Text Us Text to Contact Us
Schedule a Consultation
Sieber Plastic Surgery San Francisco
You are here: / Non-surgical

Skin Care

/by

Non-surgical

Skin Care

San Francisco Skin Care

Your skin is like the canvas for an artist. The smoother the canvas, the more vibrant the painting. Any cosmetic procedure, whether it is surgical or non-surgical, is going to be more effective when your skin is in top notch shape.* In fact, skin care is the foundation for any kind of facial rejuvenation. Dr. David Sieber is passionate about proper skincare because he understands that the better your skin, the better your results. He and his staff will work with you to customize a skin care regimen that meets both your skin’s needs and your budget.

Revision Skincare
Shop MyRevisionSkincare Now!

Contents


The basics of any skin care routine should include:*


  • A cleanser
  • Sun screen
  • Moisturizer
  • Retinol
  • Bleaching/Brightening agent for sun damage or excess pigment

To take your skin up to the next level, Dr. Sieber may recommend:


  • Antioxidants
  • Peptides
  • Growth factors

Skin Care Improvements

Good skin care is one of the best things that you can do for yourself, your health and your appearance. Smooth, radiant skin is the fountain of youth. It’s one of the first things that people notice when they see you. Comments like “you’re glowing” make us feel confident, positive and powerful which can completely alter how you go through your day.

Lifestyle choices such as smoking, a poor diet, and years of sun exposure can take a toll on your skin. The good news is that a lot of this damage is reversible. With the consistent use of high quality skin care products, you’ll be able to help improve the condition of your skin. Even if you don’t have much damage yet, good skin care is an important preventative measure for protecting and maintaining the health and vitality of your skin.

The most important part of any skin care regimen is a UVA/UVB sun block. It prevents the fine lines, wrinkles, brown spots and dullness that can all make us look older than we are. Dr. Sieber carries quite a few different brands. He and his staff have tried them all, and are happy to recommend the products that they think will work best for your needs.

Skin Care Frequently Asked Questions

For most people, there will be a noticeable improvement in skin tone, texture, and sun damage in about 3-4 months.* It took years and years of sun exposure to damage your skin so it will also take a bit of time to see your improvements.

You wouldn’t order a Chanel hand bag online so you shouldn’t buy your skin care products there either. When you buy skin care online, you don’t know if you’re getting an original product or an imitation. All of the skin care products Dr. Sieber carries are shipped directly from the manufacturer so there is no risk of anything being fake.

During your skin care consultation, Dr. Sieber or one of his staff will evaluate your skin and put together the customized treatment plan that will best address your specific needs.

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.

Injectables (Botox/Fillers)

/by

Non-surgical

Injectables (Botox/Fillers)

Contents


San Francisco BOTOX®/Dysport®

No matter what age you are, it’s never fun to look in the mirror and notice a new wrinkle on your face. Whether you have a few fine wrinkles just while smiling, or deeper ones which are present all of the time, being treated with neurotoxin alone or in combination with fillers will help to soften or remove completely any of those annoying wrinkles.*   

BOTOX® Cosmetic was the first FDA-approved prescription treatment that diminishes the appearance of moderate to severe glabellar frown lines (wrinkles between the eyes) and crow’s feet (wrinkles that fan out laterally from the corners of the eyes) that tend to appear with age.  However, now there are more medications on the market (Dysport® and Xeomin®) with  similar properties. 

There’s no single factor that determines the time and severity of the appearance of these lines, but factors include cellular changes, collagen and elastin depletion, and damage caused by the sun. Certain facial gestures and expressions like squinting and frowning prompt your facial muscles, particularly those between your brows or around your eyes, to contract, creating wrinkles. These medications work by targeting the muscles that create these lines, temporarily minimizing their activity which results in smooth skin over the muscle.* 

Whether you have had neurotoxins before or if this is your first time, Dr. Sieber will work with you to understand which areas you want to see some improvement.  

