When you look at yourself in the mirror, the woman you see may not reflect how you feel inside. You are energized by your youthful spirit and yet all the lines, wrinkles, folds, and creases on your face and neck say otherwise. This is one of the main reasons why most women turn to anti-aging treatments. 

As you age, your skin’s connective fibers such as elastin and collagen break down. You also lose fat in the deep layers of the skin. The effect? Loose, sagging skin that is extra prone to wrinkles. While you want a quick and effective way to reverse these signs of aging, not everyone is comfortable going under the knife to look younger.

The world-acclaimed, board-certified cosmetic dermatologists at Cosmetic Laser Dermatology in San Diego understand how frustrating it is when your lines and wrinkles detract from your beauty and inner youthfulness. Their expertise in non-invasive skin rejuvenation and anti-aging treatments is unmatched, as is their commitment to helping you obtain that youthful look you’re aiming for. That’s why we’ve innovated dozens of techniques to improve skin, such as the Picket Fence Technique. 

What Is The Picket Fence Technique?

Dr. Kimberly Butterwick of Cosmetic Laser Dermatology is recognized as one of the most renowned skincare experts in the country. Board-certified by the American Board of Dermatology she is considered a leading authority on filler technology, injectables, lasers, and liposculpture. With her thorough examinations, scrupulous technique, and an artistic eye, Dr. Butterwick is dedicated to providing patients with the best treatment options to turn back the clock on aging.

In this video, Dr. Butterwick shows how the “Picket Fence” technique is an effective method for lifting the loose skin on the jowl area through the use of a hyaluronic acid filler.


The technique involves using the filler to lift the skin and anchoring it back further, to volumize and add structure to the face. “It’s a simple way of pulling the area back,” explains Dr. Butterwick. “I named my technique the “Picket Fence” because it reminds me of repairing a sagging fence. There are some false ligaments that fall down like a broken fence. Putting filler on either side of them makes the ligaments stand up and support the skin like they used to. The picket fence is a great way to instantly lift up the lower face.”

Dermal Fillers As Your Anti-Aging Weapon

Dermal fillers, as the name suggests, are gel-like substances that when injected, are meant to “fill up” the upper layers of your skin to give it the appearance of looking plump, healthy, and revitalized. From smoothing lines and wrinkles, to facial contouring, filling out shallow scars, and reversing skin laxity, they serve a variety of purposes. Fillers are among the most revolutionary inventions in the field of dermatology and skincare today.

But finding the right product –whether a hyaluronic acid filler or a collagen injectable –is just half the battle. The most crucial aspect of a successful dermal filler treatment is the skill, technique, and artistry of the physician performing the procedure. The proper technique involves the ability to accurately and gently inject the dermal filler into the skin, while artistry is all about knowing how much filler is needed to achieve the patient’s desired results.

Dermal Fillers As Part Of A Liquid Facelift

A non-surgical alternative to the traditional facelift surgery, a liquid facelift uses the powerful combination of wrinkle smoothers (e.g., Botox, Xeomin, Jeuveau, and Dysport) and dermal fillers (e.g., Juvederm Voluma, Belotero, Restylane,  Sculptra, and Radiesse) to rejuvenate the face and reverse the signs of aging such as lines, wrinkles, and deep creases. Unlike a surgical facelift wherein facial skin is stretched, a liquid facelift works to replenish volume in areas that have become hollow-looking with age. And according to AAD.org, when performed by skilled and highly-qualified injection experts such as Dr. Butterwick, the procedure can create natural-looking results that are beautiful.

All these injectables work together to improve the following aging concerns:

  • Deep lines and wrinkles
  • Expression lines
  • Loss of volume
  • Hollow features
  • Under-eye circles
  • Vertical lip lines and lip borders

A liquid facelift creates a gentle lift to your facial features, effectively sculpting your face and neck in a similar way a surgeon would in a traditional facelift procedure. In addition to being non-invasive, what patients like about the liquid facelift is that results are immediate, there is no downtime, and it’s a targeted procedure –you get to choose precisely which areas you want to be sculpted. Above all, the results are natural-looking. They’re dramatic enough to make you look and feel younger, yet subtle enough that no one would suspect you’ve had work done.

Refresh And Rejuvenate Your Face With A Liquid Facelift 

Regain your youthful appearance with the help of Cosmetic Laser Dermatology’s team of anti-aging experts. To learn more about our injectables and other minimally-invasive procedures, schedule a consultation in our San Diego medical spa today.

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Reshape & Tighten Your Neck With ThermiSculpt
In this webinar, Dr. Groff will educate you on how the experts at Cosmetic Laser Dermatology can provide life-changing results without surgery through ThermiSculpt.

Speaker: Dr. William F. Groff
Date/Time: Tuesday, April 30th, 2024 at 5:30 pm PST / 8:30 pm EST

Register here.