Best Body Contouring and Cellulite Treatments Approved by Dr. Biesman

Home » Blog » 2021

Most people have a place on their body that leads them to feel self-conscious. This may be an area of excess fat, sagging skin, or cellulite dimples. While there are a number of treatments available to address these concerns, not all treatments are created equal; to identify the safest, most effective procedure, and best body contouring treatments it’s vital to consult with an experienced physician.

Dr. Biesman has more than 25 years of experience helping his patients achieve their aesthetic goals. Not only does he have expertise as a provider, but also as a researcher: Dr. Biesman was heavily involved with the clinical trials for both CoolSculpting and QWO, which are two leading non invasive body contouring treatments. CoolSculpting eliminates unwanted fat while QWO is an effective treatment for cellulite and is currently one of the only FDA-approved treatments for cellulite.

When you schedule a consultation with Dr. Biesman, he will be happy to discuss your goals for body contouring or cellulite reduction, and to recommend the most effective and best cellulite treatments as well as treatments for fat reduction and skin laxity. Depending on your specific needs, these treatments might include QWO Cellullite Treatment, CoolSculpting, or injectables such as Hyperdilute Radiesse.


What are the Best Cellulite Treatments in Nashville?


For women who are struggling with cellulite (often characterized as a dimpled or “cottage cheese” appearance), the development of cellulite treatment QWO is a breakthrough. It’s one of the only FDA-cleared treatments that is specifically approved to treat cellulite. An injectable medication, QWO has shown remarkable results breaking down cellulite in the buttocks.

Dr. Biesman was involved in the clinical development of this innovative treatment, and he has also shared his expertise on Nashville’s NBC affiliate, WSMV. 



“QWO will dissolve those tethers that pull down on the skin and also stimulate new collagen production in the skin, which actually has a really important role in the overall results we see,” comments Dr. Biesman. He goes on to note that treatments are quick and virtually painless; while QWO injections can contribute to some short-term bruising, the bruising will ultimately subside. What’s more, QWO offers long-lasting results, something that cannot be said of other cellulite reduction treatments.


FAQs: Is QWO The Best Cellulite Treatment?

Yes, it is the only FDA-Approved injectable cellulite treatment on the market that boasts long-lasting results. Patients with questions about QWO are invited to schedule a consultation with Dr. Biesman. Some of the most frequent inquiries include:


  • How many sessions of QWO are required in order to see the desired results? For most patients, Dr. Biesman recommends three total sessions, spaced 21 days apart.
  • What are the potential side effects? Bruising is by far the most common and may last for two weeks before subsiding on its own. Less commonly, patients may experience mild cases of tenderness, swelling, and redness in the treatment area.
  • How old do I need to be to get QWO? QWO is FDA-approved for women ages 18 to 78.


FAQ: How Do I Know If I Have Cellulite or Skin Laxity Issues?


Hyperdilute Radiesse: Correct Skin Laxity

When used traditionally, Radiesse is a dermal filler known for its long-lasting effects. Often, it’s used to correct lost volume in the face or in the hands and to contour the jawline.  In addition to correcting volume loss and providing structure, Radiesse helps stimulate the production of collagen and elastin, key components which are essential to keeping skin looking firm and healthy. 

There is now a newer, novel and exciting application of Radiesse that can help patients seeking the best body contouring treatment or cellulite reduction. When administered as a very dilute solution, Radiesse can be used as a biostimulatory agent, meaning it can rejuvenate the skin on the body, face, or neck.

Dimpling on the thighs or buttocks may represent cellulite dimples, skin laxity or a combination of these factors. As the treatment for each is different, it is important to be correctly diagnosed.  During your consultation with Dr. Biesman or his experienced team, you will learn exactly which issue you’re seeing and which treatment or combination of treatments will help you achieve your best results.

Dr. Biesman frequently recommends Hyperdilute Radiesse to tighten up skin that appears saggy or crepey. It can be especially useful for targeting areas that are harder to address through diet and exercise, such as the décolletage, neck, buttocks, abdomen, knees, and elbows.


Additional Questions About Hyperdilute Radiesse

A few additional points for patients to consider:


  • How many total treatments will I require? While the specific number can vary from patient to patient, most individuals will need more than one treatment.
  • How long will it take for me to see results? Most patients start to see results within four weeks of their initial treatment. Maximum results are realized after 6-8 weeks.
  • Can this treatment be combined with other modalities? Yes, to achieve the best aesthetic results, it may be best to combine Radiesse with laser therapy or with other injectables.


What are the Nonsurgical Best Body Contouring Treatments in Nashville?

For patients looking for the best non-surgical body contouring, Dr. Biesman may recommend CoolSculpting. This treatment has become increasingly popular because it helps patients reduce the thickness of fat layers, achieving a more contoured appearance without the need for anesthesia, sedation, or surgical incisions.

CoolSculpting uses cold therapy to destroy fat cells in the targeted treatment area, without risking any danger to the surrounding skin or other tissues. Fat cells are injured through temperature reduction, eventually dying and being removed from the body through natural repair mechanisms.


Additional Questions About CoolSculpting


  • On what parts of the body can I get CoolSculpting? Some of the most common treatment areas include the upper and lower abdomen, “love handles,” back, chin, inner and outer thighs, arms, and around the bra line.
  • How long will it take to see results? Most patients will see results within 30 to 60 days of their first treatment. Final results are generally apparent after 3-4 months. Typically, multiple treatment sessions are required to achieve the desired outcomes.
  • Does CoolSculpting live up to the hype? Results will vary depending on the skill of the provider and the placement of the applicators. A procedure assessment is required to ensure you are a good candidate for effective treatment.  When good treatment candidates receive care from an expert provider, CoolSculpting absolutely lives up to the hype!


Learn More About Body Sculpting and Cellulite Reduction Treatments in Nashville

Though there are a number of treatments marketed for their body contouring and cellulite reduction abilities, not all of these treatments are as good as advertised and not every patient is a good candidate for treatment. As you look for substantive results, be sure you seek the counsel of an experienced physician who knows what works and what doesn’t, and who can identify the best treatment to help you get your desired results. To schedule a consultation with Dr. Biesman, contact our practice in Nashville, TN.

Signs You May Need Eyelid Revision Surgery

Home » Blog » 2021

Eyelid surgery is precise, exacting work, and requires the eyelid surgeon to have both a skilled hand and an eye for aesthetics. Given the delicacy of eyelid procedures, it’s no surprise that some patients experience results that fall short of their expectations, requiring a second procedure, also known as an eyelid revision surgery, to achieve the desired outcome.