Improvements with Neurotoxins:*


  • Lines between the eyes (glabella)
  • Lines in the glabella (area between the brows)
  • Horizontal forehead lines
  • Crow’s feet (lines on the outside of the eye)
  • Masseter hypertrophy
  • Improvement in downturned corners of the mouth
  • Cobblestone appearance or dimpling of the chin
  • Movement of the nasal tip with smiling
  • Nasolabial folds
  • Gummy smile
  • Hyperhidrosis (excessive sweating)

Fillers

It used to be thought that facial aging was all about gravity and its downward pull on the skin and muscles of the face. As it turns out, that’s not exactly true. Facial aging is also about volume loss which is why fillers have completely changed how plastic surgeons approach facial rejuvenation. As we age, our face naturally begins to lose fat in areas such as the temples, the cheeks, around the eyes, the lips, and around the mouth. Facial fillers, typically composed of hyaluronic acid which is a natural forming substance in our bodies, can “pump up the volume”, plumping up fine lines and wrinkles, and providing a temporary “lift” to areas such as the cheeks and mid-face.* Patients with subtle asymmetries on their noses can even be treated with fillers for a non-surgical rhinoplasty.*

One of the most confusing things about fillers is knowing which filler is right not just for you, but also for which specific area of your face. Dr. David Sieber teaches courses on filler injection technique and safety to other practitioners so he has extensive, advanced training in all of the latest fillers, and he brings this knowledge to every patient that he sees. Each year, the FDA approves new fillers for use in the United States. With so many fillers already on the market, the best way to think about them is to divide them into three distinct categories:

  1. “Soft” fillers such as Vobella, Restylane Silk, and Belotero are best used for superficial lines such as those around the mouth, lips, forehead and in tear troughs.
  2. “Medium” fillers such as Juvaderm Ultra/Ultra plus, Vollure, and Restylane are thicker and best used to correct intermediate depth lines in the forehead, the “11” area between the brows, under the eyes, the nasolabial folds, and for non-surgical rhinoplasty.
  3. “Firm” fillers such as Voluma, Restylane Lyft, and Radiesse are used deeply against bone to provide support and volume in areas such as the temples, cheeks, jawline, and chin.

During your initial consultation, Dr. Sieber will go over all of your options in detail, using his expertise and artistic eye to recommend the ideal combination of fillers to best achieve your desired outcome. His goal is to create a more youthful, brighter, but still totally natural looking you.* Fillers typically last anywhere from 12-24 months depending on the type of filler used as well as how your body reacts.* In general, Dr. Sieber prefers hyaluronic acid based fillers due to the fact that the results can be reversed with a substance called hyaluronidase if, for any reason, you’re not happy.

Fillers Can Improve:*


  • Forehead wrinkles
  • Lines in the glabella (area between the brows)
  • Sunken appearing eyes
  • Hollowing of the temples
  • Lost volume in the cheeks
  • Irregularities in the nose
  • Fine lines along the mouth
  • Lost volume in the lips
  • Droopy corners of the mouth
  • Early jowling
  • Nasolabial folds
  • Jaw definition
  • Small chin

To find out more about fillers with Dr. David Sieber at Sieber Plastic Surgery, call us today at: 415-915-9000 or schedule a consultation here.

Quick Facts


  • Length: 10-30 minutes
  • Anesthesia: topical
  • Side effects: swelling, bruising
  • Recovery: 1 day

Injectables Technique

Dr. Sieber may apply a topical numbing agent to the treatment area and use ice to help make the experience more comfortable. He will then inject the filler in the appropriate spots through a very fine needle.

Preparing for Injectables

To minimize any bruising from injections, avoid aspirin, ibuprofen or similar products like Advil, Motrin, and Aleve as well as fish oil, Vitamin E, and gingko biloba for two weeks prior to your treatment.

Learn More on YouTube



Sieber Plastic Surgery on YouTube

Injectables (Botox/Fillers) Before & Afters

These Injectables before and after pictures can help you understand your various options and enable you to set realistic goals for your own surgical outcome.


Recovery from Injectables

You may experience some pin prick redness for a few hours immediately following your treatment. There will be some minor swelling and/or bruising in the injected areas for 2-3 days after treatment. Injections in and around the mouth may result in more severe swelling which can last for up to 5 days. Taking over the counter Benadryl or Zyrtec and icing the treatment areas can both help with the swelling if it’s an issue.

Injectables Frequently Asked Questions

View our before-and-after photo galleries to see the results of our Injectables (Botox/Fillers) patients.

