Dr. John A. Standefer Jr. is a nationally recognized, double board-certified facial plastic surgeon with over 38 years in practice. Exceptionally skilled in facial plastics and noninvasive aesthetic treatments, Dr. Standefer specializes in facelifts, neck lifts, eyelid surgery, and rhinoplasty. “In my 30-plus years of experience, I have completed more than 10,000 successful facial surgeries, some of which have been combined resurfacing laser treatments,” says Dr. Standefer. “Using local anesthesia or IV sedation, I achieve natural-looking results using the most advanced surgical techniques.” At Fresh Image, his boutique practice and accredited surgery center in Dallas, Texas, he and his staff also offer a wide range of noninvasive facial rejuvenation treatments, including Botox, dermal fillers, Broadband Light (BBL) photofacials, FaceTite, and laser resurfacing. After earning his undergraduate degree from Texas A&M University, Dr. Standefer attained his medical degree at the University of Texas Health Science Center. Then, he completed both an internship in general surgery and a residency in otolaryngology at the University of Texas Health Science Center at San Antonio. Dr. Standefer is board certified by both the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology – Head and Neck Surgery. He is a member of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) and a fellow of the American College of Surgeons. In addition to his impressive medical credentials, Dr. Standefer has received numerous awards. He is a RealSelf 500 recipient, TOP DOC last several years, and in 2019 won 2nd place in the prestigious International Euromedicom Conference for Best Surgical Rejuvenation. He has also been a presenter for the AAFPRS and International Academy of Facial Plastics.
Mention RealSelf to redeem!
Dr Standefer and the entire staff at Fresh Image are all so wonderful and professional. I wouldn’t go anywhere else for my cosmetic needs. However, I’d like to give a special shout out to PA - Keri King….. she is the absolute best and I would not let anyone else touch my lips!! She and her nurse assistant, Caelin, make such a great team and do amazing work. Love them!!
I could not be happier with the results of the treatment I received from Dr. Standefer and his staff. I’m about 150 days post surgery and I still am amazed at how my jawline has changed. I was so self conscious of my turkey neck and cringed when I saw what it looked like in pictures—I loved my grandfather but I wasn’t ready to look like him! As a gift to myself, I called it my 60,...
I cannot say enough good things about Dr. Standifer and his entire team. I had a neck/lower face lift along with lower blepharoplasty after several years of looking in the mirror and thinking I looked like a tired turkey. I was nervous but there was no reason to be. I had the right surgeon who produced amazing, natural looking results. I look like myself but refreshed. My outside now matches...
I am so happy with my results ! I hated my neck and droopy eyes. I am 62 and it was done in may of 2023. He took away the tired look and gave me a neckline ! His staff is top notch ! I had facelift , brow lift. Upper and lower bleph. He had to do a lot of work in my neck for sure ! I feel totally refreshed. I can't thank him enough ..
I had a Fresh Lift deep plane facelift addressing my jawline/saggy neck. I was well prepared for my procedure by both Dr and staff who took time to hear my desired outcome. Yet, I was uneasy the first week post op. The highly professional & well trained staff addressed all of my concerns with patience & kindness. I selected Dr. Standefer for his reputation of a more conservative and...
A: Hello and thanks for the question. I have had the pleasure of providing all of these treatments and can say without hesitation that your best result will be with a formal submentoplasty consisting of submental liposuction and platysmaplasty as part of a lower facelift. Save your money and a lot of heartache with regards to Ultherapy and Facetite if you are looking for a long lasting, definitive result. I have performed dozens of Facetite procedures and even after extensive training, I do not feel that it is possible to achieve the results that I can with a formal surgery. Lessor procedures often seem like a good compromise with regards to down time or financial considerations, but in the long run, most people are happier when they get the results they pay for. Minimal procedures often only give minimal results.
My Best!
John Standefer MD
A: Hi! Every office/injector does their numbing a bit different. Some injectors rely on the lidocaine within the filler to help aid in pain management. Other options include a topical BLT cream that is applied to the skin about 20 minutes prior to injection or performing a local injection of lidocaine to the insertion site. Options vary based on whether the provider is using a needle or cannula to inject and patient or provider preference. I would recommend you discuss what options your provider offers to be educated on what to expect with your treatment.
A: Hello and thanks for the question: Botox can help relax the muscles of facial expression, or so-called "bunny lines" of the nose laterally, but nothing reduces the size or bulk of the nose without surgery. Any non surgical rhinoplasty involves adding volume to camouflage a hump or an irregularity. If you need a smaller, more refined nasal tip, you will need to consider a rhinoplasty or surgical correction. My Best!
John Standefer MD
A: The skin over the eyelids is the thinnest skin in the entire body. Therefore, it is the first skin to show elasticity changes that occurs to everyone as time goes by. Depending on the severity, it can respond to laser resurfacing which stimulates collagen production and therefore thicker skin and often times will improve with removal of a tiny pinch of skin. If there is any puffiness due to prominent fat pads, it can be addressed at the same time. With the Irish heritage, I am sure that your are more than familiar with the need for sun block and avoidance of nicotine products. Those are the two things that put the aging process on the fast track. A good eye cream can improve the skin hydration and minimize the fine lines and wrinkles as well. My Best!
John Standefer MD
A: Adding a filler can definitely change the look of your nose and reduce the apparent deviation. I recommend a reversible filler to start with to give you the chance to see if you are going to like the look. Fillers add volume, so if the nasal features are too large to start with, surgical reduction may be your best answer. That being said, fillers have proven very good at camouflaging many nasal deviations or surface irregularities giving the nose more balance and aesthetic qualities. Reversible fillers leave all of your options open because they are temporary, can be reversed, and can help you decide which option you are most comfortable with. Permanent solutions are possible, both surgical and non-surgical.
John Standefer MD