Minimally Invasive Procedures Deliver Noticeable Anti-Aging Results

Turning 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. Alexander Ereso is highly qualified to perform an array of specialized procedures that can provide significant anti-aging benefits and make you feel youthful and invigorated.


One option for anti-aging results is to get Botox treatment. Botox is comprised of a protein derived from the Botulism toxin that has the ability to relax and paralyze certain muscles and to smooth out the overlying wrinkles. Botox treatment involves a series of targeted injections that temporarily counteract the effects of aging by relaxing the muscles in a specific area. The effects of Botox can be seen within a week of treatment and last up to six months.


Juvederm is an injectable dermal filler used to smooth moderate to severe facial wrinkles and produce a more youthful appearance. Juvederm is particularly well suited for several common types of wrinkles, including:

  • Crow’s feet (around the corners of the eyes)
  • Nasolabial folds (extend from the nose to the mouth)
  • Marionette lines (extend from the outer corners of the mouth to the chin)

A variant of Juvederm called Juvederm Voluma has been developed specifically for the mid-face region, and restores age-related volume loss to the cheeks and can last up to two years!


The Pearl-Ereso Plastic Surgery Center also offers Kybella injectable treatment, a non-surgical option that targets and eliminates fat underneath the chin. Kybella is made from deoxycholic acid, a substance that occurs naturally in the body. The acid targets fat cells, and literally melts fat away.

Results can start to be seen after a month, with final results appearing within three to four months. Downtime after a Kybella treatment is minimal, and side effects can include some swelling and redness that generally only last for a day or two.

Dr. Ereso looks forward to reviewing all of our minimally invasive non-surgical treatment options with you. Please call Pearl-Ereso Plastic Surgery Center at (650) 964-6600 for a consultation.

How Long Do Breast Implants Last?

Breast implants are used in breast augmentation to replace lost volume and improve bodily proportions. Patients have a choice of saline, standard silicone or highly cohesive silicone gel (“gummy bear” ) implants. There are advantages and disadvantages to all implant types; some of the factors to consider are your anatomy, your goals and your budget.

One thing many breast augmentation patients wonder regardless of implant type is how long their breast implants will last. In this blog post, Dr. Alexander Ereso of the Pearl-Ereso Plastic Surgery Center discusses how long implants last and what some factors are that might cause a need for implant replacement or revision.

Breast Implant Types

Dr. Ereso is pleased to offer both saline and silicone gel implants. Of the latter, they offer two types: NATRELLE 410 Shaped Textured implant made by Allergan and the SIENTRA Shaped Textured implant.

Saline Implants:


  • You’ll know if your saline implants rupture, as they will leak. It’s more difficult to detect a rupture with silicone implants, and an MRI might be needed in order to do so.
  • They are often less expensive than silicone gel implants.
  • Saline implants are filled after they are placed and, thus, they generally require a smaller incision.


  • Many people feel that saline implants don’t feel quite as natural as silicone gel implants.
  • Silicone implants are generally not recommended for those with very little body fat and/or breast tissue.
  • The FDA recommends that only those 22 and over should get silicone breast implants.

Silicone Gel Implants:


  • They generally feel more natural, especially for those who have insufficient breast tissue.
  • Many also agree that the silicone gel implants have a more natural appearance when placed correctly.
  • There are no age restrictions with these implants.


  • It’s difficult to know if there is a rupture. If one were suspected, it might take an MRI to detect it.
  • Silicone gel implants are typically more expensive than saline implants.
  • They usually require a larger incision than saline implants although, with the help of The Keller Funnel™, Dr. Ereso is now able to keep the incisions for silicone gel implants fairly small.

How Long Do These Implants Last?

In days past, the advice used to be that implants should be replaced every 10 years or so. The consensus now among the majority of board certified plastic surgeons is that implants are of such high quality that, unless you have an issue with them, you don’t need to replace them at all. Some issues that might require implant replacement or revision would be capsular contracture, rippling, rupture, or if you simply want larger implants.

Contact Dr. Ereso

If you have questions about how long breast implants last or you want to find out if you’re a good candidate for breast augmentation, contact Dr. Ereso at (650) 964-6600.