For patients who have had at least one eyelid surgery, and who have experienced aesthetic outcomes that they didn’t want or didn’t expect, corrective eyelid surgery can be a viable solution. As you consider corrective eyelid surgery, it’s crucial to select an oculofacial plastic surgeon who possesses the knowledge, the experience, and the credentials to fix the problems that resulted from your first surgery, and to ensure results that fill you with confidence in your own appearance.

Dr. Brian Biesman is an oculofacial plastic surgeon with more than 25 years of experience, and one of the primary focuses of his practice is helping patients achieve a youthful and refreshed appearance through eyelid surgery. Dr. Biesman is available to consult with you about the results of your first surgery, to evaluate the results, and to offer his professional opinion about the merits of pursuing corrective eyelid surgery.


The Basics of Eyelid Surgery

When done properly, eyelid surgery, or blepharoplasty, should produce a subtle yet significant effect, removing loose skin or excess fat around the eyes to prevent them from looking “droopy,” haggard, old, or chronically tired.

Though eyelid surgery is most commonly associated with aesthetic goals, there are certainly patients who seek the procedure for medical reasons, most typically when loose skin around the eyes actually interferes with their field of vision.

A skilled surgeon will first evaluate the patient to determine whether their concerns are related to drooping eyebrows, excess skin in the eyelids, or drooping of the eyelid itself.  Because the brow and the eyelids are connected, lifting the brow can sometimes be necessary in order to achieve the desired rested, rejuvenated appearance. Elevation of drooping eyelids, also known as ptosis repair, may also be required in addition to eyelid and eyebrow surgery to achieve best outcomes.  Only a knowledgeable and highly experienced surgeon can determine which procedure is right for you.

A skilled oculofacial plastic surgeon will explain which procedures are required to help you achieve the symmetry, balance, and subtle improvements needed to help you look your best.


Understanding the Risks of Eyelid Surgery

Any surgery comes with risks, and one of the risks of eyelid surgery is simply that the results may not be what the patient hoped for. For example, in some cases, patients may have the following issues following their eyelid surgery:


  • There may be asymmetry between the upper eyelids.
  • The lower eyelids may be pulled down, or even rolled in, creating problems that are either physically problematic or aesthetically undesirable.
  • There may also be a possibility of discoloration of the skin surrounding the eyes.


If you have had eyelid surgery and experienced any of these unwanted results, or simply feel as though your surgery didn’t go as well as you had hoped, Dr. Biesman may be able to help.   Through revision blepharoplasty, laser treatment, or a combination of these options, Dr. Biesman may be able to provide the optimal results you’ve hoped for all along, or he may simply be able to mitigate some of the unwanted effects of the previous surgery.


When Do You Need Revision Blepharoplasty?

When you meet with Dr. Biesman, he will evaluate your eyelids and advise you whether corrective surgery is the best approach.

How do you know when you need to schedule a consultation? We would advise anyone who has had eyelid surgery and is unhappy with their results to contact us at their convenience. We would specifically advise contacting us if you’re experiencing any of the following issues:


  • You continue to have drooping eyelids. Your eyelids may continue to droop even after your previous surgery, often because there was too little skin removed, because the eyebrows were not addressed, or because the muscle responsible for lifting the eyelid was not sufficiently tightened. These issues can be addressed through corrective eyelid surgery.
  • Your eye shape is distorted. Another possible concern is that your lower eyelid hangs lower than usual, exposing more of the white part of your eye than you might like or that the corners of your eyes are rounded rather than coming to an angle. A revision blepharoplasty procedure can restore the eye to a more natural shape.
  • You have difficulty blinking or closing your eyes. There may be a number of causes of this condition. This isn’t just an aesthetic problem as it also increases your risk of ocular injury due to dust or debris getting into the eye. This condition can often be addressed surgically.
  • The area underneath your eye is too hollow. This problem results from the surgeon removing too much fat from the lower eyelids. When this happens, the eyes can look sunken, causing you to look old or fatigued; of course, this is the opposite of what you want from blepharoplasty. Surgery with fat grafting can address this issue.
  • Your eyes look asymmetrical or imbalanced. There are many reasons that your eyes may look asymmetric after cosmetic eyelid surgery.  Dr. Biesman can evaluate your eyes and advise you if eyelid revision surgery can help you achieve balance and symmetry.  


Schedule a Consultation for Eyelid Revision Surgery

When you schedule eyelid surgery, you naturally have high hopes about an improved aesthetic appearance. When your results don’t live up to your expectations, it can be demoralizing. Fortunately, eyelid revision surgery can make things better. The important thing is finding a skilled and experienced surgeon who can accurately assess your needs, select the right surgical intervention, and ensure satisfying results.

Dr. Brian Biesman has been performing corrective eyelid surgeries for more than 25 years, and has a strong reputation for professionalism and clinical precision. He has provided countless patients with improved facial aesthetics and is available to consult with you about revision blepharoplasty. To schedule your appointment, contact our practice at your next convenience.

Liquid Rhinoplasty Procedures: Everything You Need To Know

Home » Blog » 2021

One of the most effective ways to enhance your facial appearance, achieving the natural balance and proportionality you desire, is to make subtle alterations to the shape and structure of your nose.

The question is, can you achieve this goal without undergoing surgery? While surgery is required to achieve some goals, aesthetic enhancement of the nose can often be accomplished using a nonsurgical approach. Non-surgical rhinoplasty can often produce welcome results, without the need for anesthesia or for a prolonged recovery time.

Dr. Biesman has performed non-surgical rhinoplasty procedures, also known as liquid rhinoplasty, for over a decade, treating patients throughout the Nashville area and around the world. Here is a brief guide to liquid rhinoplasty, sometimes known in lay terms as the “non-surgical nose job.” Keep in mind that the best way to learn about the procedure is to seek a one-on-one consultation from a qualified oculofacial plastic surgeon.


First, what is a liquid rhinoplasty?

A liquid rhinoplasty is a procedure in which a soft tissue filler (specifically a hyaluronic acid filler as opposed to a permanent filler) is used to change the appearance of the nose.

A skilled, knowledgeable surgeon like Dr. Biesman can use liquid rhinoplasty to provide patients with striking, natural-looking results. For example, liquid rhinoplasty can be used to reduce the appearance of a hump in the nose. Note that liquid rhinoplasty cannot actually make the nose smaller; for this, you would need a surgical rhinoplasty. However, when fillers are injected into either side of the hump, they can produce a smoother, less prominent appearance. In other words, though fillers cannot make the nose physically smaller, they can help it to appear smaller.

Liquid rhinoplasty procedures can also be used to lift the tip of a nose that has dropped downward. For noses that are curved to the right or to the left, fillers can cause the nose to look straighter. And, liquid fillers can address little indentations in the nose, whether at the tip or further up, closer to the nasal root.

