I can't say enough about the entire team at Aesthetx. I noticed that my face was getting more and more sallow as I aged, and I looked tired. After meeting with several plastic surgeons, I decided to go with Dr. Berkowitz at Aesthetx. Here's what set him apart: • Another plastic surgeon wanted to give me a lower bleph for my lower lids, but Dr. B told me not to touch the lower lids - it could pull my eyes down (separately, I had to see an ocular surgeon for a medical issue who is actually a plastic surgeon and she told me the same thing, so it was good to get that confirmation). • He told me that a mini facelift with fat grafting would give me the results I wanted - natural and refreshed. We also did my hands since I would be out and he was harvesting fat for my face anyway. • The before and after care really sold me. First, they had me on a nutritional supplement program and skin care regime to speed healing. I also received laser treatments after to reduce bruising and scarring - all part of the cost, and it helped tremendously. (Note that I got another laser treatment for the scarring at my 6 month appointment, but unfortunately, I had to pay for that - and it's not cheap - $450). • The team is super professional and friendly - I really enjoyed working with all of them. • I’ve been working with Dr. Hausauer separately (she’s a dermatologist) because I developed an unrelated case of melasma and rosacea. The melasma was actually brought on by another plastic surgeon who used a laser on my face on a setting that was too high, and Dr. H. is helping me correct this. I am certain no mistakes like the last plastic surgeon will happen in this office. They’re actually competent. But I digress. Back to the procedure and subsequent healing. The procedure was almost 6 hours long, and relatively painless. I only needed pain meds for the first few days. My swelling was worse weeks 3-4 and I looked a little weird until about 6-7 weeks, but then things just got better and better. No one would ever guess I had surgery and I'm really happy with the results. In fact, I'm thinking of getting a little more fat grafted, but Dr. B. told me to wait a full year and then we can decide. Note that they are NOT cheap! They weren't the most expensive by a longshot (that honor went to Dr. Hessler in Palo Alto who quoted me $60K (which included my eyes))! What really jacks up the price is not the actual surgery but the cost to rent the medical center & staff, which is almost as much as the surgery itself, unfortunately. Anyway, results below! Updated on 30 Aug 2023: Quick update one year later. I’m so, so, so happy with my results. However, when I went in for my one-year follow-up, I mentioned that I was a little sad my tear troughs and temples weren’t quite as full when I first had it done (because I was so swollen!) and Dr. B said, “Oh, let’s do a little more! On me - all part of your original surgical costs.” How fabulous! So for no fee from Aesthetx (I did have to pay the surgical center costs, of course), I just did some additional fat grafting under my eyes, temples and lips. If I remember, I’ll post pics after the swelling goes down. But again, just can’t say enough about this team!