Oculoplastic Surgeon Vs. Plastic Surgeon for Eyelid Surgery

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Reasons Why You Should Choose Oculoplastic Surgeon Vs. Plastic Surgeon for Eyelid Surgery

Plastic and reconstructive surgery can have a significant impact not only on your personal appearance, but also your level of self-esteem. Before having surgery, it is crucial to make a careful selection of who you will trust with your face. It is critically important to choose a highly trained doctor with the skill and experience needed to ensure the highest standards of safety, plus the desired clinical outcomes.

If you are considering eyelid surgery, you’ll face a fundamental choice: Oculoplastic surgeon vs. plastic surgeon. What’s the difference between these two types of doctors? And which one should you pick for your own eyelid surgery?


What’s the Difference Between an Oculoplastic Surgeon vs. Plastic Surgeon?

One of the most important distinctions between these two fields is that an oculoplastic surgeon has a practice that is more specialized to a particular part of the body, whereas a general plastic surgeon takes a more generalized approach, providing cosmetic and reconstructive procedures for the whole body.

To understand the importance of this distinction, it may be helpful to consider the specialized training that’s needed to become an oculoplastic surgeon. First, it’s necessary to become Board-certified in ophthalmology, then to gain membership to the American Society of Ophthalmic Plastic and Reconstructive Surgery. (Dr. Brian Biesman has been a member since 1993.)To qualify for membership in ASOPRS, it’s also necessary to complete a certified fellowship, to take a written examination and an oral examination, and to maintain continuing education moving forward. It’s a somewhat long road to go through, but it does ensure really strong expertise and excellence in the area of constructive and cosmetic eyelid surgery.

So, to become an oculoplastic surgeon, Dr. Biesman first trained in the field of ophthalmology. He then received specialized training in plastic and reconstructive surgery of the eyelids and the face. He does not do breast augmentation, tummy tucks, liposuction, or similar procedures that are commonly associated with general plastic surgery.

Given the more specialized nature of his practice, it is much easier for Dr. Biesman to be extremely familiar with the delicate anatomy of the eyelids and the eye sockets, and the complex relationship between the eyes and the rest of the face—because it does really all fit in together.

Someone who is a general plastic surgeon may do a variety of different procedures, whereas Dr. Biesman focuses on the eyelids, the upper face, the area around the eyes, and the mid-face.


Should You Choose an Oculofacial Surgeon for Your Eyelid Surgery?

Is this level of focus and specialization an advantage? There is a tremendous amount of variability from one patient to the next. Dr. Biesman has had patients come see him for cosmetic surgery, and he has diagnosed them with tumors behind the eye and even identified brain tumors. There are a lot of subtle changes that take place that are important to identify in order to ensure the patient’s overall health and safety, and in some cases to seek life-saving interventions. Dr. Biesman’s background as an oculofacial plastic surgeon really does help him identify these signs and subtle changes.

The eyelids are highly complex, and it’s important to find a surgeon who really understands the relationship between the eyelids, the bony eye socket, and the rest of the face to perform your surgery.

Does that mean that everyone who comes to see Dr. Biesman should have him do their surgery?  Not necessarily. It’s most important for you as a patient to feel comfortable with whoever is doing your surgery. You shouldn’t go to someone just because they have a great Instagram page. You shouldn’t go to someone because you heard they were good. You want to do your homework, but more importantly than anything else, you want to make sure you feel that that surgeon has a connection with you, listens to you, understands what your concerns are, and then has a plan that sounds like it should address your concerns in a reasonable way. 

You want expectations to be set realistically. You want someone to talk to you about what will happen if things don’t go as planned. Remember that in surgery, as in the rest of our lives, sometimes things don’t go just the way we want. It is necessary to know what happens if things don’t go well, and to feel confident that you made the right decision about the person who will take care of you even if things don’t go the way they want. Second guessing yourself or having regrets should be avoided at all costs. You want to feel like, no matter how things go, you made the best decision.

Dr. Biesman is extremely proud to be able to offer eyelid and facial surgery. He says it is very gratifying that patients do ask him to take care of them. It’s a fun part of his job to walk patients through their surgical journey from beginning to end.


