Dr. R. Brannon Claytor's Facial Aesthetic Ladder

By Sarah Hefford By Sarah Hefford | November 30, 2022 | Style & Beauty Sponsored Post


"The key to aesthetic rejuvenation," says Board Certified Plastic Surgeon Dr. R. Brannon Claytor, "is a stepped approach. Think of it as a ladder - and the first step to facial rejuvenation is typically Botox™ or another neuromodulator that helps diminish lines and wrinkles. It's an interesting conundrum," he continued, "because as humans, we are expressive! And yet it is those very expressions of excitement, concern or humor that can deepen furrows or laugh lines."

"It's a delicate balance," Julie Holesh, certified PA injector at Claytor Noone Plastic Surgery, shared with us. "We want our patients to look like themselves and natural, not overdone but refreshed. We keep patients' daily facial movements in mind when sculpting their face with injectables to make sure lines are diminished without impacting expressions needed in their daily lives."


"The aging process is precipitated by a loss of volume and bone density." Dr. Claytor said, "By replacing volume with fillers or the patient's own fat, we can give them an instant lift, reducing fine lines, building cheek volume, and even reducing nasolabial folds. There is no down-time and the filler volume typically lasts about a year." Fillers like Revance's Redensity™ are effective on dynamic lines and wrinkles and tear trough. Juvederm™ or Restylane™ Kysse™ renew lip volume.

Stepping up: While fillers and Botox™ can replace volume and minimize wrinkles, some patients experience filler-fatigue but aren't quite ready for a facelift. The Silhouette Instalift™ is a minimally-invasive treatment that lifts the midface and offers a subtle volumizing cheek and jowl lift that takes under an hour and lasts up to two years. "It's an effective procedure for those patients who are looking for a subtle, instant change with very little downtime," Julie shared.

Next step: the minimally-invasive MyEllevate™ neck rejuvenation. "By using a permanent suture anchored in the fascia behind the ear, I can sculpt the neck and really give patients the sculpted jawline and neck of their younger years," said Dr. Claytor. "This procedure is typically performed in conjunction with SmartLipo™ , a minimally-invasive procedure, to debulk the neck. It is performed in our AAAA Surgical Facility under tumescent anesthesia."

Pre and Post-op Deep Plane Facelift

The top rung: "The facelift is the holy grail of facial aesthetic rejuvenation." Dr. Claytor said, "None of us escapes aging, but our goal is to help patients navigate the aging process gracefully, and sometimes they feel younger inside than their mirror reflects." The solution to sagging jowls and neck is often a facelift. Dr. Claytor's technique of choice is the Deep Plane Facelift which releases the retaining ligaments that tether the SMAS to the bone, and moves the SMAS superiorly to achieve a more youthful cheek, neck and jawline. This technique results in a long-lasting, natural-looking rejuvenation with incisions hidden in the hairline and ear with the procedure performed in the comfort and safety of their AAAA certified surgical facility under tumescent anesthesia or at the hospital.


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