Cosmetic Concerns
IN NASHVILLE, TN
As we age, it’s natural to notice changes in our skin, facial structure, and overall appearance. These changes, often referred to as cosmetic concerns, can affect not only how we look but also how we feel about ourselves. At Gilpin Facial Plastics, Dr. David Gilpin, a dedicated facial plastic surgeon, offers personalized solutions for concerns with a wide range of treatment options.
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Investing in your confidence is a big step, and your choice of facial plastic surgeon should reflect it. We offer a premier, luxury environment where you can focus on yourself.
With the help of our professional and knowledgeable team, you can begin your journey toward a more confident you. We’ll take every step to ensure you feel comfortable, pampered, and acknowledged. Begin your refined and cultivated experience here at Gilpin Facial Plastics & Aesthetics.
What Are Cosmetic Concerns?
Cosmetic concerns are aesthetic conditions or irregularities that impact the way your face, skin, or neck appear. These may stem from:
- Natural aging
- Weight gain or weight loss
- Sun exposure
- Poor diet
- Genetics
- Repetitive facial movements
Whether you’re struggling with wrinkles, sagging neck skin, or uneven skin color, modern treatments can help get rid of or reduce the appearance of many of these issues. A systematic review of aesthetic procedures shows that combining non-surgical and surgical options can deliver optimal long-term results. Common concerns treated at Gilpin Facial Plastics include:
Acne Scars
Acne scars are permanent textural changes or indentations in the skin that occur when inflammation damages the deeper layers of the skin. Depending on how the skin repairs itself, collagen may be lost or produced in excess, leading to different types of scarring. Common forms include rolling scars (broad, shallow depressions), boxcar scars (angular depressions with sharp edges), and ice pick scars (narrow, deep pits).
Take a LookDouble Chin
A double chin, medically known as submental fullness, is an accumulation of fat beneath the chin and along the upper neck. As skin and neck muscles lose tone over time, the added volume under the chin can become more prominent. For some, even a healthy weight and facial exercises won’t prevent or reverse the formation of a double chin, especially when extra fat accumulates in the neck area due to inherited traits.
Take a LookDroopy Eyelids
Beyond creating a tired or heavy look, droopy eyelids can cause strain, double vision, and other symptoms that impact daily life. At Gilpin Facial Plastics, Dr. Gilpin offers advanced treatment options, including ptosis surgery and blepharoplasty, to restore clear vision and a refreshed appearance.
Take a LookHyperpigmentation
Hyperpigmentation is a common skin condition where certain areas of the skin appear darker than the surrounding tissue. This discoloration is caused by an overproduction of melanin. It can develop due to prolonged sun exposure, hormonal changes such as pregnancy or birth control use and inflammation from acne or injuries, and even certain medications.
Take a LookJowls
Jowls are sagging folds of loose skin and soft tissue that appear along the jawline and lower cheeks as a result of aging and volume loss. Over time, the skin’s natural collagen and elastin break down. In addition, gravity, sun exposure, and loss of facial fat contribute to the downward pull of excess skin and soft tissue. The cheek muscles and bottom jaw may lose definition, giving the lower face a heavier or drooping appearance.
Take a LookLip Lines
The lips play a central role in both facial expression and beauty, but over time, subtle lines can appear that change their look and feel. Known as lip lines, these small creases around the upper lip area can create an aged or tired appearance, even in otherwise healthy skin. At Gilpin Facial Plastics, Dr. Gilpin specializes in advanced cosmetic treatments that smooth away these unwanted lines, restore hydration, and enhance the lips’ natural shape for a refreshed, confident appearance.
Take a LookLoose Neck Skin
Loose neck skin is one of the most common signs of aging and can make the face and neck appear older than they really are. Often referred to as “turkey neck,” this concern develops as the skin loses elasticity, collagen production slows, and the underlying neck muscles weaken. While changes in skin texture and sagging are a natural part of aging over time, sun exposure, weight fluctuations, and genetics can also contribute to these effects. At Gilpin Facial Plastics, Dr. Gilpin offers advanced treatment options to help tighten the skin and refine the neckline.
Take a LookMarionette Lines
Marionette lines are vertical creases that extend from the corners of the mouth down to the jawline, resembling the lines seen on a marionette puppet. They develop as part of the natural aging process, caused by repeated facial expressions, volume loss, and a breakdown in the skin’s elasticity. Over time, nasolabial folds deepen and gravity pulls the soft tissues of the lower face downward, resulting in these noticeable lines.
Take a LookTurkey Neck
Turkey neck is the term commonly used to describe loose, sagging skin and visible bands that develop in the neck area as a person ages. It occurs when the platysma muscle, a thin sheet of muscle spanning the neck, begins to weaken and separate. As the neck muscles and supporting structures lose tone, the skin may hang loosely, creating a distinctive “turkey wattle” look that becomes more noticeable with age and often does not improve with routine neck exercises.
Take a LookNasolabial Folds
Nasolabial folds, commonly known as smile lines or laugh lines, are the creases that run from the sides of the nose to the corners of the mouth. While they’re a completely normal part of facial movement and expression, deep nasolabial folds can become more noticeable over time due to age-related changes, sun damage, or loss of skin firmness.
Take a LookStretched Earlobes
Earlobes are a delicate part of the ear, and over time, they can change shape due to aging, ear piercing, or intentional body modification. While some people intentionally engage in the ear stretching process for cultural or aesthetic reasons, others experience stretched earlobes from heavy earrings, accidental injury, or the natural effects of gravity on the earlobe tissue. For patients who no longer want stretched ears or have torn earlobes, earlobe repair surgery at Gilpin Facial Plastics offers a safe, effective way to restore the ear’s natural shape and contour.