What is Dr. Biesman’s Background as an Oculofacial Plastic Surgeon?

Dr. Biesman has an advanced level of education and experience in the field of oculofacial plastic surgery. He earned his undergraduate and medical degrees from the University of Michigan, graduating with high honors. He completed his Ophthalmology residency at the Illinois Eye and Ear Infirmary and then went on to fellowship training in Ophthalmic Plastic and Reconstructive Surgery at the prestigious Manhattan Eye, Ear, and Throat Hospital in New York, NY. 

Dr. Biesman ultimately spent some time in Boston, MA, assuming the Directorship of the Eye Plastics and Orbit Service and the Center for Aesthetic Eyelid and Facial Surgery at the New England Medical Center. During this time, he served as an Assistant Professor of Ophthalmology at Tufts University School of Medicine.

He has had his own busy practice in Nashville, TN since 2002, and also remains active in clinical research. He has been named one of America’s Best Doctors every year from 2004 to the present day.


Find Out More About Eyelid Surgery

To schedule a consultation appointment with Dr. Biesman, or to learn more about eyelid surgery, we welcome you to contact our practice (615)329.1110.


What Is A Liquid Facelift? – Overview by Oculofacial Surgeon

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What is a Liquid Facelift And Is It Right For You?

As we get older, we all begin noticing unwanted signs and symptoms of the aging process, including fine lines and wrinkles, lost volume, and more. There are a number of options available for facial rejuvenation, though these different treatments vary both in what they can accomplish, and how extensive their results can be. One treatment that patients should be aware of is what’s commonly known as the liquid facelift.

“Liquid facelift” is a term that physicians didn’t come up with so much as patients did… but nevertheless, it has become a huge term on social media, and it’s a procedure that more and more patients are aware of. As such, it’s worth pausing to consider these questions: What is a liquid facelift, what does it do, and are you a candidate for it?


What is a Liquid Facelift?

To start with, it’s crucial to understand that facelifting surgery is surgery that’s performed to rejuvenate the lower face and neck, the jawline, and the area under the chin. It is particularly useful when there is a lot of excess skin and a lot of sagging.

A liquid facelift does not accomplish the same thing as a surgical facelift. There are lots of changes that occur to the face over time that surgery won’t fix. For example, over time, our faces tend to lose volume. We get hollow in the temples, under the eyebrows, and under the eyes. The soft tissue in our cheeks begins to deflate, which can lead to deeper wrinkles and lines. We also see changes along the jawline, changes in the chin, even changes in the lips. Almost every part of the face will be affected over time by changes to natural volume.

That brings us back to the liquid facelift, which is a way to rejuvenate the face both by recontouring (meaning to pick things back up and reposition them) and by restoring the volume that’s been lost with age. Note that a liquid facelift cannot reposition as effectively as surgery can, but it can still offer some very positive results.


How Does the Liquid Facelift Work?

How does all of this happen? Liquid facelifts are performed with the use of soft tissue fillers to address those changes that occur as a result of deflation, and to some degree the sagging of tissue for patients who really aren’t great surgical candidates.

Liquid facelifts are performed in our office without the need for sedation or anesthesia, though many patients opt to receive a topical anesthetic (or “numbing cream”) before their treatment begins.

Once the patient is comfortable, soft tissue fillers are used strategically to produce a more relaxed and natural facial appearance. Click here to get your guide to facial fillers and learn more about Dr. Biesman’s approach to facial contouring with injectables. 

What is the Recovery from a Liquid Facelift?

One of the reasons why patients are drawn to the liquid facelift is that the recovery is much less extensive than what you’d experience with a surgical facelift.

After their liquid facelift, most patients experience very little discomfort. However, some swelling or bruising may occur. Dr. Biesman’s patients who experience bruising are invited to contact the practice to arrange for a complimentary laser treatment which can help to resolve the bruising more quickly.


What’s the Difference Between a Surgical Facelift and a Liquid Facelift?

One thing that patients should know about these two procedures is that they can often be complementary. A liquid facelift may be performed to restore lost volume and to improve the facial contour, while a surgical lift can be more effective at re-suspending tissue that has succumbed to time and gravity, or is simply present in an excess quantity. 

