive a personalized, written quote. Cosmetic facial surgery is generally elective and not covered by insurance, and we accept cash, checks, major credit and debit cards, and financing plans.
To talk through your goals with Dr. Elias, schedule a facial surgery consultation at Cosmetic Doc in Pasadena or Sherman Oaks. You will leave with a clear plan, a realistic picture of recovery, and answers to every question you bring.
Questions patients ask
Facial Cosmetic Surgery FAQs
What is the difference between a facelift and a neck lift?
A facelift focuses on the lower face and jawline, correcting jowls and sagging cheeks, while a neck lift addresses loose skin, muscle bands, and fullness beneath the chin. Because the two areas age together, many patients benefit from both, and they are often performed in a single operation for a seamless result.
Will I look pulled or overdone after facial surgery?
A pulled look usually comes from tightening skin alone. Dr. Elias repositions the deeper tissue layers and restores lost volume where needed, so the skin rests naturally without tension. The goal is for friends to notice you look rested and well, not that you had surgery.
Can I combine facial procedures in one surgery?
Yes, many patients combine procedures such as a facelift with eyelid surgery, a brow lift, or fat transfer so they recover only once. Dr. Elias recommends combinations only when the total operating time and your health make it safe, and he will explain how combining affects your recovery.
Am I too young or too old for a facelift?
There is no single right age. Candidacy depends on skin elasticity, the degree of sagging, bone structure, and overall health. Some patients in their forties benefit from a limited lift, while healthy patients in their seventies can be good candidates. Your consultation will clarify what fits your anatomy.
Are non-surgical treatments enough instead of surgery?
For early changes in skin quality or mild volume loss, fillers, neuromodulators, and energy-based treatments may be enough. Once skin and deeper tissues have visibly descended, non-surgical options can soften but not lift them. Dr. Elias will tell you honestly which approach is likely to meet your goals.
How long do facial surgery results last?
Surgery resets the clock but does not stop aging. Many patients enjoy the benefits of a facelift or neck lift for many years, and eyelid surgery results are often long lasting. Sun protection, a stable weight, not smoking, and good skin care all help your results age gracefully.
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Your Choice for Expert Cosmetic Surgery in Pasadena & Sherman Oaks
Cosmetic Doc delivers board-certified cosmetic surgery with care, compassion, and artistry. From facelifts and rhinoplasty to body contouring, Dr. Husam Elias pairs dual MD/DMD training with an on-site AAAHC-accredited surgery center for the safest, most natural-looking results. Contact our Pasadena or Sherman Oaks office today to schedule your consultation.