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Expert Facial Plastic Surgery in Roseville, CA
Roseville Facial Plastic Surgery is a premier medical spa serving the Greater Sacramento area, specializing in facial aesthetic procedures for over two decades. Our board-certified surgeons, Dr. Jonathan Sykes and Dr. David Kiener, combine extensive experience with advanced techniques to deliver natural-looking results. With over 55 combined years of practice, they are recognized leaders in facial plastic surgery, offering personalized care for both surgical and non-surgical treatments. Our team includes a registered nurse and aestheticians who utilize cutting-edge technology to enhance patient outcomes.

We prioritize balanced facial proportions and maintain a commitment to innovation, evidenced by Dr. Sykes' patented surgical instrument and active participation in global humanitarian missions. Our philosophy centers on creating subtle, rejuvenated appearances without an 'operated' look, supported by comprehensive consultations and post-operative care. This dedication to excellence earned us recognition as a Top 3 Best Medical Spa by the California State Assembly Sacramento A-List.
Services
Facelift Surgery Neck Lift Blepharoplasty Rhinoplasty Botox Injections Dermal Fillers Microneedling Lip Lift Ear Surgery Scar Revision
Highlights and features
  • Board-certified surgeons with 55+ combined years of experience
  • Personalized treatment plans for natural facial rejuvenation
  • Pioneering surgical techniques with patented instruments
  • Recognized Top 3 Medical Spa by California State Assembly
  • Comprehensive care from consultation through recovery
Associations and certifications
  • American Board of Facial Plastic and Reconstructive Surgery
  • American Board of Otolaryngology
What people say
Natural-looking results Exceptional surgical skill Personalized care approach Professional staff Effective non-surgical options
Services
Facelift Surgery
Facelift surgery addresses sagging skin and deep creases to restore youthful facial contours. This procedure tightens underlying tissues, removes excess skin, and repositions facial fat for natural-looking results. Ideal candidates experience jowls, neck laxity, or midface drooping that creates tired appearances. Our surgeons employ advanced techniques that preserve natural expressions while achieving long-lasting rejuvenation, with results typically lasting 7-10 years. The procedure combines muscle tightening with skin repositioning for comprehensive facial revitalization.
Rhinoplasty
Rhinoplasty corrects cosmetic and functional nasal concerns through precise structural modifications. Our surgeons address bumps, crookedness, and disproportionate sizing while maintaining optimal breathing function. The procedure reshapes cartilage and bone to create facial harmony, with techniques tailored to individual anatomy. Both open and closed approaches are available, with recovery periods allowing gradual swelling resolution over 6-12 months. Patients achieve improved self-confidence through enhanced facial balance while preserving natural nasal characteristics.
Blepharoplasty
Eyelid surgery rejuvenates tired-looking eyes by removing excess skin and fat deposits. Upper blepharoplasty corrects hooded lids while lower surgery addresses under-eye bags and puffiness. Our approach maintains natural eyelid contours while restoring youthful definition. The procedure improves peripheral vision in cases of severe upper lid drooping and creates a more alert appearance. Incisions follow natural creases for minimal visibility, with results that enhance overall facial rejuvenation without appearing overdone.
Dermal Fillers
Dermal fillers restore lost facial volume and smooth wrinkles through hyaluronic acid-based injectables. Treatments address nasolabial folds, marionette lines, and lip augmentation while stimulating collagen production. Our surgeons strategically place fillers to enhance facial symmetry and proportions. The non-surgical approach offers immediate results with minimal downtime, lasting 6-24 months depending on product selection. Fillers complement surgical procedures or serve as standalone anti-aging treatments for gradual rejuvenation.
Microneedling
Microneedling stimulates collagen production through controlled micro-injuries using FDA-approved SkinPen technology. This treatment improves skin texture, reduces scarring, and diminishes fine lines through natural healing processes. The procedure addresses acne scars, stretch marks, and sun damage across all skin types. Multiple sessions yield progressive improvement, with results continuing for six months post-treatment. Our specialists customize depth settings to target specific concerns while maintaining skin integrity.
People
Jonathan M. Sykes
Director of Facial Plastic Surgery
Dr. Sykes has performed 13,500+ facial procedures over 30 years, developing a patented brow lift instrument. He directs UC Davis' Facial Plastic Surgery Department and leads humanitarian missions globally.
David J. Kiener
Facial Plastic Surgeon
Dr. Kiener specializes in natural-looking results through 25+ years of facial plastic surgery experience. He teaches residents at UC Davis and focuses on personalized approaches to facial rejuvenation and reconstruction.
Questions
What facial procedures yield the most dramatic rejuvenation?
Combining facelift, neck lift, and eyelid surgery addresses multiple aging signs for comprehensive rejuvenation while maintaining natural facial expressions.
How long do surgical results typically last?
Facelift results last 7-10 years, rhinoplasty changes are permanent, and blepharoplasty effects endure 5-7 years with proper skincare maintenance.
Can surgical and non-surgical treatments be combined?
Yes, pairing Botox/d fillers with surgery enhances results. Microneedling improves skin quality before or after major procedures for optimal outcomes.
What's the recovery timeline for major facial surgery?
Most patients return to work in 10-14 days, with full recovery taking 3-6 months. Strenuous activity restrictions last 3-4 weeks post-surgery.
How are personalized treatment plans developed?
During consultation, surgeons assess facial anatomy, aging patterns, and goals to create customized plans balancing surgical and non-surgical interventions.
What makes your surgeons uniquely qualified?
Double board-certification, 55+ combined years experience, patented techniques, and teaching roles at UC Davis distinguish our surgeons' expertise.