In other words, these procedures are intended to accomplish different goals, and as such, it’s inaccurate to say that one is superior to the other.


How Long Do Liquid Facelift Results Last?

Patients often want to know for how long their liquid facelift results will last. The timeline can vary depending on the type of injectable fillers used. Some fillers last for only a few months, while others may last for up to two years.

During your consultation with Dr. Biesman, he will be happy to speak to the type of filler he recommends, as well as to the potential advantages of “maintenance” fillers to extend your initial results.


Is the Liquid Facelift Right for You?

How do you know if you are a good candidate for a liquid facelift? First and foremost, it is important to meet with an experienced oculofacial plastic surgeon, like Dr. Biesman, who can assess the changes to your face and inform you as to which type of intervention is right for you. Always seek the expertise of a facial or oculofacial plastic surgeon to determine the path of facial rejuvenation that’s best suited to your anatomy and your aesthetic goals.

Generally speaking, if your biggest concern is fullness of your neck, heavy jowls, your eyebrows dropping below the bony eye socket, or your lower eyelids being really puffy, surgery really is going to be the best option for you. But for those patients who don’t have changes that are so advanced, particularly those who have been relatively thin and fit their whole life but notice that they are looking older, liquid facelifts can be ideal.

Often, Dr. Biesman will ask patients to pull up their social medial to show him some old photographs, allowing him to look and see what’s changed and then use injectable fillers in various parts of the face, starting at the top and working down to help restore a more natural, youthful appearance, without it looking like the patient has had any work done.


Schedule a Liquid Facelift Consultation Today

Dr. Biesman has been performing facial rejuvenation procedures since the early 1990s, and has a wealth of knowledge and expertise regarding the use of soft tissue fillers to address wrinkles, lost volume, and related changes. To find out more about this procedure and your candidacy for it, click here to view Dr. Biesman’s injectable filler before and after photos then schedule a consultation with Dr. Biesman at your convenience.

Benefits of Masseter Botox – Jawline Contouring

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All About The Benefits of Masseter Botox

Botox is a popular injectable treatment, well-known for its effects relaxing the muscles and smoothing certain types of wrinkles and fine lines. In addition to its applications for facial rejuvenation, Botox can also be injected into the masseter muscles, which is one of the muscles that control the jaw.

For some patients, this application of Botox may sound a little odd. Many years ago, Dr. Biesman remembers being in a meeting with senior leaders from the company Allergan, who were looking down the road for potentially new and useful applications of Botox. There was a small group of physicians, Dr. Biesman among them, who were in agreement that using Botox in the jaw muscles was a really promising idea that needed to be explored. The scientists at Allergan felt there was no way this application of Botox would ever become popular; they simply couldn’t imagine it. 

Several years later, Dr. Biesman and his team have performed two clinical trials on masseter Botox injections and studied the benefits of masseter Botox injections. Soon, Allergan will be able to begin advertising this particular use of Botox. When it comes to jaw injections, things have truly come full circle. But what exactly are the benefits of masseter Botox, and for what issues is it an effective treatment?


What are the Benefits of Masseter Botox?

There are two main reasons for injecting the jaw muscles with Botox. One reason is for facial shaping. The jaw muscle can be very prominent in some people. For example, when you bite your teeth together, you can sometimes see the jaw muscle pop out. Some people even have a square type of jaw because their jaw muscle is so prominent.

Some people like that contour, and that’s okay. By the same token, some people would like their jaw to look more slim. As such, one of the reasons Dr. Biesman uses Botox in the jaw muscles is for slimming the face.

The other main reason to use Botox in the jaw muscles is to relieve the symptoms of clenching and grinding the teeth. People who don’t clench or grind may not be able to relate to this, but for those who do, it can really be an issue. People who clench and grind their teeth will often break their teeth. They may also grind their teeth together at night so loudly that their partner stays awake or cannot sleep in the same bed. There are other times when people are so sore, or have so much pain from grinding, that they really have a tough time getting through the day. 