What are the Risks Associated with Liquid Rhinoplasty?

Before having liquid rhinoplasty procedures performed, patients should be aware of some potential risks. The nose is considered to be a high-risk area for injections. This is because the blood supply to the nose, along with the blood vessels that travel within the nose, can be variable in position and can even be connected to the eye and to the brain. As such, stroke, blindness, and death are potential risks of liquid rhinoplasty.

These complications are exceedingly rare. However, the severity of these complications underscores just how important it is for liquid rhinoplasty to be performed by real experts. Skilled providers with the appropriate experience can minimize the risks associated with liquid rhinoplasty injections. Dr. Biesman has more than a decade of experience performing these procedures, and takes the appropriate precautions to safeguard his patients.

Am I a Good Candidate for Liquid Rhinoplasty?

Before you commit to liquid rhinoplasty, it is important to verify that you are well-qualified for a safe, successful procedure.

The best candidates for liquid rhinoplasty are content with the size of their nose, but have things they’d like to change about the shape or the structure of the nose. If you are looking to make your nose physically smaller, liquid rhinoplasty is not the right option for you.

Additionally, those who have nasal scars from previous traumas may find that liquid rhinoplasty provides them with some improvement. This depends on the type of scarring.

Liquid rhinoplasty is an especially good option for patients who wish to change the appearance of their noses, but who are ambivalent or even reticent about having surgery.

The best way to determine whether liquid rhinoplasty is right for you is to schedule a consultation with an experienced surgeon, like Dr. Biesman, who can tell you more about the procedure and its potential benefits. If your needs would be better addressed through surgical intervention, Dr. Biesman will not hesitate to advise you accordingly and to refer you to a skilled plastic surgeon.

What Should I Expect from the Procedure?

As for the procedure itself, liquid rhinoplasty is actually very simple and straightforward, requiring just a few injections around the nose. The procedure can bring some mild discomfort, but there is no need for patients to pre-medicate. Topical numbing solutions are used to minimize pain. Most patients tolerate liquid rhinoplasty very well, and are very happy with the final results.

What About the Recovery from Liquid Rhinoplasty?

There is always going to be a little bit of swelling following a liquid rhinoplasty procedure. It may take up to two weeks for this swelling to fully subside, though most of the time, this is swelling that only the patient will really notice. Additionally, patients can anticipate some tenderness and discomfort. Bruising can also occur, though it is fairly uncommon.

Dr. Biesman typically recommends against having a liquid rhinoplasty and then heading immediately back to work or other activities. However, most patients are ready to resume their normal activities the day following their procedure.

There is not a lot that patients need to do in terms of post-operative care, though cold compresses can be helpful in the hours immediately following the procedure.

Dr. Biesman recommends that patients return for a follow-up appointment about two weeks after their procedure, allowing both the patient and Dr. Biesman to verify that they are happy with the results. Occasionally, this follow-up visit may entail some touch-up treatments, creating subtle adjustments to the nasal appearance.

Learn More About Getting Non-Surgical Rhinoplasty

If you think getting a non-surgical nose job sounds promising, the next step is to seek the expertise of an experienced provider. Dr. Biesman has more than 25 years of experience in minimally invasive facial rejuvenation, and would love to speak with you about the benefits of liquid rhinoplasty. Schedule a consultation with Dr. Biesman today.

Jawline Contouring and Slimming: Jawline Filler or Jawline Botox?

Home » Blog » 2021

Over time, many men and women become dissatisfied with the appearance of their jawline.
Sometimes, the problem is that they lose some of their jawline’s definition. In other cases, the
appearance of saggy skin, or “jowling,” can result in a facial appearance that is less trim and

For patients who feel like their facial appearance is compromised by problems with the jawline,
a number of non-surgical solutions are available. Dr. Biesman sees many patients who wish to
improve their jawline aesthetics, and generally recommends either the use of a jawline filler or
jawline Botox.

But what’s the difference between these two treatment options? And which injectable
treatment is right for you, a jawline filler or jawline Botox? The best way to find out is to meet
with Dr. Biesman, who will carefully evaluate your facial appearance and recommend
treatment based on his clinical expertise.

Understanding the Options for Jawline Contouring

As you prepare to meet with Dr. Biesman, it may be helpful to have a little more background
about each of these treatment options, and what to expect from each one.

The Uses of Jawline Fillers

Jawline fillers are really just soft tissue fillers, and usually can be used elsewhere on the body,
as well. Crucially, this does not mean that all soft tissue fillers can be used along the jawline.
Effective jawline fillers must be relatively strong fillers, like those that might be used to contour
the cheek or the chin. These fillers need to be strong because they bring greater definition to
the jawline.

Another use of fillers in this area is not just to contour along the jawline. By injecting fillers at
the back of the jawline, it is possible to achieve a lift. This is a neat way to correct some of the
sagging that happens along the jowls.

To recap, then, jawline fillers can do a few different things. They can provide a contouring
effect, creating a jawline that appears stronger. In making a jawline stronger, fillers can offer a
more distinct transition from the cheek to the neck. And, fillers can give lift to the jawline.

In many to most cases, Dr. Biesman injects along the jawline for contouring and definition; at
the back of the jawline to achieve lift; and at the point where the cheek transitions to the chin,
helping to camouflage sagging jowls.

What About Jawline Botox?
Alternatively, consider the uses of jawline Botox.

Botox injections are used in the jawline when the angle of the jaw begins to appear somewhat
blunted. By using Botox along the upper part of the neck and the jawline, Dr. Biesman can
furnish patients with contouring and even a little bit of lifting to the neck. Botox is typically used
to address problems of definition, not problems of lost volume.

The Differences Between Jawline Fillers vs. Jawline Botox

Though these injectable treatments are not necessarily mutually exclusive, most patients need
either Botox or filler along the jawline. Occasionally, a patient may actually benefit from both.

Fillers are used when the jawline contour has been lost, either due to bony erosion or weight
gain, resulting in the neck and jaw becoming indistinct in their transition. Jawline fillers may
also be used when patients want to get a noticeable lift at the back of the jawline.

If someone has a fairly well-defined jawline that is becoming increasingly blunt, and they have
very strong neck muscles that pull along the jawline and blunt it further, that’s when Botox is
likely to be more helpful. Patients in this category typically do not need volume added to the
jawline, which is what a dermal filler would do. These patients simply need better definition.

Considering the Risks of Jawline Filler and Jawline Botox

There are very few side effects to be expected from either of these treatments. Many patients
will experience some mild bruising, which is a common side effect of any kind of injectable.
Additionally, patients who get fillers will often experience some soreness along the jawline. This
is usually not an issue with Botox.