Take a LookThin Lips
Thin lips are a common concern for individuals seeking to enhance their facial appearance. Whether caused by genetics, age, or lifestyle factors, having naturally thin lips can impact your facial balance and overall self-perception.
Take a LookGummy Smile
A balanced smile is more than just straight teeth; it’s about harmony between the lips, teeth, and gums. For some, an overly visible gum line, commonly referred to as a gummy smile or excessive gum tissue, can make them feel self-conscious, even if their teeth are perfectly healthy.
Take a LookHooded Eyelids
Hooded eyelids can make your eyes appear tired, aged, or less alert; in some cases, they may even interfere with your ability to apply makeup or affect your peripheral vision. Whether caused by genetics, aging, or a loss of skin elasticity, hooded eyes are a common concern that can impact both your appearance and confidence.
Take a LookFrown Lines
The vertical creases between the eyebrows, often referred to as frown lines, can develop over time from everyday expressions such as frowning, squinting, or concentrating. While they’re a natural part of aging, loose skin making wrinkles can be hard to grapple with.
Take a LookForehead Wrinkles
Forehead wrinkles are often among the earliest signs of aging and can give the face a tired, stressed, or aged appearance, even when you feel youthful and vibrant. Caused by repeated facial expressions, collagen loss, and sun exposure, these forehead lines may start as faint creases and gradually deepen over time.
Take a LookHollow Eyes
Because the under-eye area is composed of delicate skin and visible blood vessels, even subtle changes in fat loss, collagen production, or blood circulation can create a sunken look that affects your overall facial features and self-esteem. At Gilpin Facial Plastics in Nashville, Dr. Gilpin offers advanced, customized treatments to restore lost volume, smooth the tear trough, and rejuvenate the eyes, resulting in a brighter, refreshed appearance.
Take a LookPlatysma Bands
As we age, the neck muscles and platysma muscle naturally lose tone, leading to the development of platysmal bands, often called neck bands. These prominent platysma bands can make the lower face and neck appear older, even if the rest of the face maintains a youthful appearance. At Gilpin Facial Plastics, Dr. Gilpin offers advanced treatment options to smooth visible platysma bands, restore a defined jawline, and achieve a youthful neck contour that complements the face.
Take a LookReceding Chin
A receding chin, also called a weak chin or recessed chin, can affect both the appearance and balance of your facial features. When the chin bone or lower jaw sits further back than the upper jaw, it can make the chin area appear small and the jawline less defined, sometimes impacting facial harmony and overall facial balance. While a recessed chin is often a cosmetic issue, it can also contribute to difficulty chewing, temporomandibular joint disorder, or other functional concerns.
Take a LookUneven Skin Texture
Smooth, radiant skin is a hallmark of a healthy, youthful appearance, but many patients struggle with uneven skin texture that leaves their complexion looking dull or rough. Whether caused by sun exposure, acne scars, or a buildup of dead skin cells, changes in the skin’s surface can affect overall skin clarity and confidence. Uneven skin may also be accompanied by dark spots, fine lines, or enlarged pores, making the face appear tired or aged. At Gilpin Facial Plastics, Dr. Gilpin offers advanced treatments and personalized skincare solutions designed to refine texture, restore balance, and promote a smoother complexion.
Take a LookWeak Chin
A weak chin, receding chin, recessed chin, or mandibular retrognathia occurs when the chin bone is set back further than normal in relation to other facial features, particularly the upper jaw and lower lip. While often viewed as a cosmetic issue, a weak or recessed chin can also be linked to health concerns such as jaw misalignment, obstructive sleep apnea, and even difficulty chewing.
Take a LookWide Face
A wide face, no matter the cause, can sometimes make the facial features appear less defined or out of balance. While some people are naturally born with a broader facial shape, others may notice changes over time due to aging, weight gain, or lifestyle factors. For patients who wonder how to slim and reshape their facial area, Dr. Gilpin offers advanced surgical and non-surgical options to refine the jawline, reduce chubby cheeks, and create harmony in the overall appearance of the face.
Take a Look
Benefits of Professional Treatment
Whether you’re dealing with wrinkles, fat, scars, or loose tissue, an experienced plastic surgeon can guide you to the best treatment for your age, skin type, and aesthetic goals. Combining medical devices, injections, and sometimes surgery, Dr. Gilpin helps patients reduce risk, improve appearance, and achieve natural-looking enhancements.
Book a Consultation
If you’re ready to take control of your cosmetic concerns, schedule a consultation with Gilpin Facial Plastics in Nashville. Whether you’re interested in non-invasive procedures, laser treatments, or surgical rejuvenation, Dr. Gilpin and his team will help you choose the right path toward a more confident, refreshed version of yourself.
David Gilpin, MD
Dr. David Gilpin is a native of Nashville, TN. After graduating from Vanderbilt University with a degree in Biomedical Engineering, Dr. Gilpin pursued his M.D. from The University of Tennessee…
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Dr. David Gilpin is Nashville’s most accomplished dual board-certified facial plastic surgeon and founder of Gilpin Facial Plastics, the city’s largest facial plastic surgery and medspa practice. With advanced fellowship training under one of the world’s leading experts in facial plastic surgery, Dr. Gilpin is renowned for delivering natural, personalized results through both surgical and non-surgical facial procedures. Featured in Nashville Lifestyles, recognized as a RealSelf Top Doctor, and a national speaker, Dr. Gilpin is trusted by A-list clients and peers alike for his unparalleled expertise and compassionate care. His leadership and reputation firmly establish him as the most qualified and sought-after facial plastic surgeon in Nashville, TN