Breast Surgery
Breast Surgery
Dr. Albert Carlotti at BellaNova Palm Beach provides breast surgery in West Palm Beach, FL, and enhancement procedures that restore symmetry and proportion. Whether you seek augmentation, lift, or reduction, his focus is on achieving natural balance and a beautiful, confident silhouette.
Breast Surgery Includes:
- Breast Augmentation & Breast Lift
- Breast Reduction
Body Contouring Includes:
- Tummy Tuck (Abdominoplasty)
- Liposuction
- Skin Tightening (Body)
- BBL
The Science Behind the 4D Facelift
As we age, facial skeletal bones gradually shrink or atrophy, especially around the cheeks, chin, and midface. Without proper skeletal support, the soft tissues of the face begin to droop under gravity, leading to jowls, hollowness beneath the eyes, and loss of youthful contours. The 4D Facelift addresses this cascade from the inside out, working on every layer — bone, muscle, skin, and surface.
The Four Dimensions of Transformation
- 1. Skeletal Support — Rebuilding the Foundation
True rejuvenation begins with restoring the underlying bone structure.
Dr. Carlotti corrects skeletal atrophy through:
- • Bony movements (osteotomies), or
Precise facial implant placement, such as:
- Chin implants
- Jaw angle implants
- Wrap-around lower jaw implants
- Cheek implants
- Tear trough implants for under-eye hollowing
All implant placements are performed through incisions inside the mouth, leaving no visible scars.
This structural reinforcement provides long-term soft tissue support — the foundation for a naturally youthful contour.
2- Muscular Repositioning — Restoring Lift and Tone
Over time, gravity and facial movement cause the facial muscles to migrate downward, deepening lines around the mouth and eyes and contributing to jowls and sagging. In the neck, the platysma muscle — a delicate sheet of muscle — often separates with age, creating banding, webbing, and the characteristic “turkey neck.” This occurs because a fat pad beneath the platysma slides downward as the muscle weakens, adding fullness under the chin. The 4D Facelift addresses this cascade from the inside out, working on every layer — bone, muscle, skin, and surface.
To correct this, Dr. Carlotti performs:
- 1. Platysma muscle repair, which involves removing the weakened portion, reconnecting the edges, and anchoring the muscle to the hyoid bone in the neck.
This restores a firm, elegant neck contour and defines the jawline. Using a deep-plane technique, Dr. Carlotti lifts and repositions the deeper muscle layers rather than just tightening the skin. This method delivers true structural rejuvenation, ensures long-lasting results, and avoids the “overdone” appearance of traditional facelifts.
3- Skin Refinement — Natural and Tension-Free Results
Once the deeper foundation has been restored, any excess skin is gently removed — not pulled. This allows the skin to be closed without tension, leading to:
- Smoother, natural contours
- Faster, complication-free healing
- Minimal scarring, with incisions placed in inconspicuous, natural folds of the face
Unlike older techniques that rely on stretching skin, this method achieves rejuvenation through repositioning and rebuilding, resulting in a naturally youthful look that moves and feels like your own skin.
4- Surface Rejuvenation — Restoring Skin Health and Glow
Finally, once the facial and neck rejuvenation is complete and all incisions are closed, a carbon dioxide (CO₂) laser resurfacing is performed on the skin.
The CO₂ laser provides two major benefits:
- 1. Ablation of damaged skin layers — It removes the outermost sun-damaged layers, smoothing uneven texture and reducing pigmentation.
- 2. Collagen cross-linking and elastin stimulation — The laser’s energy penetrates into deeper layers, triggering collagen remodeling and new elastin formation, which tightens and firms the skin over time.
This combination restores youthful elasticity, tone, and radiance, complementing the structural rejuvenation beneath the surface.
Complementary Procedures
For complete facial harmony, the 4D Facelift is often combined with:
- Endoscopic brow lift for forehead and brow rejuvenation
- Upper and lower eyelid blepharoplasty to refresh the eyes
All procedures can be performed safely in one surgical session, ensuring balanced and natural-looking results across the entire face.
The Results You Can Expect
Patients who undergo the 4D Facelift typically experience:
- A 10–15-year age reversal
- Improved definition in the jawline, cheeks, and neck
- Smooth, firm, and radiant skin texture
- Natural expressions without tightness or distortion
When patients follow the recommended postoperative care protocols, results are long-lasting and beautifully maintained for years to come.
Recovery & Healing
The deep-plane technique and tension-free closure contribute to smooth, predictable recovery.
Swelling and mild bruising resolve within 2–3 weeks, after which most patients feel confident returning to social and professional activities.
As collagen continues to remodel, skin firmness and tone continue to improve for months after surgery.