Speaker

Justin Gusching, DO
Reflections Cosmetic Surgery, Ringgold, GA

Dr. Gusching is triple board-certified by the American Board of Cosmetic Surgery (ABCS), the American Board of Facial Cosmetic Surgery (ABFCS) and the American Osteopathic Board of Surgery (AOBS). He did his cosmetic surgery fellowship through the American Academy of Cosmetic Surgery (AACS) at Southern Surgical Arts. He fulfilled his dream of building his own cosmetic surgical practice, Reflections Cosmetic Surgery, in Cartersville, GA in June 2020. He currently has a brand new, state of the art, operating suite. Dr. Gusching has since been refining his artistic eye and his excellence in cosmetic surgery, as is indicated in his Surgeon of Excellence in Cosmetic Surgery and Master Surgeon in Body Contouring designations. Dr. Gusching is sincere with each patient and always has the patient’s best interest in mind. He takes great pride in helping his patients reach their goals and giving them options by using the latest technologies. And although somewhat early in career he has been recognized as a leading cosmetic surgeon.

Abstract

With the trend heading towards less and less invasive options, we need to stay ahead of the curve. Lower facelifts are being done less in my practice and a new combination procedure has emerged using Microneedling with RF and plasma technology for the lower face and neck. Under local tumescent anesthesia, the subcutaneous connective tissue is treated with plasma technology in a single treatment. If I am focusing on the neck only, at this point I will also use microneedling with RF of the neck. This allows for contraction of the fibroseptal fibers and neo-collagenesis as well as thickening of dermis by deposition of collagen and elastin. If treating the face, following the neck plasma procedure, I will have the patient return at a later date. Using topical anesthesia, the enveloping skin is treated using microneedling with RF. Addressing skin laxity and skin quality from a subdermal and intrademal approach has proven to be essential in my practice.

Take Home Message

With the trend heading towards less and less invasive options, we need to stay ahead of the curve. Lower facelifts are being done less in my practice and a new combination procedure has emerged using Microneedling with RF and plasma technology for the lower face and neck. Under local tumescent anesthesia, the subcutaneous connective tissue is treated with plasma technology. Using topical anesthesia, the enveloping skin is treated using microneedling with RF. This one-two combination is a knock-out!