Most fillers typically last about 1 year except for Voluma which can last about 2 years.* The length of your result is going to depend on the filler used as well as how your body reacts. Some patients get really long results with filler.* Others, less so.

One of the best things to help with swelling after the procedure is ice. You may apply the ice for 15-20 minutes at a time. Be careful if you’re numb so that you don’t freeze your skin!

The number of syringes needed is really going to depend on how many areas you want treated, and the result you are trying to achieve. Dr. Sieber likes to deliver natural appearing results when using fillers*. During your initial consultation, he’ll go over a detailed treatment plan including an accurate estimate in terms of how many syringes of filler he recommends as well as the cost.

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.

Kybella

/by

Non-surgical

Kybella

San Francisco Kybella

The double chin…it is one of the biggest problem areas for so many patients. In the past, anyone who wanted to get rid of the excess fat in their chin and add more definition to their neck had to have some sort of surgical procedure, either liposuction or a neck lift. Now, however, there is a truly effective non-surgical treatment that removes that stubborn pocket of fat under the chin — Kybella.*

Kybella is the first FDA approved injectable specifically designed to eliminate submental fat under the chin.* It’s fast and relatively painless. If you have fat which you can pinch and pull under your chin, then you might be a great candidate for Kybella. Dr. David Sieber has advanced training in injectables, and even trains other surgeons. He brings this expertise to every patient that he sees. Kybella can be performed alone or in conjunction with other non-surgical treatments such as fillers, neurotoxins, and laser skin resurfacing.

Contents


Kybella Technique

Dr. Sieber will first place a grid pattern onto your treatment area to act as a guide for your Kybella injections. He will then apply ice, and depending on your pain tolerance, you may be given some ibuprofen prior to the treatment. The Kybella will then be strategically injected with a needle in order to deliver the contour that you desire. Most patients will require anywhere from 2-4 treatments, spaced 30 days apart, in order to achieve their final results.*

Quick Facts


  • Length: 20-30 minutes
  • Anesthesia: Ice or local
  • Inpt/Outpt: In office
  • Side effects: swelling, bruising, numbness
  • Recovery: 24-72 hours

Improvements with Kybella:*


  • Reduction of fatty deposits in neck
  • Improved contour of jawline

To find out more about Kybella with Dr. David Sieber at Sieber Plastic Surgery, call us today at: 415-915-9000 or schedule a consultation here.

Preparing for Kybella

As with any procedure, all medications and supplements which cause an increased risk of bleeding should be stopped 2 weeks prior. Please see our list of medications and supplements to avoid. As always, make sure to check with your doctor before stopping any medications.

Learn More on YouTube



Sieber Plastic Surgery on YouTube

Recovery from Kybella

Immediately after your Kybella procedure, you may experience some numbness, burning, redness, and swelling. Your swelling will get worse during the first 24 hours after treatment, and you can expect to remain swollen for at least 48-72 hours. Some patients, especially during their first treatment, may experience severe swelling. With each additional treatment, however, your swelling should diminish. You can return to your regular activities immediately after your Kybella procedure although it may take from 4-8 weeks for all swelling to subside and for you to see you final results.*

Kybella Frequently Asked Questions

Kybella is composed of a substance called deoxycholic acid which is a naturally occurring substance in the body. When injected around fat cells, Kybella disrupts the cellular membrane, destroying these cells and preventing them from storing or accumulating fat.

Because Kybella destroys unwanted fat cells, you should not require any additional treatments once your ideal neckline has been achieved.*

All patients react differently to Kybella so it’s difficult to say exactly how many treatments it will take. In the Kybella studies performed, most patients required 2-4 treatments.* During your consultation, Dr. Sieber will be able to give you a more accurate estimate once he’s examined you in person and assessed the amount of fat that needs to be removed in order to achieve your goals.

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.