Dr. Biesman often sees patients who have seen dentists, gotten mouth guards, and chewed right through their mouth guard, without experiencing any relief. Other patients try acupuncture and a range of other treatments, none of which have proven successful. Botox is a great treatment for relieving the discomfort associated with people who clench and grind their teeth.


Is Masseter Botox a Good Treatment for TMJ?

One point that’s really important concerns TMJ, or temporomandibular joint syndrome, and its relation to the jaw muscle. It’s true that people who clench and grind their teeth may experience symptoms like those associated with TMJ. However, TMJ is a complex disorder that has multiple different causes, of which the jaw muscles may be one. Dr. Biesman likes to be clear with patients that he is not a TMJ specialist. If someone comes to Dr. Biesman saying their primary issue is that they have TMJ, he will typically advise them to seek a specialist first, whether that means an oral surgeon or a dentist. If the specialist recommends Botox as a form of treatment, that’s certainly something Dr. Biesman can provide.

The vast majority of the patients Dr. Biesman treats with Botox for their masseter muscles are either trying to pursue slimming of their face to get a more feminine appearance, or they clench and grind their teeth.


What to Expect from Masseter Botox Treatment

Botox is a minimally invasive, in-office treatment that is FDA approved and, assuming a skilled injector, generally very safe. Anesthesia and sedation are not required for Botox treatment. Botox injections are performed with a small needle, used to administer Botox into muscles along the lower face, the jaw, and the upper part of the neck.

While some patients may begin to see some positive effects right away, it usually takes up to two weeks before patients experience the full results of their Botox treatment. The effects of Botox are not permanent, and many patients return for “maintenance” injections every three or four months, allowing them to extend the positive effects and benefits of their masseter Botox treatments.

There is very little recovery time associated with Botox, and the side effects tend to be very mild. These effects can include some bruising or soreness around the injection site. Side effects of Botox usually resolve on their own within a matter of days. Click here to learn more and view Dr. Biesman’s Botox before and after photos.


Finding the Right Injector for Masseter Botox

Another important point to be aware of is that injection of Botox in the jaw muscles is actually fairly tricky. When performed well, the results can be truly outstanding. However, it is truly important to find an injector who is very experienced. With inexperienced injectors, you can get the smile being affected, you can get ineffective treatments of the jaw muscle, and you can get incomplete treatment for your clenching and grinding symptoms. The results can be suboptimal overall.

Patients are encouraged to do their homework, and find somebody who is really experienced and understands the anatomy of the jaw muscles. With that said, definitely think about jawline contouring with Botox for the jaw muscles if you are interested in either slimming your face or treating symptoms for clenching and grinding your teeth.


Learn More About the Benefits of Masseter Botox

If you have any further questions about getting masseter Botox, or believe you may be a good candidate for this treatment, the next step is to schedule a consultation. Make an appointment to speak with Dr. Biesman at your convenience.

Benefits of Laser Skin Resurfacing and The Types of Lasers

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Many patients come to Dr. Brian Biesman with specific questions about the
benefits of laser skin resurfacing, the types of lasers available today,  and about its appropriateness for addressing their particular skin concerns.

Dr. Biesman has been performing laser skin resurfacing since the early 1990s. And, he has been fortunate to play a significant role in the development of several new technologies over the years, as well as techniques. This article will provide some basic guidelines as to what laser skin resurfacing is, why it is used, and when it is or is not recommended.

To begin with, what is laser skin resurfacing? Laser skin resurfacing is a procedure in which a qualified doctor, like Dr. Biesman, uses lasers to cause a controlled injury to the skin. As the skin heals, you will often see a remarkable transformation.

Dr. Biesman’s background as an oculofacial plastic surgeon leaves him to be especially interested in resurfacing the eyelids. His many years of experience and his expertise as a laser surgeon make him uniquely qualified to perform laser resurfacing of the face, neck, chest, arms, and more. Lasers can be used all over the body to achieve a wide range of beneficial outcomes.

