Category Archives: facial rejuvenation

Signs You Are a Good Candidate for Facial Plastic Surgery

Facial plastic surgery is designed to refine or improve areas of the face to increase self-confidence. Dr. Samuel Pearl and Dr. Alexander Ereso can attest that facial plastic surgery is not right for everyone. There are certain criteria interested a person must meet in order to be considered a suitable candidate.

Here, Bay Area cosmetic surgeons Drs. Pearl and Ereso reveal some of the signs that you are a good candidate for facial plastic surgery. Continue reading

Minimally Invasive Procedures Deliver Noticeable Anti-Aging Results

shutterstock_162074819Turning back the clock when it comes to aging doesn’t always mean going in for a surgical procedure. Increasingly patients are turning to other interventions that are less invasive and performed as outpatient procedures with minimal to virtually no recovery time. Dr. Samuel Pearl and Dr. Alexander Ereso are highly qualified to perform an array of specialized procedures that can provide significant anti-aging benefits and make you feel youthful and invigorated. Continue reading

From Fillers to Lasers: Non-surgical Facial Rejuvenation

Anyone would take looking younger, happier and more well-rested over looking older, tired and upset. Cosmetic procedures like facelift and brow lift surgery will subtract several years’ worth of aging from the face, but what if you’re not ready for surgery? Not to fret (it causes frown lines anyway!). Dr. Pearl offers non-surgical alternatives to restore a smoother, more youthful look to the face, from top to bottom.

Botox for Frown Lines and Crow’s Feet

Botox, a derivative of the naturally occurring substance Botulinum Toxin A, is used to smooth out fine lines and wrinkles on the face, including frown lines on the forehead and crow’s feet lines on the outer corners of the eyes. This less invasive alternative to facelift surgery temporarily relaxes the facial muscles that contract to cause these lines to form.

Restylane Fillers for Under the Eyes

The Restylane dermal filler, an injectable with a firm consistency, is ideal for filling in hollow areas under the eyes, as well as lessening the appearance of dark circles and under-eye bags. The youthful, rejuvenating effect that Restylane has on the eyes — and the entire appearance of the face — lasts six months or longer.

Juvéderm for the Lips and Smile Lines

Juvéderm gel has a smooth consistency that, when injected, adds volume to the area being treated, dramatically reducing or eliminating the appearance of wrinkles in that area. This transparent filler made up of biocompatible materials effectively fills the fine lines that form around the lips and mouth with age. It is also ideal for lip augmentation, giving the mouth a plumper, yet natural-looking, pout that is reminiscent of youth.

Voluma for the Cheeks and Jawline

Voluma is a dermal gel filler that is most often used in the cheek and jaw area, in order to fill out a hollowed-looking face (an effect that sometimes occurs as we age). This filler, which is injected deep within the facial tissue, supports the overlying skin and results in accentuated, filled out cheekbones and a sleeker jawline. And these beautiful results can last up to two years!

Treatments for the Entire Face

For better overall skin texture, Dr. Pearl offers Fraxel Skin Resurfacing, a revolutionary skin care treatment that merges laser technology with dermatology to erase skin damage and restore a more supple texture to the face. This FDA-approved treatment is used on acne scars, stretch marks, large pores, wrinkles and uneven skin pigmentation. Fraxel uses pinpoints of laser light to penetrate deep into the skin’s surface, eliminating damaged skin cells and promoting new skin cell growth in their place. It is safe and effective for all skin types.

At Pearl Plastic Surgery Center, we also offer our patients the SilkPeel® Dermalinfusion skin care procedure, which is similar to microdermabrasion in that it exfoliates the topmost layers of the skin. However, unlike microdermabrasion, it also employs the soothing and smoothing effect of any number of topical serums hand-picked for your specific skin care needs.

If you’re unsure about what skin care treatment would be right for you, contact our office to schedule a skin care evaluation so that we can personalize your treatment. We also offer home treatment programs tailor-made for treating skin conditions and restoring a healthy, more youthful glow to your skin.

To find out more about our non-surgical treatment options for beautifying the face, schedule a personal consultation today with Dr. Pearl by calling our Mountain View office at (650) 964-6690.

What Is the Difference Between Eyelid Surgery and Brow Lift?

Eyelid surgery vs. brow liftThe appearance of the eyes can dramatically impact a person’s facial appearance. For example, wrinkles and bags under the eyes can make you look older, while puffy eyelids can make you look tired. Eyelid surgery and brow lift are two facial rejuvenation procedures that can help restore youth and beauty to the eyes and face. While these two procedures are different, it’s easy to confuse them because they tackle some of the same problems and offer similar benefits. Here, leading plastic surgeons Drs. Samuel Pearl and Alexander Ereso discuss the differences between the two procedures.