Ultimately, when administered by a skilled clinician, both of these treatments have very little in
the way of side effects. They are safe options to achieve the desired jawline contouring results.

Deciding Between a Jawline Filler or Jawline Botox

Many patients are aware of the importance of jawline aesthetics to their overall appearance,
and wish to know more about the options available to address jowling, sagging, lack of
definition, and related concerns.

The good news is that there are non-surgical options available, including both jawline fillers and
jawline Botox. When you join Dr. Biesman for a consultation, he will evaluate your jawline and
neck, listen to your aesthetic goals, and let you know which of these treatments is the best
option for achieving your objectives.

What to Expect from Jawline Fillers or Jawline Botox

As you consider having a non-surgical jawline contouring procedure, it’s only natural to wonder
what kind of results you can expect, and how long those results will last.

Simply put, patients who see Dr. Biesman for either of these procedures can expect better
definition of the jawline; minimization of the appearance of jowling; and a more distinct
transition from the cheek to the neck.

Jawline Botox tends to last for about three or four months, much like it does in other areas of
the face. Jawline fillers, on the other hand, typically last a year or more.

Achieve the Defined Jawline You’ve Always Wanted

The aesthetics of your jawline can make a big impact on your overall facial appearance. And
thankfully, there are non-surgical options available to correct common issues like jowling and
lost definition.

The best way to pursue a defined jawline is to meet with Dr. Biesman, who has over 25 years of
expertise treating patients with fillers and Botox. Dr. Biesman will determine the treatment
option that’s best for you. To schedule an appointment, contact our office at your next

Blepharoplasty vs. Brow Lift: Which is Best for Sagging Eyelids?

Home » Blog » 2021

A common concern among our patients is the heaviness of the upper eyelid, which can lend an appearance of drowsiness, chronic fatigue, or aging. Patients who notice their eyelids beginning to droop might assume that they are only experiencing an eyelid problem, but that may or may not be the case. It is important to note the intimate relationship between the eyelid and the eyebrow, and to be aware that this sagginess could be a factor of the eyelid skin, or else it could be related to the positioning of the brow itself.

Before being treated, patients need to be carefully assessed, allowing their Oculofacial Plastic Surgeon to understand the underlying cause of their sagging eyebrows. Based on this assessment, the provider may recommend a blepharoplasty (a surgical procedure that addresses the skin of the eyelid itself) or an eyebrow lift (which addresses the brow).

Dr. Biesman is an oculofacial plastic surgeon with more than 25 years of  experience in assessing patient needs and recommending which of these procedures is best suited to produce the best aesthetic outcome. To find out more about making your eyes look more youthful, rested, and awake through a blepharoplasty or a brow lift, schedule a consultation with Dr. Biesman.


Blepharoplasty vs. Brow Lift: Understanding the Difference

brow lift before and after

Dr. Biesman sees many patients whose primary concern is the heaviness of the upper eyelid. In some cases, it really is just an upper eyelid problem; the eyelids are in perfect position. Keep in mind that the “normal” eyebrow position is different for men and for women. Men tend to have lower, flatter brows while women typically have higher, more arch brows. Of course, this can vary from individual to individual. Preserving your natural look is extremely important to Dr. Biesman. He will often ask you to bring old photographs to your initial consultation so he can assess your face when it was more youthful.

When a brow descends, as it does push skin into the eyelid. In the event that a surgeon was to remove eyebrow skin that had descended into the eyelid, the result can be disastrous.  The eyelid is sewn to the eyebrow and the lids still appear heavy.  When attempts are made to subsequently correct this by elevating the brows, there isn’t enough skin left to allow the eyes to close.  This scenario is better avoided than treated!

All of this is just to say that the relationship between the eyelid and the eyebrow is a delicate one. Because the blepharoplasty deals with the skin of the actual eyelid, while brow lifting addresses eyebrow contour and position of the brow, patients with sagging eyelids need to undergo an evaluation to determine whether they have an eyelid condition or an eyebrow condition, or both. (There is also a third possibility, that the patient has droopy eyelids, a condition known as ptosis, meaning there is an issue with where the position of the upper eyelid rests relative to the pupil.) 

Patients are generally better off getting an eyebrow lift when their droopy eyelid is really a result of the brow descending, pushing skin down toward the eyelid. With that said, there are some patients who have always had heavier brows, and the last thing Dr. Biesman wants to do is to make surgical changes that give them a look they have never had before. As such, part of the assessment process means looking at old photos of the patient, which can provide a good sense of whether the person’s brows have always been higher, lower, or somewhere in between.

Dr. Biesman’s general approach is to preserve a youthful appearance for the eyebrow, which may involve repositioning the outer part of the eyebrow (a lateral brow lift) or a full brow lift. Patients should know that brow lifts are usually made with incisions behind the hairline, one or two on each side. These incisions are made to be well-hidden beneath the hair. The eyebrow is released so that it can be moved up into a higher position, at which point the incision sites are closed up. According to Dr. Biesman, when a brow lift is done well, only a patient’s hairdresser should know they’ve had it done.


Blepharoplasty vs. Brow Lift: Common Questions from Patients

As you seek the best treatment to help your eye look more youthful and fresh, it is only natural to have some questions. Here are answers to some of the most common inquiries.

blepharoplasty before and after


How do I know if I need blepharoplasty?

This is a decision that’s best made together with your oculofacial plastic surgeon, who will assess your facial appearance and give an expert opinion on whether you need a blepharoplasty or a brow lift, or a combination of these procedures will best help you achieve your goals.

Am I too young for a brow lift?

Though not extremely common, Dr. Biesman does sometimes operate on patients who were simply born with heavier lids and wish to have them lifted; this can sometimes be done on patients who are in their twenties.

Will getting a blepharoplasty fix wrinkles around my eyes?

Not much. It can sometimes help a bit with crow’s feet wrinkles, but it is unlikely to make a dramatic difference. Certainly, wrinkle reduction is not a good primary reason to pursue this particular operation.

Will getting a brow lift cause me to look permanently scared or surprised?

Dr. Biesman’s goal is to help you look your best while retaining a natural, rested appearance. He is careful not to over elevate the brow. The “scared” or “surprised” look is going to be most common when lifting the brow of someone whose brow was never very high to begin with. By properly shaping and contouring the brow, Dr. Biesman ensures that patients achieve the results they want without undesired changes to their facial appearance.

Will people still recognize me after I have eyelid surgery?

While there will be a noticeable change in your appearance, it tends to be fairly subtle. Patients typically look refreshed, but the results will not be so dramatic that people will know work has been done.

What’s the recovery like for a blepharoplasty or brow lift?

