Facial Plastic Surgery in Plano & Dallas, TX | Overview
Facial plastic surgery works best when every feature is understood in context, which is why Dr. Derek Sheen approaches the face as a connected whole rather than a set of separate parts. His work is centered on proportion, anatomy, and the kind of refinement that looks natural in motion. Dr. Sheen’s objective is a significant, restorative improvement that still looks like the patient. Natural does not have to mean underdone.
Dr. Sheen’s philosophy is shaped by his advanced facial plastic surgery training in Manhattan under internationally recognized surgeons, his experience as a clinical instructor at NYU, and his focus on modern techniques that respect both structure and aesthetics. Dallas and Plano facial plastic surgery patients often come to him because they want the most refined, balanced, and unmistakable results.
To learn more about facial plastic surgery or schedule a consultation with Dr. Derek Sheen, contact our office today. We are located in Plano, TX, and serve patients in Dallas, Frisco, Flower Mound, Highland Park, Park Cities, Southlake, Fort Worth, throughout North Texas, and across the DFW metroplex.
53-Year-Old Female
This 53-year-old patient is shown three months after an extended preservation deep plane facelift and neck lift, lower eyelid transconjunctival (scarless) blepharoplasty, facial fat grafting, and buccal fat reduction. Botox was also used to improve brow asymmetry. The preservation technique maximizes cheek and jowl elevation while minimizing skin delamination, allowing the skin to remain more closely connected to the deeper tissues and redrape smoothly. The result is a refined jawline and neck with balanced, natural facial proportions.
42-Year-Old Female
This 42-year-old patient is shown six months after an extended preservation deep plane facelift and neck lift, an endoscopic brow lift, lower eyelid transconjunctival (scarless) blepharoplasty, facial fat grafting, buccal fat reduction, and removal of a substantial volume of prior facial filler. The filler had contributed to heaviness and downward displacement through the lower eyelid and lid-cheek junction. Deep-plane repositioning restores the cheeks and jowls at the structural level, while limited skin undermining preserves more native skin attachments for smooth, natural redraping. The jawline and neck are sharply defined while maintaining an unoperated appearance.
43-year-old female
This 43-year-old patient is shown five months after an extended preservation deep plane facelift and neck lift, an endoscopic brow lift, upper eyelid blepharoplasty, facial fat grafting, buccal fat reduction, and correction of a ptotic (“witch’s”) chin. She is also shown two months after a subsequent rhinoplasty. The facelift achieves substantial elevation of the cheeks and jowls with limited skin delamination, preserving native skin attachments and promoting smooth redraping. The neck is cleanly defined, while refinement of the nose and chin brings the facial profile into greater balance.
60-year-old male
This 60-year-old male patient is shown three months after an extended preservation deep plane facelift and neck lift, an endoscopic brow lift, lower eyelid transconjunctival (scarless) blepharoplasty, facial fat grafting, buccal fat reduction, and correction of a ptotic (“witch’s”) chin. The extended preservation technique repositions the cheeks and jowls at the deeper structural level while limiting skin undermining, so the lift is not dependent on excessive skin tension. His jawline and neck are strongly defined while preserving a natural masculine character.
Facelift Surgery
A facelift procedure improves facial aging at the deepest supporting layers of the face. With age, the cheeks descend, the jawline softens, jowls form, and the neck begins to lose definition. With Dr. Sheen’s facelift, support beneath the skin is restored, rather than relying on surface tension.
Dr. Sheen specializes in an extended preservation deep plane facelift technique. This approach allows him to release the deeper retaining ligaments, reposition descended tissue, and preserve more of the skin’s natural attachments when appropriate. The result is designed to look composed, natural, and durable.
For many patients, facelift surgery is also part of a more comprehensive facial rejuvenation plan. Facial fat grafting, blepharoplasty, brow lift surgery, buccal fat assessment, or chin refinement may be discussed when they help create a more complete and balanced result.
Patients exploring facial rejuvenation may also benefit from specialized facelift procedures, including:
Rhinoplasty
Rhinoplasty is one of the most detailed procedures in facial plastic surgery. The nose sits at the center of the face, and even a small change in projection, width, tip shape, or bridge contour can change how the entire face is perceived.
Dr. Sheen approaches rhinoplasty with attention to both appearance and function. A nose should look balanced with the face, but it also has to breathe well and remain structurally sound over time. His approach emphasizes precision, support, and long-term stability rather than aggressive reduction.
Since each nose is different, every surgical plan is individualized. Some patients need cosmetic refinement, while others will benefit from functional correction for breathing issues. Some need both. Dr. Sheen performs both open and closed rhinoplasty techniques, choosing the approach based on anatomy, goals, and the level of structural work required.
Related rhinoplasty procedures include:
Neck Lift
When the neck loses definition, the jawline starts to look softer, and the lower face can appear heavier. Many patients notice loose skin under the chin, neck bands, fullness that does not change with weight loss, or a jawline that no longer looks clean.
