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Provider Review

Board Certified Plastic Surgeon
144 Old Town Blvd. N., Argyle, Texas
Overall rating

For some years now, I’ve been looking to reduce the “signs of aging” and dial back a few years on my neck and lower face. My neck was sagging, slight jowling, and wrinkle bands etching on the skin around the front of my neck. Too much sun!! I kept the neckbands at bay for a few years with botox injections. My face is in good shape, round cheeks, not a lot of deflation. I wasn’t in a hurry, so over the past 4 years, I spoke to 3 different surgeons. A few talked about a face lift… but my face wasn’t showing the age like my neck and the jowl area. One day, I looked on the RealSelf website and came across a photo of a patient of Dr. Kasden who had done exactly what I was looking for, a clean defined neck and better definition around the jawline. I made an appointment with Dr. Kasden and took the photo of his patient I found on the website with me. 1. Consultation. I showed Dr. Kasden the photo of his patient and explaining that is what I want done as well… a necklift and a little cleaning up around the jawline. He went into detail about the steps in the procedure to get that outcome, drawing a diagram of the side of a head and showed where the incisions would be made, the nipping, tucking and stitching. He was direct in telling me the area around the incisions would be numb for a while the nerves reconnected.  Pricing on the procedure was very reasonable.  2. Procedure. I chose to have the procedure in the office, meaning no general anesthesia and being fully awake. Understand that Dr. Kasden must have gotten straight A’s in chemistry because the man is a genius when it comes to “mixing the right cocktail of medications” to bring you to a twilight state and keep you pain free during the procedure. I have no memory of the procedure even though I was awake. What I did have were sensations - pulling and pressure - but no pain. 3. Post-procedure. Now you would think that after a procedure where a quarter of the side of your face (including the back half of your ear) has been severed/unattached from your head you would have pain during the recovery. The pain that I did experience was mild and lasted 36 hours. On the top part on the back of my ear where the stitches were, about a day before the stitches were to be removed, it hurt where my glasses sat on my ear. As soon as the stitches were removed, the pain went away.  4. Staff and Nurse who assists with procedures.  Top notch, responsive, personable, sharp. Totally in tune with patients and Dr. Kasden. The team works together seamlessly. Right now, I am just about 5-1/2 weeks out from surgery. The incisions have pretty much healed, each day the feeling in the area comes back and I am able to stretch my neck up little by little. No real complications. Historically, when I heal from stitches, I can get small “lumps” along the incision and sure enough, on the incisions lines behind my ears, I got a couple of those lumps and Dr. Kasden fixed those and all is well.