For either of these surgeries, recovery may take between seven to 10 days. Patients shouldn’t schedule major events for several weeks after surgery. For the most part, though, taking about a week off should be fine. Patients may take some pain medications for a few days, but most say that their discomfort is very minimal.

Schedule a Consultation with Dr. Biesman


To address sagging eyelids or tired appearing eyelids, it is crucial to determine the underlying issue, and from there make a plan for blepharoplasty or a brow lift, ptosis repair, or a combination of these procedures.  Eyelid rejuvenation can be complex and only an experienced surgeon like Dr. Biesman can help you learn which procedures will be best for you. To find out more, schedule a consultation with Dr. Biesman at your next opportunity.

An Oculofacial Plastic Surgeon’s Guide to Injectable Fillers for Facial Shaping and Contouring

Home » Blog » 2021

Many patients are aware of dermal fillers, which can be injected into the skin to produce a “plumping” effect. In recent years, these injectable fillers for facial shaping and contouring have gained considerable popularity as a safe, non-surgical option.

Before getting fillers, it’s helpful to understand that there are many different fillers on the market today, and that each has its own unique characteristics. Crucially, patients shouldn’t “shop around” for the right fillers; instead, the best approach is to meet with a facial rejuvenation expert like Dr. Biesman, who can recommend the specific type of filler that will help produce the intended effect.

As you learn more about injectable fillers, spend some time with this overview from Dr. Biesman.


What are the Different Uses of Injectable Fillers?

According to Dr. Biesman, there are three primary uses for facial fillers, like those that are used for a liquid face lift.

  1. Recontouring the face. Beauty and aesthetics is not just about wrinkles; facial balance and contour is a critically important yet often overlooked aspect.  Soft tissue fillers may be used to optimize contour in a variety of ways including enhancing’s the cheek bones, the chin, jawline, and even the nose, forehead and eyebrows!
  2. Revolumization. Over time, our faces tend to deflate. We lose soft tissue volume in the central part of the face, the eyebrows, the forehead, the soft part of the cheek between the cheek bone and the jaw, the chin, the lips, and the area around the mouth. All of these areas lose volume over time, but fillers can be used to restore volume, and therefore to restore a more natural, youthful appearance.
  3. Treating fine wrinkles and lines. The first two uses of facial fillers represent the overwhelming majority. This third use is much less common, though still important. Facial fillers may be used to reduce the appearance of fine lines. Fine lines are generally more noticeable to patients themselves than to others.  Examples of areas where fillers are commonly used to treat fine lines include the forehead, area around the mouth, the neck, and sometimes the cheeks.

These are the primary uses of injectable fillers in the face, though it’s worth noting that injectable fillers may occasionally be used to restore lost volume elsewhere on the body, most typically the hands.


Which Facial Fillers are Right for You?

As you consider whether injectable fillers might help you achieve your aesthetic goals, it’s important to keep in mind that there are many facial fillers on the market today. All of these facial fillers are slightly different from one another. The best way to determine which specific filler is most aligned with your goals and expectations is to schedule a consultation with Dr. Biesman, who will perform an assessment and then make an expert recommendation.

How exactly do facial fillers differ from one another? Some are quite soft, meaning they integrate beautifully into the skin. These are good options if you’re looking to fill a fine wrinkle or line. In other cases, however, you might need a filler that’s strong, such as when you’re trying to elevate the cheek bones or pick up the face from behind the hairline. These procedures require more structured, stiff fillers.

In addition to the fine fillers and the more robust ones, there are also some fillers that fall somewhere in between. Medium fillers are used very often to treat the area around the mouth, the lips, the under-eye area (tear trough), and others. 

The bottom line: Dr. Biesman uses fillers all over the face, sometimes in conjunction with eyelid surgery or an eyebrow lift, sometimes in conjunction with other injectables, and sometimes in conjunction with laser therapy, also known as laser skin treatments. These procedures complement one another and accomplish different objectives. No matter what you’re trying to accomplish with your fillers, though, the goal is always for the results to look natural. Dr. Biesman and his team do not want you to look as if you have “had work done”; they want you to look rested, fresh, youthful and vibrant.  The results should be subtle, elegant and understated yet at the same time beautiful.

Dr. Biesman considers all of this when determining which filler is best for the patient.

The Process of Getting Injectable Fillers for Facial Shaping and Contouring or the Treatment of Fine Lines.

For those who have never gotten fillers before, it’s natural to have some questions about what the experience is like.

Dr. Biesman and his team emphasize patient comfort, and try to make the filler experience as fun and as enjoyable as possible. This includes ample patient education; when you join Dr. Biesman for fillers, you’ll be given plenty of information about what to expect before, during, and after the procedure, which can help allay any lingering anxieties. Note that Dr. Biesman’s office is available in case of emergency 24/7. Routine questions after hours can be submitted via DM on our Instagram account, @drbiesman

Ultimately, the filler experience is a comfortable one, and most patients are exceedingly happy with their results.


How Long Will My Injectable Fillers Last?

Another common question among patients: How long will injectable fillers last? The short answer: A lot longer than most people tend to think.

A more helpful question might be, how long will the fillers last before they need to be touched up? This all depends on the area treated and the type of filler used. Be aware that there is some variability from one filler to the next with regard to how long they last. On average, patients can get 12 to 18 months before they need to return for a touch-up, though the lips usually require more frequent appointments.


What Should I Expect After My Treatment?

Once you get injectable fillers, you can anticipate there being a little bit of swelling around the treated area. With that said, Dr. Biesman says that any discomfort should be minimal, and shouldn’t create too much disruption to everyday life.

Due to the swelling, it’s recommended that you not have fillers immediately before taking a family photo, going to a wedding, or having a big client meeting. Allow two or three days for the swelling to subside before any such event.

Schedule a Consultation with Dr. Biesman


 Injectable fillers can be highly effective for facial shaping and contouring and natural and effective facial rejuvenation. An important first step is meeting with a skilled specialist who can determine the specific type of fillers you need to achieve your desired results. To schedule an appointment with Dr. Biesman or his extremely capable nurse, Molly Katz, RN, reach out to the office at your convenience.

Considering Facial Fillers or Plastic Surgery?

Home » Blog » 2021

Patient received facial injections in the following areas:
Brows, Cheeks, Tear Troughs, Lips, Nasolabial, Marionette, Prejowl Sulcus

As time passes, our faces begin exhibiting signs of age. The signs of aging can include loose, sagging skin around the cheeks, the chin, or the neck. They can also include a loss of volume, leading to a hollow or sunken appearance. While there’s no way to turn back the hands of time, there are proven, effective solutions to conceal the signs of aging and to regain a firmer, more youthful appearance. Two of the most common solutions are facial fillers and plastic surgery.

