Cosmetic Dermatology

Cosmetic Surgery from a licensed  diplomat of the American Board of Dermatology and a member of  the American Academy of Cosmetic Surgery

Mini-facelift | Mini-necklift | Upper Eyelid Treatment |Tumescent-Liposuction

prep for a facelift of ageing woman

Facelift Prep

About Cosmetic Surgery Procedures

Many people mistakenly believe that plastic surgery is cosmetic surgery. Some plastic surgeons perform cosmetic surgery, but many of these procedures are not taught during their training. In addition, most of these treatments are performed in the operating room under general anesthesia.  Dermatologists, however, have pioneered many if not most of the current popular minimally invasive procedures in the cosmetic realm, including but not limited to: tumescent liposuction, laser surgery, chemical peels, injectables, hair restoration.  The often-misunderstood concept is that cosmetic surgery must be performed in an OR.

The truth is, many people desire a less risky environment and less drastic results.  Dermatologists are trained to perform procedures on the “awake patient.”  Dr. Malouf has the experience and training to provide minimally invasive procedures using local anesthesia, while achieving the natural softening and rejuvenation that many desire. Dr. Malouf was fortunate enough to train with one of the greatest leaders in the field of dermatology, Jeffrey Klein. Dr. Klein invented the form of local anesthesia known as tumescent anesthesia, which has revolutionized the realm of in office procedures.  It allows for the avoidance of general anesthesia and the risk and cost associated.  Dr. Malouf has been using this form of anesthesia since 1999.  In combination with his training in dermatologic and Mohs surgery and tumescent anesthesia, Dr. Malouf was able to incorporate many of the procedures patients desired in the safety of the office, while avoiding the risks of general anesthesia.

What We Treat


Blepharoplasty is a simple in-office procedure that is very useful in removing excess skin on the upper lids.  Dr. Malouf is extremely particular about who should receive this procedure, since many times, the sagging people complain of is due to the brow vs excess lid skin. During the consultation, Dr. Malouf will navigate the patient through this evaluation to determine whether a blepharoplasty will be of benefit.

 Our Advantage

When lid “hooding” is present, blepharoplasty is the best choice in order to create a subtle but pleasing result of revealing the sculpted look of the upper lid, giving the eyes a more youthful, and rested look.

More About Cosmetic Procedures

Dr. Malouf performs this procedure under local anesthesia with no sedation. It takes 45 minutes to complete, and the need for general anesthesia and the risk and downtime associated with it are eliminated.

Over the years, your skin will age. Genetics, sun exposure, and lifestyle choices all play an impact on the rate of which our skin ages. Many people are looking for solutions to fight this ongoing problem, and many have found the answer they were looking for with Dr. Peter Malouf. His team of experts specialize in minimally invasive procedures to minimize your recovery time and get you back to doing what you love.

Over time, sun damage and aging can cause deep wrinkles throughout the face and neck, making a person look older than they are. Gravity causes the skin to sag downward which gives you a tired, sad, or angry appearance even if you are perfectly content. While facial aging is not a life-threatening problem, it can cause low self-esteem by making one feel self-conscious about their appearance. If any of this applies to you, then maybe a mini face lift with Safelift technology is for you.

The mini face lift is is ideal for those with early facial aging that have little tolerance for the long recovery times associated with a traditional face lift. The procedure itself can take anywhere from 2 to 3 hours, and can easily be done in conjunction with other cosmetic procedures like a neck lift or brow lift. Incisions are made around and behind the ear, and the skin is lifted and pulled to improve cheek, jawline, turkey neck and nasolabial folds. A mini face lift also leaves a more natural, less surgical appearance when compared to a conventional face lift. After the surgery, swelling and bruising may persist 1-2 weeks after surgery; it is during this period that the stitching is removed. Many patients will be able to return to work within days of completing treatment, making it ideal for the busy professional.

68 percent of the population is estimated to be unsatisfied with their neck and chin fat situation, and many folks are looking for a minimally invasive procedure to improve their appearance in these areas. With a Mini-Necklift there is very minimal downtime, lower risk of unsightly scarring, no general anesthesia, and it tends to be more cost-effective when compared to conventional facelifts. During a Mini-Necklift fat is liposuctioned out of the cheek, chin, and jowl areas of the face and the platysma muscle is tightened to help cope with the loss of skin elasticity. This differs from conventional procedures because no incisions are typically made by the ears. This subtle tightening and reshaping of the chin result in a more natural and less surgical appearance when compared to standard neck lifts. Best candidates for a mini-necklift are those who have a “turkey-wattle” appearance on their neck.

Along with aging, another common complaint patients have is the inability to get rid of stubborn fat pockets. Dr. Peter Malouf performs tumescent liposuction, which is a more advanced liposuction technique that is more controlled and safer than traditional liposuction. There is no general anesthesia, which means less risk and less cost than other liposuction procedures. The skin is filled with tumescent liposuction that stays in the system for 18-24 after the surgery, which in turn will greatly help the postoperative pain.

When the anesthetic is injected into the fat, it causes it to become swollen and firm. This anesthetic is injected with an additional agent that will also vastly reduce the usual bruising and bleeding associated with liposuction, making for a much more comfortable experience. After the local anesthesia is injected, incisions are made to insert a small, pinhole like device that will suction out the fat. Up until this technique was developed a significant amount of blood loss was often associated with liposuction, often causing the patient to need blood transfusions post operation. By using the tumescent method, doctors can safely remove fat from many areas of the body including thighs, stomach, buttocks, face, and neck. Recovery time for this procedure is 2-3 days for those with office jobs, so it is feasible that you could get liposuction on Friday afternoon and be able to be back at work on Monday! For those with a more physically demanding job, it may take up to a week to make a full enough recovery to return to work. Patients will notice an improved silhouette in as little as a week, but it may take up to a few months for all the swelling to subside.

To schedule your consultation call Dr. Malouf at 214-890-6130 or email today!

Pricing disclaimer: The price includes the procedure fee but does not cover is the cost of prescriptions any labwork, if necessary. Once you have decided on a surgical plan with Dr. Malouf during your consultation, you’ll be given a quote with the exact price of your surgery.

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