A neck lift improves loose skin, muscle banding, fullness, and poor definition beneath the chin and along the neck. For some patients, a focused neck lift is enough. For others, the neck is best treated as part of a deep plane facelift because the jawline, jowls, and neck often age together.
Dr. Sheen evaluates the neck, chin, jawline, lower face, and skin quality before recommending a plan. The goal is a cleaner profile, sharper neck angle, and more refined transition between the face and neck. The improvement can be substantial, but it should still look natural and aligned with the rest of the face.
Endoscopic Brow Lift
The brow has a direct effect on the upper face and eyes. When the brow begins to descend, the upper eyelids can look heavier, the eyes can appear smaller, and the face may look tired even when the patient feels well.
A brow lift repositions the brow to restore a more open and rested upper face. Dr. Sheen uses modern endoscopic techniques that allow for precise brow release and repositioning through small incisions. The goal is to improve heaviness without creating a surprised or over-lifted appearance.
A brow lift may be performed on its own or combined with upper blepharoplasty when both the brow and eyelid skin are contributing to the concern. The most complete result comes from identifying the true cause of upper eyelid heaviness before surgery.
Blepharoplasty (Eyelid Surgery)
Blepharoplasty is eyelid surgery that improves the upper eyelids, lower eyelids, or both. The procedure can address heavy upper eyelid skin, under-eye bags, puffiness, hollowing, and a tired appearance around the eyes.
Dr. Sheen approaches blepharoplasty with careful attention to millimeters. Removing too much skin or fat can make the eyes look hollow, tight, or changed. Removing too little may leave the patient with the same heaviness or tired look that brought them in.
Upper eyelid surgery may be appropriate when extra skin folds over the crease or makes the eyes look smaller. Lower eyelid surgery may be appropriate when under-eye bags, puffiness, or lower eyelid contour are the main concerns. In some patients, the most remarkable result comes from combining eyelid surgery with a brow lift, midface lift, facial fat grafting, or laser resurfacing.
Facial Fat Grafting
Volume loss is a significant factor that changes the way the face looks.
With volume loss, the temples may hollow, the cheeks may flatten, and the under-eye area may deepen. The face may look tired or depleted, even when the skin and deeper tissues still have reasonable support. Facial fat grafting restores volume using the patient’s own fat to improve contour, softness, and balance.
Dr. Sheen frequently uses fat grafting as part of facial rejuvenation because it complements lifting procedures. A facelift repositions tissue. Fat grafting restores volume. When used carefully together, the result can look more complete, more natural, and more restorative.
Fat grafting is not used to overfill the face. The goal is selective replacement of lost volume in areas where it will improve facial harmony.
Buccal Fat Reduction
Buccal fat reduction reduces fullness in the lower cheek by removing a portion of the buccal fat pad. In the right patient, this can create more facial definition and improve the transition between the cheek and jawline.
This procedure requires careful judgment. Removing too much volume, or performing the procedure on the wrong patient, can make the face look hollow over time. Dr. Sheen evaluates cheek structure, facial volume, skin quality, and long-term aging before recommending buccal fat reduction.
The strongest candidates are usually patients with persistent lower cheek fullness who want a more defined contour while still preserving natural facial balance. The goal is refinement, not an overly sculpted or depleted look.
Lip Lift
A lip lift shortens the distance between the nose and upper lip, which can improve upper lip shape, increase visible pink lip, and create more upper tooth show in appropriate patients.
Unlike filler, a lip lift changes the structure of the upper lip rather than adding temporary or unnatural volume. It can be a strong option for patients whose upper lip has lengthened with age or who want more definition without repeated injectable treatments.
Dr. Sheen evaluates the nose, upper lip, smile, tooth show, and overall facial proportions before recommending the procedure. A good lip lift should look clean and natural. It should improve the mouth without making the upper lip look tight, heavy, or overdone.
Otoplasty (Cosmetic Ear Surgery)
Otoplasty reshapes or repositions the ears to bring them into better balance with the face. It is commonly performed for prominent ears, asymmetry, or congenital differences in ear shape.
Although the ears are not usually the first feature someone notices, ears that project too far or appear uneven can distract from the face. Otoplasty can create a significant improvement by placing the ears in a more natural position.
Otoplasty may be performed for both children and adults.
Chin Implant
The chin plays a major role in the profile, jawline, neck, and overall facial structure. A chin that is underprojected can make the nose appear more prominent, the neck look less defined, and the lower face appear weaker than it is.
A chin implant strengthens chin projection and improves profile balance. It is often discussed during rhinoplasty or neck lift planning because the chin changes how both the nose and neck are perceived.
Dr. Sheen evaluates the chin as part of a comprehensive facial analysis. In some patients, chin augmentation can make the final result look more definitive and balanced without needing to overcorrect another area.
Earlobe Repair
Earlobe repair restores aged, enlarged, deflated, stretched, torn, or damaged earlobes. Heavy earrings, trauma, gauge piercings, or long-term stretching can alter the shape of the lobe and make it difficult to wear earrings comfortably.