As a patient, how can you determine whether facial fillers or plastic surgery is best for achieving your aesthetic goals? One of the most helpful steps you can take is to schedule a consultation with a plastic surgeon, who can recommend a treatment option that will help you achieve your aesthetic goals.

Dr. Biesman is an experienced Oculofacial Plastic Surgeon with expertise rejuvenating the mid- and upper face. While Dr. Biesman does not perform facelift or neck lift procedures, he will advise you if he believes one of both of these procedures is your best option.   Should you wish to pursue a nonsurgical approach, Dr. Biesman will help you determine your options and the risks, benefits, and expectations associated with each. Indeed, Dr. Biesman is a facial rejuvenation expert and talented in using facial fillers to reshape the structure of the face, to provide volume correction, and even to reduce the visibility of wrinkles and fine lines.


Facial Fillers vs Plastic Surgery


To begin with, it is important to understand that both facial fillers and plastic surgery are tools, and they can both be used to advance the same goal of facial rejuvenation, namely, reversing some of the visible signs of age, leading to a brighter and younger facial appearance.

The major distinction between them is in just what kind of results you can expect from either tool. Facial fillers and plastic surgery can both rejuvenate your facial appearance, but the specific outcomes vary considerably.

As such, it is important to seek the expertise of someone like Dr. Biesman, who can let you know whether you are a candidate for surgical or for non-surgical treatments; and, if you qualify for both, to clarify the expectations for either treatment path.


Top 3 Uses of Facial Fillers


As you seek to make a decision between facial fillers or plastic surgery, it may be helpful to understand the three primary uses for facial fillers.


  1. Facial fillers can be used to structurally reshape the face to reduce signs of aging, or to correct issues that arise from genetics.
  2. Fillers can provide volume correction, specifically smoothing out hollow areas under the eye to achieve a more natural transition between the under-eye area and the top of the cheek. They may also be used to add volume to the cheeks, temples, chin, jawline, lips and other areas as part of total facial rejuvenation with facial fillers.
  3. Facial fillers can reduce the appearance of fine lines, especially around the forehead, between the eyebrows, around the mouth, the lips, cheeks and the neck. Note that this is one area where Botox may not be advisable, simply due to the underlying muscle structure.


There are also a few things that dermal fillers can’t do. For example, fillers cannot address issues of skin quality or quantity, which means they may not be sufficient for correcting sagging skin around the mouth. What they can do is create volume and lift, improving the appearance of patients whose overall skin quality is strong. They can also address loss of volume/deflation, which are among the most common signs of aging.

What about wrinkle prevention? While most dermal fillers cannot prevent the development of wrinkles, Botox injections can do this by limiting the movement of muscles that lead to wrinkle formation.


Using Dermal Fillers for Facial Rejuvenation


Dermal fillers are injectables that are used in total facial rejuvenation. They offer an almost instantaneous result, rejuvenating the facial appearance by restoring lost volume in the cheeks, improving contours of the face, and smoothing out wrinkles and creases.

Dr. Biesman has carefully selected a group of dermal fillers to offer patients, and he has demonstrated skill and craft in using them to achieve the optimal results. Note that Dr. Biesman also offers Botox, an injectable that works a bit differently from soft tissue fillers; Botox relaxes muscles and can specifically be used to relax the facial muscles that create crow’s feet, furrowed brows, forehead lines, downturned corners of the mouth, lines in the neck and others.  Botox can even be used to shape the face and improve jawline contour.

Dermal fillers have become popular because they may allow patients to achieve facial rejuvenation without the need for surgical intervention. Keep in mind that the results achieved through fillers are not the same as the results achieved through plastic surgery.


Using Facial Plastic Surgery to Correct Signs of Aging


Facial plastic surgery is a technique typically utilized to accomplish several objectives including “picking up” structures that have fallen, removal of skin, muscle, or fat which may be present in excess quantity, or to rearrange tissues that have shifted. If you need one or more of the above issues corrected, then surgery is the only path because these are not addressed with non-surgical approaches like facial fillers.

Facial Fillers Or Plastic Surgery? Dr. Biesman Can Help Determine Which Is Right for You

Again, it is important to keep in mind that facial fillers and facial plastic surgery are both tools that can be used to achieve the best version of yourself; and though both of these treatments have the same basic goal, they differ in exactly what they can accomplish. For patients, it is crucial to have the right expectations.

A good way to set those expectations, and to choose the treatment best aligned with your cosmetic goals, is to schedule a consultation with Dr. Biesman. A leading name in facial rejuvenation, particularly with dermal fillers, Dr. Biesman can help you find the treatment plan that best meets your facial rejuvenation needs.

To learn more about the benefits of facial fillers vs plastic surgery, schedule a consultation with Dr. Biesman in Nashville, TN.

Do You Need Tear Trough Filler or a Blepharoplasty?

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Many patients come to us looking for a way to improve the overall appearance of their eyes. Specifically, men and women alike can look aged or fatigued due under eye bags or under eye puffiness.

Instead of looking like they are chronically under-rested, our patients seek the expertise of Dr. Biesman, a sought-after, experienced oculofacial plastic surgeon. Dr. Biesman and his team provide a number of surgical and non-surgical treatments, for example tear trough filler or blepharoplasty, that can help correct under eye bags or puffiness under the eye and restore a more healthy and youthful appearance.

The question is, which of these treatments is right for you? Following a one-on-one consultation, Dr. Biesman can offer his expertise, determining the best way for you to achieve the desired goals. Note that Dr. Biesman’s goal is to achieve a smooth transition from under the eye to the top of the cheekbone, but the recommended treatment option may differ from one patient to the next.    


Non-surgical Under Eye Bags Correction with Tear Trough Filler

Non-surgical Under Eye Bags Correction with Tear Trough Filler


For patients who may qualify for a non-surgical approach, Tear trough fillers can also be used in conjunction with blepharoplasty in order to achieve the optimal outcome.

When we talk about the “tear trough,” we mean a hollowing of the area under the eyes, specifically between the eyelid and the top of the cheek. Some people are born with a deeper tear trough, thanks to simple genetics, while others can develop deeper tear troughs due to the aging process, as their cheeks gradually begin to sink. Hollowing in this area can lead to that appearance of fatigue or even sadness, even if you are in a perfectly good mood and have energy to spare.

Tear trough fillers, such as Restylane, can be injected into the under-eye area to correct this hollowness. Dermal fillers can help soften the tear trough, creating a smoother transition from the under-eyelid area to the top of the cheek. This does not necessarily remove the puffiness or the bags underneath the eyes, but it can mask their appearance.