Eyelid Surgery

Eyelid surgery aims to eliminate sagging, excess skin from the natural fold on the upper or lower eyelids. This procedure has become increasingly popular among patients seeking to restore youth to the eyes and face. Removing drooping skin from the upper eyelids can make the eyes look refreshed, while eliminating bulges or “bags” in the lower eyelids can shed years off a person’s appearance.

Some people seek eyelid surgery for medical reasons. Loose skin hanging from the upper eyelids can make it difficult for someone to open the eyes and even interfere with vision. Eyelid surgery removes extra skin from the upper eyelid, allowing the eyes to open with ease.

Brow Lift Surgery

Sometimes, sagging eyebrows cause the upper eyelids to appear hooded, in which case a brow lift may be more appropriate. Brow lift, also known known as forehead lift or eyebrow lift, raises and reshapes the skin around the eyebrows for a younger, rejuvenated look. The procedure softens the deep creases and wrinkles across the forehead, and also reduces horizontal frown lines at the top of the nose and vertical lines between the brows for a youthful, refreshed appearance. Unlike eyelid surgery, brow lift can increase the distance between the lateral brow and upper eyelashes.

How Do I Know Which Procedure is Best for Me?

Now that you know about the two procedures, it’s time to review your options. If your eyebrows are in good position but the skin on your upper eyelids is hanging, you may need upper eyelid surgery. If you have drooping eyebrows, try raising them to see if there is any extra skin in the upper eyelids. If there is no excess skin in the eyelids, then a brow lift may be recommended. However, if you do have extra skin in the upper eyelids and sagging eyebrows, your plastic surgeon may recommend both eyelid surgery and a brow lift.

The best way to find out which procedure is right for you is by scheduling a personal consultation with Dr. Pearl or Dr. Ereso. Call our Mountain View office today at (650) 964-6690.

Computer Imaging Provides a Preview of Facial Plastic Surgery

stk212568rkeIt is normal for facial plastic surgery patients to feel hesitant or nervous about their results. Though Drs. Samuel Pearl and Alexander Ereso are skilled, experienced plastic surgeons any surgery performed by any surgeon involves an element of the unknown. Our doctors understand this, and offer special technology to help alleviate some of these patient concerns and improve the predictability of the surgical outcomes.

Computer imaging allows our facial plastic surgery patients to envision how they will look after surgery. This technology works for patients who are seeking to have a specific feature (e.g., nose, eyes) corrected, or have requested allover facial rejuvenation.

Computer imaging is a valuable part of the treatment planning process, as it improves the communication between doctor and patient. Also, it helps the patient develop realistic expectations of the surgical outcome. And, it is a helpful teaching tool for our doctors.

How Computer Imaging Works

First, a member of our team will take photographs of your face, likely from the front angle and the profile view. The images will then be loaded into our office computer and the special digital imaging program. Then, Dr. Pearl or Dr. Ereso will manipulate the image as you watch alongside them, to simulate what surgery will accomplish.

For example, if you have requested rhinoplasty to improve the look of your nose, the doctor may digitally tweak your nose to make it look thinner or straighter. Or, if you are planning eyelid surgery to remove wrinkles and bags underneath your eyes, he can digitally remove those imperfections.

As the doctor alters the photographs, you can provide your feedback and suggest changes or improvements.

When you and the doctor are happy with the modified digital image, it will be saved in your file, and emailed or printed out for you to take home. You are free to share the image with family or close friends to get their feedback.

Keep in mind that the digital images are not meant to be 100 percent accurate, in terms of how your results will look. It is impossible to predict with complete certainty what you will look like after surgery, but your digital images will be very close.

Preview Your Results

Are you interested in a facial plastic surgery procedure? Would you like to preview the possible results? If so, please contact the practice of Dr. Samuel Pearl and Alexander Ereso and schedule a consultation. Call (650) 964-6600 or send us an email at

Dr. Pearl’s Voluma Results

Details: Dr. Pearl had 3cc Voluma and 2cc Juvederm Ultra Plus injections over two treatment sessions, spaced six weeks apart. Both procedures were performed with topical anesthetic and a small amount of local anesthetic injected prior to the Voluma and Juvederm.

As you can see, Dr. Pearl noticed excellent improvement with rejuvenation of the malar cheekbone area.



















Learn More about Voluma

Would you like more information about Voluma or another non-surgical facial rejuvenation treatment? Please contact our office today by calling (650) 964-6600.


What Are My Nonsurgical Treatment Options?

How Can I Rejuvenate My Face Without Surgery?Over time, the body produces less and less collagen and elastin, two proteins that are vital for healthy, elastic skin. Without a sufficient amount of these proteins, the skin loses its elasticity and starts to sag. In addition, outside factors, including major weight loss, constant sun exposure, hereditary traits and certain lifestyle habits such as smoking, can contribute to sagging facial skin as well as other visible signs of aging and environmental damage on the face.