Earlobe repair is usually a focused in-office procedure with minimal downtime, or added onto other procedures in the operating room. Dr. Sheen recontours, reinflates, repairs, and recreates a more natural earlobe contour.
For many patients, the change is meaningful, as a clean earlobe shape can restore symmetry and allow patients to wear earrings again after healing.
Dr. Derek Sheen’s Philosophy
Dr. Sheen does not evaluate the face as a collection of isolated features. He studies how the brow, eyes, nose, cheeks, jawline, chin, neck, skin, and facial volume relate to one another, with the understanding that changing one area can meaningfully influence the appearance of another.
A descended brow can create upper eyelid heaviness and crowd the upper face, making the nose appear more prominent. Loss of cheek support can contribute to a tired or descended appearance of the lower eyelid. A weak chin can diminish the jawline and neck definition while making the nasal profile appear larger. A nose that is out of proportion can draw attention away from the eyes and disrupt the balance of the face as a whole. Understanding these relationships allows Dr. Sheen to address the underlying cause of a concern rather than simply treating one area alone.
Consultations are thorough, direct, and unhurried. Dr. Sheen’s process is built around perspective, expectations, and trust. He believes patients should understand what is creating the changes they see, which aspects can be meaningfully improved, where the limitations of surgery lie, and what recovery realistically involves. From there, he develops an individualized plan that prioritizes anatomy, proportion, safety, and the changes that will have the greatest impact on the face as a whole.
His goal is not change for the sake of change, nor is it an intentionally subtle or underdone result. Natural does not have to mean subtle. For the right patient, facial surgery can create powerful, visible, and transformative improvement while preserving the features that make that person recognizable. The best results restore structure, definition, and harmony in a way that feels elegant, balanced, and completely at home in the face.
I aim to create results that are noticeable in a positive way, but never distracting or unnatural.
Ready to Explore Facial Plastic Surgery in Dallas? Schedule a Consultation Today
Dr. Sheen sees facial plastic surgery patients from Plano, Dallas, Fort Worth, Frisco, Highland Park, the Park Cities, and across North Texas, as well as patients who travel for consultation.
Whether you are interested in facial rejuvenation, rhinoplasty, eyelid surgery, neck lift surgery, or another facial procedure, your consultation is designed to clarify what is happening anatomically and what type of plan would create the most balanced result.
To request a consultation with Dr. Derek Sheen, call (972) 316-4555 or submit an inquiry through our online contact form.
Plano, TX Facial Plastic Surgery – FAQs
How do I know which facial procedure is right for me?
Most patients do not need to know the exact procedure before consultation. It is more useful to know what bothers you: the neck, eyes, nose, jawline, cheeks, profile, or overall facial aging. Dr. Sheen evaluates the face as a whole and explains which procedure, or combination of procedures, makes the most sense.
Can multiple facial procedures be performed together?
Yes. Many patients combine procedures when several areas are contributing to the concern. A deep plane facelift may be combined with a neck lift, blepharoplasty, brow lift, fat grafting, chin augmentation, or skin resurfacing when doing so creates a more complete and balanced result.
What does Dr. Sheen mean by natural but unmistakable?
Natural does not mean subtle or underdone. For Dr. Sheen, the most successful results create attractive, meaningful, visible change while remaining completely harmonious with the individual face. Structure is restored, definition is sharpened, and facial balance is improved without sacrificing identity or expression. The transformation should be unmistakable, but the result itself should feel believable, elegant, and entirely at home in the face.
How long is recovery after facial plastic surgery?
Recovery depends on the procedure. Smaller in-office procedures may involve minimal downtime. Upper eyelid surgery may require one to two weeks before patients feel more social. Larger procedures, such as deep plane facelift, neck lift, or rhinoplasty, usually require more planning, with swelling continuing to refine over several months.
Can facial plastic surgery improve facial balance?
Yes. Many procedures are designed specifically to improve balance. Rhinoplasty can refine the nose in relation to the face. Chin augmentation can strengthen the profile. Facelift and neck lift surgery can restore jawline definition. Fat grafting can replace lost volume. The right plan depends on the anatomy.
What makes Dr. Sheen’s approach different?
Dr. Sheen’s approach combines advanced fellowship training and experience teaching other physicians at NYU, with a highly developed aesthetic eye and an understanding of the face as a whole. He recognizes that beauty is not defined by a single ideal, and that facial proportions, individual identity, and cultural considerations all shape what feels natural and attractive for each patient. Every surgical plan is therefore highly individualized, balancing anatomy, proportion, safety, and long term refinement with the patient’s own aesthetic goals. Using modern techniques, including extended preservation deep plane facelift principles, his goal is not to create a particular “look,” but to achieve powerful, transformative change that remains harmonious, recognizable, and distinctly individual.
What should I expect during a consultation?
The consultation is designed to be detailed and clear. Dr. Sheen reviews your concerns, evaluates your facial anatomy, discusses what can be improved, and explains whether surgery is appropriate. There is no pressure to proceed. The purpose is to understand the face, define realistic expectations, and build the right plan.