Filler treatment offers a number of advantages to the patient, including ease of application. Soft tissue fillers can be administered in just a few minutes, and patients can drive themselves home once their treatment is finished. Additionally, a “numbing cream,” or topical anesthetic, ensures that the procedure is very comfortable. Dr. Biesman’s patients report little or no pain when they receive these soft tissue filler injections.

While tear trough fillers may be the best option for some patients, they do not always offer the desired results for patients whose under eye area is darkly colored, due to skin discoloration, may need to augment their fillers with topical creams or laser therapy. It is also worth emphasizing that under-eye fillers are not permanent, though in most cases they can last for several years.

Tear Trough Injections

Tear Trough Injections


Surgically Correct Eyelid Bags with Blepharoplasty

As a world-renowned Oculofacial Plastic Surgeon, Dr. Biesman can also treat patients with blepharoplasty. This procedure involves surgical removal or repositioning of saggy tissues, with the goal of creating a brighter and more youthful appearance.

Dr. Biesman has extensive experience with 25 years of performing blepharoplasty surgery. While a lower blepharoplasty can sometimes involve the removal of excess fat and tissue from the eyelid, Dr. Biesman may reposition this tissue depending on the patient’s needs, spreading it out in that “tear trough” area. This effectively allows Dr. Biesman to reduce the puffiness surrounding the eye while also filling out some of the hollow area between the eyelid and the top of the cheek. This optimizes the results of the surgery, preventing an overly hollow facial appearance.

Lower blepharoplasty is performed in an outpatient surgery setting and is usually performed at around an hour and a half and may be done either under full anesthesia or under “twilight sedation.” (View some of our real patients’ blepharoplasty before and after photos here!)

Tear Trough Filler vs Blepharoplasty

Tear Trough Filler vs Blepharoplasty

Both tear trough filler and blepharoplasty can be useful ways to minimize the appearance of puffy under eyes so how can you determine which option is best for you?

As a general rule of thumb, anyone who is bothered by puffiness under the eye is likely a good candidate for blepharoplasty. They may also be a good candidate for fillers, especially if the puffiness is mild or moderate. In these instances, the use of soft tissue fillers can help camouflage that puffiness and create a smoother, softer transition between the eyelid and the top of the cheek. However, for patients whose puffiness is more extreme, the use of soft tissue fillers alone may be insufficient for producing the desired results.

For patients who are looking to address dark circles under their eyes, Dr. Biesman may recommend a combination of laser therapy and topical serums or creams, which can be effective in reducing discoloration.

The best way to determine the kind of treatment that is right for your aesthetic concern is to schedule an appointment for a consultation with Dr. Biesman.

Correcting Under Eye Bags or Puffiness

If you are tired of constantly looking worn-out and fatigued, schedule a consultation with Dr. Biesman, a trusted plastic surgeon serving the Nashville, TN area. Dr. Biesman has extensive experience (25 years) in oculofacial plastic surgery and can help you determine the type of treatment that will allow you to achieve your desired outcome.

As you consider your options, including tear trough fillers or blepharoplasty, be sure you seek counsel from a qualified plastic surgeon. Schedule your consultation with Dr. Biesman today.



Acne Scarring Treatment Options

Home » Blog » 2021

Many of us remember all too well what it was like to battle acne in our teen years, or even into adulthood. Too add insult to injury, many people who suffer from acne are left with visible scarring that can range from mild to severe.  Acne scarring is permanent and is associated with proven and profound psychological implications.  Affected individuals commonly feel low self-esteem and struggle with self-confidence throughout their lives. 

Treatment of acne scarring has proven challenging for many patients and physicians.  Dr. Biesman has had a special interest in the treatment of acne scarring for over 25 years.  He and his team use this experience to develop a results-driven acne scarring treatment plan for each patient whether they are seeking acne scar treatment in Nashville, TN or travel from long distances for their care.


What are the Best Options for Acne Scarring Treatment?

The best way to determine how to treat your acne scarring is to join Dr. Biesman for a one-on-one consultation. After evaluating your skin and talking with you about your expectations and goals, Dr. Biesman will recommend acne scarring treatment options that are right for you. Keep in mind, acne scarring treatment is a marathon, not a sprint; most patients will require a series of treatments to achieve best outcomes.

Here are some examples of the clinical modalities we offer for the reduction of acne scarring.  For any given patient, a combination of these techniques is typically necessary as there are numerous types of acne scars, each of which can require unique treatment for best response.


Subcision Treatment

One way to address acne scarring is through a method known as subcision.  Subcision is a procedure that releases depressed acne scars, allowing them to become more level. This procedure is the foundation of many acne scarring treatment plans as it can improve the appearance of rolling and “boxcar” scars, two of the most common types of acne scars.

Dr. Biesman uses a subcision technique that he has developed and fine-tuned.  He is one of the few practitioners in the country to offer this procedure and many patients who have undergone numerous previous treatments say that this is the only method that really gives them results.

This is a treatment that we offer right here in our office.  Local anesthetic (numbing injections) is used for comfort but IV sedation or general anesthesia are not required.  A blunt cannula is used to release the scar from the underlying deeper tissues holding the scars down, allowing the skin to become smoother. In some cases, we may also recommend the use of dermal or injectable fillers or even radiofrequency microneedling to further smooth out the skin and reduce the visibility of the scar.

To find out more, reach out to our practice and set up a consultation or visit our acne scar treatment before and after gallery.


Surgical excision of Acne Scars

Some acne scars are deep and narrow; we often call these “ice pick” scars, and they tend to be unresponsive to treatment with lasers and other technology-based treatments.  As a result, we may recommend surgically removing these scars.

The process of acne scar excision is less intimidating than it might sound. In fact, the procedure takes place here in our office, and we can do it without the need for sedation. Local anesthesia is sufficient to keep you completely comfortable while Dr. Biesman excises your acne scars.

As each scar is removed, a suture is used to help heal the skin. Those deep ice pick scars turn into smoother, shallower scars, which may later be treated through non-surgical means.

Note that the ice pick scars are usually found on the cheeks or temples. In other words, they can be fairly prominent, and having them removed can make a world of difference for your appearance as well as give you a boost of confidence.  Surgical removal of ice pick scars is often performed at the same time as subcision or other acne scars or treatments.

Please reach out to our office for more information about treatment of acne scarring.


Laser Treatments for Acne Scarring Acne Scar Treatment Nashville


Lasers often play an extremely important role in acne scarring treatment.  Many different laser technologies are available.  The device chosen will depend on the nature of the skin and the acne scars.  Treatment of acne scarring can help return your skin to a smooth, even complexion.

Most laser treatments used for the treatment of acne scarring can be performed in the office.  A series of treatments is usually recommended to obtain ideal outcomes.