Thankfully, Dr. Samuel Pearl and Dr. Alexander Ereso offer a wide range of nonsurgical facial rejuvenation treatment options to help combat noticeable signs of aging and sun damage on the face. The following are a few of the most popular nonsurgical cosmetic treatments requested at Pearl Plastic Surgery.

BOTOX Cosmetic

BOTOX Cosmetic treatment continues to be one of our most requested nonsurgical treatments. When injected, BOTOX Cosmetic temporarily stops muscle activity in the treatment area, thereby relaxing and smoothing out the overlying wrinkles. BOTOX is great for use in smoothing out forehead furrows, frown lines in between the eyebrows and crow’s feet, among other uses. Results last about four months before an additional treatment is needed to maintain the rejuvenating results.

Dermal Fillers

There are several types of dermal fillers available at Pearl Plastic Surgery, including Juvéderm, Restylane, Perlane, Radiesse and Sculptra. They are used to fill in — and thus smooth out — wrinkles and lines on the face, including smile lines and frown lines. Dermal fillers can also be used to restore volume in areas of the face that lack fullness, such as the cheeks. Some of them can even be used to enhance certain facial features, including the lips.

Laser Skin Resurfacing

With Fraxel laser skin resurfacing treatment, patients can achieve improved skin texture, more even pigmentation, an improvement in the look of wrinkles and fine lines and a subtle skin tightening effect on the face, neck, chest and hands. This treatment option is especially beneficial for individuals who would like to improve the look of dark age or sun spots, freckling or areas of redness.

SilkPeel Dermalinfusion

SilkPeel Dermalinfusion treatment is performed to slough away the upper layer of dead, dull skin cells to reveal the fresher, healthier skin underneath. Its effects are similar to those of microdermabrasion treatment, but SilkPeel Dermalinfusion does not require the use of harsh abrasive particles like microdermabrasion does. In addition, SilkPeel Dermalinfusion treatment infuses the skin with a nourishing solution that leaves patients with refreshed, healthier-looking skin. This treatment is an effective way to improve the look of hyperpigmentation, dehydration, fine lines and wrinkles, uneven skin texture and acne scarring.

Find Out More

Our nonsurgical cosmetic treatments are a great way to rejuvenate the face and help stave off the need for cosmetic facial surgery. They can also be used to optimize the aesthetic benefits of cosmetic surgery. To schedule a consultation with Dr. Pearl or Dr. Ereso to find out more about your nonsurgical facial rejuvenation treatment options, please contact Pearl Plastic Surgery by calling (650) 964-6600.

What You Need to Know about Otoplasty

ears1aOtoplasty is a procedure to improve the shape or position of the ears. It is commonly performed on ears that: a) are large in proportion to the rest of the facial features; b) protrude to a significant degree from the head; or c) are irregularly shaped. Dr. Samuel Pearl offers otoplasty at his Mountain View plastic surgery practice. He would be happy to meet with you to discuss the procedure in further detail and to determine whether it is a good fit for your needs.

Otoplasty Candidates

Otoplasty can help individuals that are bothered by unattractive or disfigured ears, including ears that are:

  • Oversized
  • Asymmetrical
  • Protruding
  • Misshaped
  • Have a congenital or acquired irregularity (e.g., “lop ear,” in which the tip of the ear folds down; or “shell ear,” in which the natural curves and folds of the ear are missing)

Otoplasty candidates should be physically and psychologically healthy, not smoke and not have any life-threatening medical conditions that could affect the surgical healing process. Ideally, candidates have a positive outlook regarding the surgery and reasonable goals and expectations that can be clearly communicated to Dr. Pearl.

Is Otoplasty Safe for Children?

shutterstock_11418553Otoplasty may be safely performed on children, adolescents and adults. Performing otoplasty on a child can prevent possible psychological trauma from classmates’ teasing or bullying.

It is recommended that children seeking otoplasty be at least 5 or 6 years old before undergoing surgery — by that age, the ear cartilage is stable enough for correction. Young candidates will be carefully screened to ensure they are cooperative and can follow instructions.

More about the Surgery

Otoplasty is generally performed on an outpatient basis. Anesthesia medications are used for patient comfort.

Dr. Pearl will make the incisions behind the ear. Through the incisions, he will resize and sculpt the supporting tissue of the ears to bring them into better proportion with the head and/or position them closer to the head (“ear pinning”). Or, Dr. Pearl may correct any structural irregularities, such as “shell ear” or “lop ear.” Non-removable sutures may be placed internally to support the ear’s new structure. When Dr. Pearl is finished making the surgical modifications, he will close the incisions with sutures and place soft dressings.

