Facial aging doesn’t show up the same way twice. For one person it’s heavy upper eyelids that make them look tired even when they’re not. For another it’s sagging along the jawline and neck. So it makes sense that facial rejuvenation isn’t a single answer either.
At the Facial and Body Surgery Center (FBSC) in Charleston, Dr. Hochman and Dr. Tarabishy both offer the full range of eye and neck rejuvenation, from surgical lifts to injectables. Whichever doctor you see, you’re getting the same access to both paths, so the conversation stays focused on what your face actually needs, not on which specialist happens to be in the room.
The Real Question: Surgery or Injectables?
The starting point for facial rejuvenation is usually the same question: is this something surgery can fix, or something an injectable can soften? The honest answer is that it depends on what’s actually changed. Skin and tissue that have shifted position, like heavy upper eyelids or a sagging jawline and neck, typically respond best to surgical correction. Volume loss and expression lines, on the other hand, often respond well to injectables, with far less downtime.
Neither approach is the “better” option. They’re built for different concerns, and sometimes for the same patient at different points in their life.
The Surgical Route: Neck Lift and Blepharoplasty
Dr. Hochman and Dr. Tarabishy both perform neck lift surgery and blepharoplasty (eyelid surgery) for patients whose skin and tissue have changed shape and need structural correction.
A neck lift, also called a lower rhytidectomy, treats sagging skin, excess fat, and jowls along the jawline and neck. The procedure takes about 60 minutes under local anesthesia or IV sedation, with recovery typically running two to three weeks. Many patients pair it with a facelift or neck liposuction for a more complete result.
Blepharoplasty addresses the eyelids specifically. Upper blepharoplasty removes drooping skin on the upper lid, which for some patients can also improve peripheral vision. Lower blepharoplasty targets puffiness or bagginess beneath the eye. The procedure generally takes one to two hours, and most patients return to work in seven to ten days.
The Injectable Route: Botox, Sculptra, and Fillers
Both doctors also offer injectable treatments for patients who want to soften signs of aging without surgery or extended downtime, including Botox, Sculptra, and dermal fillers.
Botox relaxes the muscles behind movement related wrinkles, like forehead lines and crow’s feet, with results that typically last three to six months. Sculptra works differently. It’s a biostimulator that gradually rebuilds the skin’s own collagen over several months, so results build slowly rather than appearing overnight. Dermal fillers restore volume in areas like the cheeks and lips, with results that can last anywhere from several months to two years depending on the product.
Finding Your Answer
The right path isn’t about picking a doctor. It’s about matching the approach to what your skin and goals actually need, along with how much downtime you’re willing to take on. Some patients start with injectables to see gradual, no-downtime change. Others are ready for the more complete correction surgery can offer. Many do both over time, using injectables to maintain and extend results between surgical procedures.
At your consultation, the FBSC team will walk through your skin, your goals, and your timeline honestly, including which option isn’t the right fit for you right now. Because both doctors offer both paths, the recommendation is built around your face, not around what one provider happens to specialize in.
Ready to Find Your Path?
Facial rejuvenation works best when it’s built around your face, not a trend. Whether you talk with Dr. Hochman or Dr. Tarabishy, The Facial and Body Surgery Center in Charleston can help you figure out which path, surgical or injectable, fits.
Schedule a consultation to start the conversation.
