#2 Loss of facial volume is due to prior sun damage, smoking, acne scarring and genetic predispositions. The resultant static wrinkles are seen as valleys and divots, prominently displayed along lower half of the face such as our smile lines along nasolabial folds, tear trough areas beneath the lower eyelids (causing dark circles due to optical shadowing), and marionette lines around the corners of the mouth.  These static wrinkles can be softened by replenishing the lost volume with fillers.


Rejuvenation of lower eyelids achieved with Restylane injection of tear trough areas

•  is the latest FDA-approved dermal filler made of highly purified type I porcine collagen. Evolence is a true collagen-based filler cross-linked with sugar, mimicking the 3-dimensional structure of your skin's own collagen. This allows it to integrate beautifully and support your skin's own existing collagen network by adding structure, strength, and volume for a natural look and feel that last. Thus, Evolence is more amenable to molding with significantly less risks of swelling and bruising. This is arguably the most optimal filler for the nasolabial fold area before a special event with virtually little to no downtime. Although new to the US, Evolence has been used extensively in Canada, Europe, and Israel for several years with no report of allergic reaction, and thus no skin pre-test is needed. Evolence typically lasts 9-12 months.
• Non-animal stabilized hyaluronic acid (NASHA) such as Restylane or Juvederm is a versatile filler for nasolabial folds, marionette lines around corners of the mouth, lip augmentation, vertical ridges along lips and tear troughs under the eyelids. These NASHAs typically last 4-9 months. Restylane has been shown to stimulate collagen production over time. 
• Perlane and Juvederm Ultra Plus are also NASHAs of slightly thicker caliber and are useful for facial contouring and reverse aging and discolored appearance of photodamaged hands. These NASHAs may last 6-12 months.
• Radiesse is a good option for individuals in need of cheek augmentation and/or more volume along nasolabial folds. Radiesse is made of calcium-based microspheres that are suspended in a natural gel and serves as a scaffold for further collagen production. Radiesse provides more volume than NASHAs and may last 9-18 months but has slightly greater potential for transient swelling and/or bruising.
• Dr. Ting and Dr. Tomcik does not endorse permanent or long-term fillers such as Artefill or Sculptra due to long term nature of potential adverse events, though rare, and that people's preference of certain facial contour may change over time.
• Filler injection is absolutely operator and technique-dependent and one should not shop by price alone. Filler injections should be performed by a board-certified dermatologist or plastic surgeon.
• Return for updates regarding Atlean when it gets FDA-approval.

Softening of Nasolabial Folds and Marionette Lines with Restylane injection

#3 Textural and pigmentary disparities can be minimized by enhancing sun protection efforts and right combination of cosmeceuticals. However, more often than not, minimally-invasive procedures are needed to gently slough off the aging and discolored skin cells. Fractional CO2 laser is the latest and most efficacious modality to achieve thorough resurfacing of the skin and to stimulate collagen formation. According to WebMD, Fractional CO2 laser is the Number 1 antiaging breakthrough in year 2007. Fraxel and Pearl lasers have the right idea but the wrong wavelengths and the clinical results are typically suboptimal even after several treatments compared to one treatment of the Fractional CO2 resurfacing laser. Other procedures to consider include TCA chemical peels and/or microdermabrasion. Intense pulse light (IPL) fotofacial laser remains very useful to treat facial redness and excessive pigment.


Tightening, reduction of deep and fine lines, rejuvenated texture, with eradication of sun spots achieved by ONE Treatment of fractional CO2 laser resurfacing

• No general anesthesia
• Less painful, more pleasant due to long lasting local tumescent anesthesia
• Smoother liposuction results due to use of Microcannula
• Minimal blood loss due to vasoconstriction from large volumes of very dilute local anesthesia
• Quick recovery, back to work in 3-4 days
• Click to learn more Vaser Technology Body Liposculpturing

Note no bruising because of Vaser technology and small 2mm scabs which dissappeared in 3 more days

tumescent liposuction of abdomen

10 days after liposuction with Vaser and Tumescent technique which combined minimizes bruising

tumescent liposuction of abdomen & waist

tumescent liposuction of waist & backrolls


tumescent liposuction of neck & jowl lines


tumescent liposuction of left arm triceps


tumescent liposuction of backrolls & waist

tumescent liposuction of neck & jowl lines


tumescent liposuction of abdomen & waist

tumescent liposuction of hips & thighs (saddlebags)


Dr. William Ting is expertly trained by Dr. Jeffrey Klein (who invented tumescent liposuction) in the art and sciences of lipo-sculpturing of the neck, upper arms, chest (breast reduction for men), abdomen, flanks (love handles), back rolls, hips, thighs and knees. Dr. Ting's distinguished skill in tumescent liposuction is recognized by LIPOSUCTION.COM (the premiere online patient resource for liposuction) where he is one of the very few liposuction surgeons profiled in the Tri-Valley area.