Following surgery, the ears may feel numb. Also, there may be mild swelling or bruising. These side effects will improve with time. Any pain can be controlled with oral medication as prescribed by Dr. Pearl. It’s important to avoid straining, bending, heavy lifting or any activities that could result in sudden, harmful contact to the ears. Dr. Pearl will advise when it is safe to return to school or work, exercise and other normal activities.ears1b

Once the ears have healed, they will look more proportional to your head and well positioned. Any irregularities in shape will be corrected. Over time, scarring will fade. Any visible scars will be hidden within the natural creases of the skin.

Schedule a Consultation with Dr. Pearl

To learn more about otoplasty, please contact our office and schedule a consultation with Dr. Pearl. Call (650) 964-6600 or send us an email at

Dr. Pearl Now Offering Improved Dermal Filler Treatment

Natural BeautyAt our practice, we’ve seen the incredible rejuvenating effects of dermal filler injectable treatment. However, one of the downsides of dermal filler treatment is that it often leads to bruising and swelling.

With the DermaSculpt Microcannula, we can now administer injections of dermal filler with 70-percent less bruising (and other added benefits!). We are pleased to offer this revolutionary treatment to our patients who want a younger and more vibrant-looking facial appearance, with minimal side effects.

What Is the DermaSculpt Microcannula?

The DermaSculpt Microcannula is a small, flexible tube with a rounded tip that we use to inject products such as JUVÉDERM™, Restylane®, Radiesse® and SCULPTRA® into areas of the face. Thanks to the Microcannula’s unique design, the filler is delivered into the treatment area via a single point of entry but can reach a wide range of coverage.

What Can the DermaSculpt Microcannula Treat?

The DermaSculpt Microcannula can be used for various dermal fillers applications, including treatment to:

  • Fill in smile lines
  • Smooth depressions around the sides of the mouth
  • Enhance the lips
  • Lift the brow
  • Fill in hollow temples
  • Improve the contours of the cheeks

Advantages of the DermaSculpt Microcannula

The DermaSculpt Microcannula causes minimal pain (if any) both during and after treatment. By nature, the Microcannula is significantly less traumatic on the blood vessels and nerves than traditional dermal filler treatment. It causes 70-percent less bruising and swelling, as well as minimal downtime and post-operative discomfort. Treatment with the Microcannula is optimal for patients who are on-the-go and don’t have a lot of time to recover from injectable treatment.

Additionally, the Microcannula enhances the precision and accuracy of dermal filler treatment. With the Microcannula, we are able to target two — and sometimes three — treatment areas through a single injection port. Also, the overall time of treatment is significantly reduced with the Microcannula.

Learn More About Dermal Filler Treatment With the DermaSculpt Microcannula

If you’re interested in having your dermal filler treatment performed with the Microcannula technique, please contact Dr. Pearl’s office by calling (650) 964-6600.

Protecting Your Skin With TNS by SkinMedica

iStock_000002287804SmallDr. Pearl and our skin care team are pleased to offer a range of luxurious skin care products, including the SkinMedica TNS line. These products are specially formulated to repair skin damage, promote healthy cellular function and protect the skin from harmful elements.

TNS products rely on growth factor technology to erase visible signs of aging around the face. Growth factors are special proteins that trigger the production of new cells, collagen and elastin — all of which are vital to improving the appearance of the skin. They also contain traditional anti-aging ingredients, proteins and collagen. The combination of these ingredients changes the quality of the skin from the inside out, making it stronger and less susceptible to outside elements such as the sun.

What Does SkinMedica Treat?

SkinMedica products can be used to improve the appearance of the following:

  • Fine lines
  • Deep creases and lines
  • Dark spots and patches
  • Loss of skin firmness
  • Uneven skin tone

Product Examples

SkinMedica’s TNS product line includes the following options:

  • Essential Serum to smooth wrinkles, brighten spots and patches, and firm and tone the skin
  • Recovery Complex cream to give the skin a firmer, more elastic quality and address discoloration and uneven/rough skin texture
  • Eye Repair cream to nourish, smooth, firm and plump the eye area; to reduce crow’s feet; to tone sagging eyelids; and to brighten dark circles

Your Partner in Skin Care

SkinMedica products are not sold in retail locations like Sephora or Ulta; they are only available through an approved physician’s office. Dr. Pearl and our aesthetician, Carol McDonald, have a unique understanding of the body’s healing and restructuring processes and use their expertise to recommend suitable SkinMedica products for your needs.

We will analyze your current skin care routine and skin condition, and ask you about your skin care goals (e.g., fewer wrinkles, more even skin tone). Based on this information and information about certain lifestyle factors, we will put together a customized product regimen to help you achieve and maintain your best skin yet.

Explore Your Skin Care Options

If you’d like more information about TNS by SkinMedica, or you would like to schedule a skin care analysis with our aesthetician and skin care specialist, Carol McDonald, please contact our office at (650) 964-6600.