The Benefits of Laser Skin Resurfacing

There are a number of things resurfacing doesn’t do, but there is also a ton of stuff that laser resurfacing does do. Laser skin resurfacing is great for treatment of:


  • Sun damage
  • Photoaging
  • Aging changes in your skin
  • Fine wrinkles
  • Deep wrinkles
  • Superficial discoloration
  • Deeper changes in the skin
  • Treatment of surgical scars
  • Treatment of traumatic scars
  • Treatment of acne scars
  • Treatment of burn scars


A lot of patients ask specifically about laser skin resurfacing as a treatment for melasma or hyperpigmentation. Melasma is the brown discoloration that many patients get; it is an extremely common problem, and it is also very tough. It’s not something you can cure with laser resurfacing. Sometimes lasers or other energy-based devices, like IPL, can be used to help manage it, but for the most part melasma is a condition that’s best managed medically. 

For example, laser resurfacing does not treat spider veins, it doesn’t treat blue veins under the eye, it doesn’t remove tattoos, and it doesn’t treat vascular birthmarks, all of which can be treated with other types of laser therapy.

Types of Lasers Used for Resurfacing Treatments

The spectrum of laser resurfacing devices is broad. If you have very mild changes in your skin, you just need a light resurfacing treatment. Dr. Biesman and his team also perform laser skin treatments on a maintenance basis to keep your skin looking fresh and beautiful.

If you happen to be someone who hasn’t kept up with skincare over the years, and if you have a lot of sun damage, deep wrinkles and lines, or discoloration, there are types of lasers that can address that, as well. 

Some lasers are more aggressive in their treatments, and some are more superficial. It is crucial to note that aggressive lasers aren’t always better. Dr. Biesman’s job as a leading expert in laser surgery is to match the aggressiveness of the treatment with your condition. 

Superficial conditions that are very mild can be addressed with very light treatments, where there may be just a day or so where your skin is pink, but with no real downtime. More advanced changes may take a couple of weeks to heal, but you get long-lasting results if you’re willing to put in that investment. More aggressive treatments can give you years, if not decades, of outstanding results. By contrast, a very superficial treatment with minimal downtime is something that you’ll probably need to keep up with on a regular basis. 


Specific Types of Lasers

A lot of patients ask for treatment with certain, specific types of lasers. As you consider your own aesthetic objectives, it may be helpful to have some background knowledge about the different lasers that are available for skin resurfacing. 

One very popular, well-known brand name is Fraxel. Fraxel is just that: A brand name, like Mercedes, BMW, or Chevrolet. Under that umbrella, there are actually a number of different devices. There is no such thing as a generic “Fraxel treatment.”

Some Fraxel laser treatments are associated with a little bit of pinkness of the skin, but very little in the way of healing. Others come with a bit more downtime, and some can actually have a full one to two weeks of downtime.

Some laser resurfacing treatments, such as the UltraPulse (which is the original gold-standard device), can have anywhere from three days of recovery time to a full two weeks. 

When treating scars, and especially acne scars, Dr. Biesman may do something called fractional skin resurfacing. This usually involves three to six days of recovery time. It will probably take more than one fractional skin resurfacing treatment to get best outcomes, because by definition these treatments only affect a fraction of the skin’s surface. After two or three treatments, most patients see great results.

In general, the more aggressive the treatment, the longer the recovery, the better the results, and the longer those results last. The less aggressive the treatment, the faster the recovery, the lower the risk, and the greater number of treatments required. Additionally, you will probably need to keep up with these less-aggressive treatments on a more regular basis.


The Risks of Laser Skin Resurfacing

There are risks associated with any medical procedure, and laser skin resurfacing is no exception. It’s really important to understand the relative level of risk involved with the treatment that is recommended for you.

In most cases, the risks are minimal. If your treatment is performed by someone who is extremely experienced and knowledgeable, then even if something starts to go sideways, it can be recognized and treated. It is very uncommon for there to be anything that doesn’t go well with a laser resurfacing treatment.

Learn More About the Benefits of Laser Skin Resurfacing

Overall, this is a phenomenal procedure, and Dr. Biesman encourages patients to find out more about all of the benefits of laser skin resurfacing and its potential applicability. Click here to view Dr. Biesman’s  laser skin resurfacing before and after photos and contact our office to schedule a consultation appointment.

Best Body Contouring and Cellulite Treatments Approved by Dr. Biesman

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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

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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.