Hand Rejuvenation

/by

Hand Rejuvenation

Don’t let your hands give away your age! So many of us are focused on our face and our chest that we forget about our hands. The skin on our hands is not only delicate, but it’s often exposed to the elements. Sun, wind and cold can really wreak havoc on the look and appearance of your hands. Furthermore, just like on the face, we lose volume in our hands over time. This results is prominent, ropey looking veins and tendons that can make you look and feel years older than you are. Thankfully, there are a number of cosmetic procedures on the market today that can help address the early signs of aging in the hands.*

Dr. David Sieber has extensive training in all of the latest surgical and non-surgical modalities for hand rejuvenation. For sun spots, brown patches and overall dullness, he typically recommends the BBL to rejuvenate the skin on the back of the hands.* For lost volume, there are two options. Fillers do a wonderful job of plumping which helps to eliminate the ropey look of those veins, but the results are temporary.*

For a better solution, Dr. Sieber can perform fat grafting in which he removes a bit of fat from a part of your body that may have too much, such as the abdomen, and injects it into your hands. All of these options will be discussed with you in detail during your initial consultation.

Hand rejuvenation surgery can improve:*

  • Appearance of visible veins and tendons
  • Lost volume in backs of hands
  • Sun spots and brown spots

Quick Facts

  • Length: 20-60 minutes
  • Anesthesia: Topical, sedation, or general depending if treatment is surgical or non surgical
  • Inpt/Outpt: In office or outpatient
  • Side effects: swelling, bruising, redness
  • Recovery: 1-3 days (depending on treatment)

To find out more about hand rejuvenation with Dr. David Sieber at Sieber Plastic Surgery, call us today at: 415-915-9000 or schedule a consultation here.

Hand Rejuvenation Technique

Eliminating the excess pigment, sun spots and dullness on the hands may require 3-4 treatments with the BBL laser. The treatment is fast with little to no downtime, but you need to be vigilant afterwards about wearing a UV sunscreen.* During the same appointment, Dr. Sieber can use fillers to plump up the backs of your hands for a fuller look.* Again, treatment with fillers is an in office, simple procedure. However, fat grafting to your hands is a bit more invasive as it requires liposuction from another area to harvest the fat cells. This procedure is typically done in an operating room as a same day surgery. Commonly, hand rejuvenation using fat grafting is performed in conjunction with facial rejuvenation surgery such as a facelift.

Preparing for Hand Rejuvenation

As with any major surgery, all medications and supplements which cause an increased risk of bleeding should be stopped 2 weeks prior to surgery. Please see our list of medications and supplements to avoid. As always, make sure to check with your doctor before stopping any medications.

Recovery from Hand Rejuvenation

After your BBL treatment, your skin may appear red for the first 24 hours. Immediately after treatment, any pigment will be darker and will gradually fall off within 30 days of treatment. You need to wait at least 30 days between your BBL treatments.

Recovery from fillers is minimal. You may experience some bruising and swelling, but this will resolve within 24-72 hours. If your hands were injected with fat, there will be moderate swelling for up to 1 week after treatment.

FAQs

Q: I hate the appearance of the veins on the back of my hands. What can be done for these?

A: Using filler or fat grafting on the back of your hands can conceal the appearance of visible veins and tendons.*

Q: How many treatments will it take to remove the pigment from my hands?

A: Most patients find that they have a significant reduction in their sun spots after 1-3 treatments. The quality of your skin can be maintained by having maintenance BBL laser treatments every 3-6 months.*

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.

BBL Photo Facial

/by

Non-Surgical

BBL Photo Facial

San Francisco BBL Photo Facial

What if there was a way to rejuvenate your skin and delay skin aging with a quick and easy annual treatment? Well, now there is.* Forever Young BBL™ photo facial uses cutting edge technology to deliver targeted light therapy specifically designed to eliminate brown spots and redness, improving both skin tone and glow.* Even more exciting, studies demonstrate that BBL treatments can restore gene expression patterns of aged human skin to resemble that of young skin.* Long term studies show that patients who maintain a regular regimen of BBL treatments annually can reduce and delay signs of skin aging.*

Years of sun exposure can leave your skin looking dry and damaged. The UV rays actually activate pigment producing cells in the skin which is what causes brown spots. And nothing makes your skin look older than blemishes of brown pigment. Luckily, Dr. David Sieber specializes in the treatment of these blemishes on the face, neck, décolletage, hands, arms, and legs using Forever Young BBL™ photo facial.

