Reza Nabavian MD: Plastic Surgeon Santa Monica California


Facial Rejuvenation



BOTOX® is chemical product that is used to prevent or treat dynamic wrinkles. Dynamic wrinkles are formed by the strong action of a particular facial muscle and can lead to permanent wrinkles. The key to appropriate Botox use is to have a good understanding of facial anatomy and to recognize areas of concern before the wrinkles become permanently etched in the skin. Unfortunately, in an effort to eliminate wrinkles, BOTOX® commonly in misused and has been known to cause a masked and unnatural appearance. One needs to keep in mind that facial movement is a natural process that needs to be preserved.

It also is important to remember that the earlier one treats a hyperactive muscle, the better the ultimate outcome. Low-dose BOTOX® therapy is a good tool when addressing dynamic wrinkles. However, in more mature patients where the dynamic wrinkles have become permanent, fillers may also be needed.


Fillers are a group of products that are injected into wrinkles and areas of hollowing. The differences in various types of fillers are usually a reflection of their biochemical properties, such as molecule size and how long they last. Most hyaluronic acid fillers last about six months, and within each brand different molecule sizes are available. Smaller molecules are better utilized for superficial wrinkles, whereas larger molecule products are more suitable for deeper injections.


Fat is a truly natural filler, and it is available in every individual. A person’s own fat can be taken from an unwanted area to target visible signs of aging in other areas such as in the face or the hands. Areas around the eyes, cheeks, mouth and chin can be discreetly filled with fat without visible scars. Fat injections usually require only local anesthesia and occasional oral sedatives, and bring on mild to moderate swelling that goes down over one to two weeks.

This less-invasive method can be more acceptable to younger patients in their 30s and 40s who would otherwise not want invasive surgery. As such, patients not only will look better at a younger age, but will also benefit from the preventive effect of early filling.



As we age, our faces become smaller, lose volume and become hollow, as the skin loses its youthful fullness, it becomes wrinkled.

Traditional plastic surgery procedures remove this excess skin, but fail to restore the youthful.

We can now use your own fat cells to restore fullness and proportion to your face and body.

This revolutionary procedure enhances your appearance with no use of synthetic fillers, implants and drastic surgery. Rejuvenate and reshape the face and body with natural results!

  • Restore youthful and sensual fullness to the eyes, brows, cheeks, lips, nasolabial folds and chin
  • Soften wrinkles and crow’s feet, lighten lower eyelid dark circles and decrease pore size
  • Soften wrinkles and crow’s feet, lighten lower eyelid dark circles and decrease pore size

Dr. Nabavian has validated the fact that a meticulous, precise and layered placement of fat cells has excellent long lasting results. Using tiny incisions and soft-tipped instruments, Dr. Nabavian uses your own fat cells as a natural and living implant to sculpt and shape your face and body!

This minimally invasive procedure can be performed under local or general anesthesia with no scars and minimal recovery period. Fat grafting is a natural alternative procedure to filler injection and surgery!

  • Augment, reshape and lift the buttocks
  • Correct cellulite, dimples and scar deformities
  • Rejuvenate the hands


Thermage is a non-surgical technology that utilizes radio-frequency energy to promote collagen deposition and skin tightening. This treatment causes a gradual improvement in skin quality over several months and requires no down time or recovery period. More than one treatment may be needed to achieve visible or tactile results.

Thermage has been successfully used to tighten the skin on any area of the body that is showing early signs of aging. By promoting collagen synthesis and contraction, it can help younger patients as a preventive measure to counter the ongoing sagging and thinning of the skin.


In general, lasers and light-based therapies address problems in the superficial layer of the skin. Lasers can be used to address difficult pigmentation problems, such as age spots, that do not improve with basic skin care and peels. They also can be used for skin resurfacing and to improve overall skin quality. However, they usually require a significant recovery period. Light-based modalities such as intense pulsed light (IPL-photofacial) are less invasive than lasers and help improve pigments and general skin condition after multiple treatments.


Continuous use of one or a combination of these preventive tools can help transform the skin from wrinkled and sagging to a healthy appearance of youth and vitality. While it is very important to recommend treatment on a person-by-person basis, it also is helpful to know which procedures work best for a particular age group.

Age 20-30 Skin Care, Peel, Botox, Filler, Thermage (late 20’s)
Age 30-40 Skin Care, Peel, Botox, Filler, Thermage, Fat Transfer
Age 40-50 Skin Care, Peel, Botox, Thermage, Fat Transfer
Age 50-60 Skin Care, Peel, Fat Transfer, Mini Face and Neck Lift, Eyelid and Brow Surgery
Age 60+   Skin Care, Peel, Fat Transfer, Face and Neck Lift, Eyelid and Brow Surgery

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