Rhinoplasty and Cosmetic Surgery

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436 North Bedford Drive Suite 201
Beverly Hills, CA 90210

The Face and Neck Lift & Chemical Wrinkle Removal procedures are done separately with a minimum of 3 months in between each procedure.

Chemical Wrinkle Removal

Beverly Hills facelift surgeon Dr. Kotler is acknowledged worldwide for his signature non-surgical, chemical wrinkle removal process: The Kotler Technique of facial skin rejuvenation. If you have aging or sun damaged skin with wrinkles, age spots, crows feet and other fine or even very deep lines, this process may be for you.

Dr. Kotler is considered the leading practitioner of this procedure with over 35 years experience. He was trained by two of the world’s three foremost practitioners: Dr. Jack Startz of Beverly Hills and Dr. Richard Ariagno of Northwestern University Medical School, Chicago. He is the author of Chemical Rejuvenation of the Face, one of the few, single-procedure medical textbooks, ever written. A medical best seller, it was sold throughout the world and was dubbed “The Bible” of chemical skin peeling by the co-developer of Retin-A, Dr. James E. Fulton.

Dr. Kotler also co-authored a medical paper with Dr. Larry Moy of the UCLA Department of Dermatology, discussing laser vs. chemical peels. The medical journal Dermatologic Surgery published this landmark research paper which established, once and for all, the superiority of the Kotler Technique of chemical skin peeling compared to even the most powerful laser machine. Chemical wrinkle removal has been practiced in the United States for over 50 years yet remains one of the least recognized but most successful of all cosmetic procedures.

The before and after pictures you see below speak for themselves.


Chemical Facial Rejuvenation recreates more youthful skin through a non-surgical process that removes age spots,

and wrinkles and tightens the skin. Dr. Kotler, MD. FACS, is a recognized superspecialist in this procedure.


General anesthesia administered by a physician anesthesiologist specializing in facial procedures. Under anesthesia, there is no pain and no awareness. An intravenous is started and you “drift off to sleep.”


Approximately 2 hours in the operating room.

Recovery Room:

Usually 1 to 2 hours in a fully monitored and state of the art recovery room at the surgery center.


1 to 2 nights at a post-operative recovery facility. If dressings are applied to the facial skin, they will be removed without discomfort at the surgery center under a brief anesthetic 48 hours after the procedure has been performed.

Return to Work, Normal Activities, Etc:

You may return to work, normal activities, etc. within 8 to 10 days. During the first 7 days, your face is covered with either dressings or the “mud pack.” No later than 8 days, the mud pack will have been washed off revealing the fresh, smooth, reddish-pink skin (akin to a sunburn). Within 1 or 2 days, make-up can be applied. We provide appropriate skin care products such as cleansing lotion (instead of soap), softening oils and sunscreens. We also treat you to a professional makeover where you will learn how to conceal the pink skin color.

The First Several Months After:

The reddish pink color fades naturally and the lightening process is accelerated by medications that we provide. The pink color is usually gone by 8 to 10 weeks after performance. Regardless of how long the natural fading takes, the ruddy color can be concealed with cosmetics. In some people, during the first several months, the skin tends to be dry (due to inactive oil glands) but this is easily corrected by the use of the products provided to you.

What About Going Back In The Sun?:

Generally, once the pink color has faded, the new skin may be slightly lighter than it was before and therefore less apt to tan. Since sun tanning may have been one of the factors that caused the skin to age prematurely, you will want to reduce the chance of burning and tanning anyway. Therefore, we will advise you on the proper sunscreens, which will reduce the chance of burning and help keep your skin from becoming aged again.

Face and Neck Lift

The objective of a face and neck lift is to restore a youthful appearance to the face and neck by sculpting deeper tissues and re-draping the skin of the face and neck.


General anesthesia is administered by a physician anesthesiologist specializing in facial procedures. Under anesthesia, there is no pain and no awareness. An intravenous is started and you “drift off to sleep.”


Approximately 5 hours in the operating room.

Recovery Room:

Usually 1 to 2 hours in a fully monitored and state of the art recovery room at the surgery center.


We recommend 2 nights at a “recovery retreat” or at home but with the attendance of an experienced nurse (we can make appropriate referrals). More than any other procedure in our specialty, this operation requires some element of professional observation and care. To minimize postoperative swelling and bruising and hence to speed recovery, we place small suction drains into a hidden portion of the incision which are best monitored and maintained by an experienced professional. Discomfort is generally minimal throughout the entire immediate postoperative period, but included in your postoperative “care package” are pain pills to be taken if necessary. Our precise instructions and direction sheets will guide you in proper care of incisions, etc.

The First Two Weeks After Surgery:

  • Day 1 – Surgery.
  • Day 2 – Brief office visit and dressing change; you can already appreciate “the new you.”
  • Day 3 – Office visit. Dressings changed, suction drains removed. Return home.
  • Day 4 – At home. You remove the dressings and you may shower and shampoo.
  • Day 5, 6 or 7 – An office visit with beginning stitch removal about the ears and chin. You are generally able to be more active; swelling is minimal and bruising, if present, is resolving rapidly. Make-up can be applied. You may now drive your car. Walking is an excellent exercise at this point; nothing strenuous such as tennis or swimming, however.
  • Day 9 or 10 – Office visit with further stitch removal from the “hidden areas” (incisions within the hairline). Generally, all bruising has cleared by now. You should feel quite good. Some patients may even be “ready” to return to work (see “Return to Work, Normal Activities,” Etc., below).
  • Day 14 – Brief office visit. Any remaining stitches are removed. You are generally looking quite good and are now “ready-to-go!”

Return To Work, Normal Activities, Etc:

From the above, you can understand why we recommend that patients “block out” 14 days before returning to routine social and work obligations. Some may be ready a few days sooner and others may take a few days longer. Factors influencing speed of healing include age, general physical fitness, history of smoking and yes, attitude. By 14 days, hair can be colored and styled, etc. Make-up can be used and there are no restrictions except that strenuous exercise, e.g., running, tennis, racquetball, wrestling, etc., is still prohibited until 3 weeks after surgery.

Return To Full Activities:

Generally, by 21 days after surgery, you should be enjoying your younger appearance without any inhibitions. While your neck may still feel “tight” and some areas particularly around the neck and behind the ears may still feel “numb,” you should be doing quite well. If there has been a period of “blues,” which is not unusual in the second and third week, it should have lifted by the fourth week after surgery. The only totally unhidden incisions, those about the ears and under the chin, mature to near invisibility within the first 2 to 3 months. We see you weekly only in the first month after surgery; infrequently thereafter until about 3 months after surgery, at which time “after” photos are taken.

Will I Need This Procedure Again?:

Probably not. Until development of our current more aggressive technique (not only re-draping the skin but sculpting the neck and tightening the muscles), the results were not always long lasting. But since this technique has proven itself over the past 25 years, we feel that only a limited “tuck” procedure may be needed, long after the surgery, to keep the face and neck structure looking youthful!