Contents


BBL Photo Facial Technique

BBL is a form of Intense Pulsed Light (IPL) which works by directly targeting the pigment within your skin. During the procedure, Dr. Sieber will run a handheld device over the skin in your treatment area. The device emits specific pulses of light depending on what’s being treated. The procedure only takes 15-30 minutes, and can be performed anywhere on the body where pigment exists. If your pigment is severe, you may require several treatments for fully realized results. All of this will be discussed with you in detail during your initial consultation.

Quick Facts


  • Length: 15-30 minutes
  • Anesthesia: none or light topical
  • Inpt/Outpt: In office
  • Side effects: redness, swelling
  • Recovery: 24 hours

To find out more about a BBL photo facial with Dr. David Sieber at Sieber Plastic Surgery, call us today at: 415-915-9000 or schedule a consultation here.

BBL Photo Facial Improvements:*


  • Removing dark pigment in scars
  • Rosacea
  • Acne
  • Melasma
  • Photoaging
  • Uneven pigmentation which can arise during pregnancy

Preparing for BBL Photo Facial Procedure

When coming in for a procedure, it’s best to have clean well moisturized skin. Any makeup you have on will need to be removed prior to the procedure. Because the BBL cannot tell the difference between normal pigment from a tan and abnormal pigment from too much sun, please refrain from extended sun exposure or sunless tanning creams/self-tanners for at least 3 weeks prior to your treatment. Do not use aspirin, ibuprofen, vitamin E, ginkgo, or alcohol for at least 1 week before and for 2 days after treatment.

Learn More on YouTube



Sieber Plastic Surgery on YouTube

BBL Photo Facial Before & Afters

These BBL Photo Facial before and after pictures represent actual patients from Dr. Sieber. They will help to assist you in understanding your various options and enable you to set realistic goals for your own surgical outcome.


BBL san francisco results
BBL san francisco results
BBL san francisco results

Recovery from BBL Photo Facial Procedure

You may experience a little burning or redness for the first 24 hours post procedure. Immediately after treatment, you’ll notice that any areas of pigment will look darker in color. This means that the treatment worked.* It may take up to 30 days for these darkened areas to slough off from the skin, but when they do, healthier and more even toned skin will be revealed.*

San Francisco BBL Photo Facial Frequently Asked Questions

View our before-and-after photo galleries to see the results our BBL Photo Facial patients have achieved.

A cool gel is first applied to the treatment area, then a chilled applicator is placed on the skin to deliver the light therapy. The treatment should last about 15-30 minutes.

No. However, you may experience some discomfort in more sensitive areas. It will feel like a rubber band snapping on your skin.

No. In most cases, you can apply makeup immediately after your treatment, and return to your normal routine.

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.

Sieber Plastic Surgery San Francisco Bay Area
5.0
star star star star star From 150+ reviews

415-915-9000

Schedule a Consultation

450 Sutter St #600, San Francisco, CA 94108

Proudly serving the San Francisco Bay Area communities, including Mill Valley, Marin County, East Bay, South Bay, and much more.

Dr. Dave Sieber and his staff are so awesome! Dr. Sieber is personable yet professional, his work is impeccable. He listens to his patient and works with them to achieve what they want. He’s like my hair dresser, a magician, you just want to do a happy dance with the results, only these results are lasting. Ok, but seriously, the procedure was very smooth, the staff and the doctors (Dr Sieber and the anesthesiologist) had great communication and made sure I was comfortable with very clear and concise pre op and post op directions. The healing process was very easy and the results are FABULOUS. Side note, Dr. Sieber has really awesome skin, I feel like this is impressive and important because really, would you trust a dentist with bad teeth? I am so elated and satisfied with the results, the size is perfect and they look and feel very natural. They are exactly what I wanted.*

SF Scientist

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*

christinemv

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*

jamiee

Dr. Sieber is attentive, responsive, and well trained. I had seen him for Botox and filler and he had done both without any pain or bruising and more importantly the results were fabulous. He has met with me on time at each appointment. He communicates what to expect, made sure I was comfortable throughout the procedure, checked on my healing every day post procedure. He couldn’t be more delightful not more talented. I had seen other plastic surgeons for in office treatments over the past decade and Dr. Sieber is at the top of the list in terms of delivering the desired outcome and high quality care.*

Facing 50 Feeling Fabulous
Call Gallery Contact Location
Skip to content