Dr. Biesman provides a full range of laser treatments and recommends a acne scarring treatment plan customized to meet each patient’s needs.  In many cases, more than one laser may be needed to achieve results.  Dr. Biesman and his team will answer your questions provide all the information you need in advance of your laser treatment.


Radiofrequency Microneedling for Acne Scars

Radiofrequency microneedling is another useful tool in the treatment of some acne scars.  Radiofrequency microneedling with the Morpheus 8 device is often performed at the same time as subcision or laser treatment.  Morpheus 8 radiofrequency microneedling treatments can be performed with topical anesthesia.  As is typical of all acne scarring treatments, multiple treatment sessions are typically required to achieve the best outcomes.


Treating Acne Scarring with Injectable Fillers

Soft tissue fillers can also play an important role in the treatment of acne scarring.  Fillers are be applied under depressed scars, bringing them to the same level as the rest of the skin.  In select cases, fillers are also used during the subcision process, to promote better outcomes.  When treating depressed scars, Dr. Biesman may use Restylane® or Bellafill®, the only FDA-approved filler indicated for the treatment of acne scarring. Dr. Biesman was part of the clinical trial which demonstrated that Bellafill is a safe and effective treatment for acne scarring. 

Dr. Biesman and his team will let you know if soft tissue fillers can play a role in helping you achieve your best results.

Learn More About Treatment for Acne Scarring

Acne scarring can have devastating effects on those who are affected by them. Thankfully, it is now possible to achieve significant improvement in the appearance of acne scarring and help restore self-confidence. The best candidates for treatment understand that this is a process and that it may take a year or more to get the desired results.

As you consider your options for acne scar treatment, we invite you to schedule an appointment with Dr. Biesman. He will be happy to talk with you about acne scar solutions that are right for you.


Introducing New Cellulite Treatment: Qwo®

Home » Blog » 2021

You’re probably familiar with the “dimpled” appearance of cellulite… especially if you’re a woman. If you’ve noticed this textured appearance on your buttocks or thighs, you’re hardly alone: About 90 percent of all women have cellulite, which first appears around the point they reach puberty. Despite being so common, cellulite can lead to feelings of self-consciousness.


If you’ve ever been frustrated by the appearance of cellulite, take heart: There is now a non-surgical cellulite treatment option that has been proven to minimize the appearance of cellulite, specifically on the buttocks; and, it offers results that really last. We are talking about a new injectable treatment called Qwo, which could be the breakthrough cellulite treatment you’ve been waiting for to help you deal with cellulite on the buttocks. Qwo is unlike any other injectable and Dr. Biesman and his team are proud to now make Qwo cellulite treatment available to their patients. 


Qwo cellulite treatment before and after


What is Cellulite?

Before explaining Qwo cellulite treatment, it may be helpful to share some basic information about cellulite. What is it, where does it come from, and who is most likely to get it?

Cellulite is a harmless but sometimes embarrassing skin condition, causing a dimpled or lumpy appearance. Some people say that it resembles the texture of cottage cheese or of an orange peel.

Cellulite can be seen in various places across the body, including the breasts and upper arms. However, it is most commonly seen around the thighs and buttocks.

While cellulite isn’t harmful, it can cause some self-consciousness or feelings of awkwardness and may prevent some women from wearing the clothes they really want to wear like bikinis and yoga pants. 


What Causes Cellulite?

So what causes cellulite? The answer involves your septae, which are fibrous connective cords that keep your skin tethered to the underlying tissue, with a layer of fat in between. Cellulite appears when the fat cells push upward against your skin, while the septae continue to pull the skin downward. This tension is what creates that lumpy or rippling effect on the surface of the skin.  Men do not typically develop cellulite as their septae are oriented horizontally rather than vertically and do not allow fat cells to push upwards toward the skin.

It is extremely important to note that cellulite appears in women of all body types and is not related to obesity or weight gain.  In fact, weight loss does not affect the appearance of cellulite so diet, exercise, and other weight loss strategies will not improve cellulite.

Cellulite and Aging

 Cellulite first appears around the age of puberty.  As skin loses its elasticity due to sun damage, genetic and environmental factors, and aging, irregularity in the skin’s surface can become more pronounced.  This is due to increased skin laxity.  Patients who have lax skin and cellulite are not the best candidates for Qwo cellulite treatment injections though there are other treatments Dr. Biesman and his team may recommend.


Introducing Qwo® Cellulite Treatment

Nashville Cellulite Treatment

What is Qwo, exactly? It’s an injectable medication that has been approved by the FDA for the treatment of cellulite in women between the ages of 18 and 78. Qwo cellulite treatment works by actively destroying the fibrous bands that cause dimpling; and, it triggers the formation of new collagen in the areas where cellulite used to be, meaning it can help you rejuvenate your skin for a smoother, more youthful appearance.  Following treatment with Qwo the buttocks frequently demonstrate improvement in the overall appearance and skin quality.

Dr. Biesman has been involved in scientific research with this exciting new product and continues to study ways to enhance the patient experience as well as explore new applications for Qwo. This knowledge helps Dr. Biesman and his team provide the best outcomes for patients interested in improving the appearance of their cellulite.


Common Questions About Qwo

Given that this is a new treatment, it’s understandable that some patients will have questions. Dr. Biesman and his highly experienced staff would love to answer those questions directly; to schedule a one-on-one consultation with Dr. Biesman or one of his highly skilled nurses, please contact our office.

In the meantime, here are a few common queries regarding Qwo cellulite treatment.


How many sessions of Qwo will I need in order to see results?

 Three treatment sessions, scheduled 21 days apart, are typically recommended.  However, requirements may vary for each individual.


Are there any side effects associated with Qwo?

Significant bruising occurs in the treated area after the first treatment.  Subsequent treatments are associated with significantly less bruising.  Bruising after the first treatment typically resolves within approximately 2 weeks.  Other side effects which occur less commonly include tenderness, swelling, or redness in the treatment area.  These effects subside rapidly.


How long will the results last?

 The results of your Qwo cellulite treatment may be permanent


Are there alternatives to Qwo?

Qwo may not be the right treatment for everyone, and Dr. Biesman and his team of experts can talk with you about some other body contouring options, including the possibility of hyperdilute Radiesse® or Sculptra® injections.  Dr. Biesman will also be studying a novel device for the treatment of cellulite.  More on that to come soon!


Get the Treatment You Need to Improve the Appearance of Cellulite

Cellulite won’t hurt you, but it might cause some personal embarrassment. If that’s your experience, we invite you to learn more about Qwo cellulite treatment and other treatments for cellulite. We are pleased to offer a range of solutions here at our practice and would love to help you identify the treatment option that’s best for you.


Please contact our office to schedule a consultation with Dr. Biesman or one of our experienced and skilled nurses.  We look forward to hearing from you soon!