Ponsky Facial Plastic Surgery

Ponsky Facial Plastic Surgery More than a Med-Spa! Surgical & non surgical rejuvenation | Persana-Verified Physician

Ponsky Facial Plastic Surgery is a boutique practice led by double board-certified facial plastic surgeon & rhinoplasty expert Dr. Diana Ponsky. Ponsky Facial Plastic Surgery is a boutique practice led by Dr. Diana Ponsky, a double board-certified facial plastic surgeon. Dr. Ponsky specializes in natural rejuvenation & procedures. This includes rhinoplasty, facelifts, neck lifts, blepharoplasty, upper lip lifts, Botox, fillers, & more.

04/15/2026

A patient recently asked whether I’d inject PDGF (platelet-derived growth factor) after learning a friend had it done elsewhere.

It’s a fair question, and one that highlights a tension in aesthetic medicine right now: the pace of innovation versus the rigor of evidence.

I carry PDGF in my practice and use it topically after deep resurfacing procedures, where its role in promoting cell proliferation and healing is well supported. What I don’t do is inject it into soft tissue, because the FDA has not approved it for that purpose.

PDGF has a complicated regulatory history. It was approved in the 1990s for diabetic wound healing, removed due to a black box warning related to cancer risk, and has since returned for topical application. The injectable question remains unanswered by the evidence.

Regenerative medicine (such as peptides, growth factors, PRF, PRP) holds enormous promise. But promise and proof are different stages. Part of my responsibility as a double board-certified facial plastic surgeon is knowing when to adopt and when to wait.

Do you have any other questions about regenerative medicine? Drop them in the comments!

It’s National Exosomes Day, so let’s talk about what exosomes actually are and why we use them in our practice every day...
04/08/2026

It’s National Exosomes Day, so let’s talk about what exosomes actually are and why we use them in our practice every day.

Exosomes are tiny cell-to-cell messengers. They carry growth factors, proteins, and repair signals that tell your tissue to regenerate and renew. Think of them as delivery vehicles for the instructions your cells need to heal and rejuvenate.

At our practice, we use Plated Skin Science, which harnesses platelet-derived exosomes for both skin rejuvenation and hair restoration. Dr. Ponsky applies their serums after laser treatments to support the skin’s healing process, and we recommend their HAIR Serum for patients focused on scalp health and thinning hair.

This is science-backed skincare and hair care. Not a trend. Real cellular communication that supports real results over time.

If you’re curious about how exosome-based products could fit into your skincare routine, post-procedure recovery, or hair restoration plan, a consultation is the best place to start.

Read more about how exosomes support hair restoration on our blog! Schedule your consultation at drdianaponsky.com. 💙

04/07/2026

Surgery sneak peek: This is how I mark out an upper lip lift for surgery! 👄

To learn more or schedule your consultation, visit drdianaponsky.com.

04/02/2026

We’re always so excited when a patient allows us to share their rhinoplasty cast removal! 💙

Watch through to the end for his two-month result, when the swelling has settled and the refinements start to show.

A few things worth knowing about rhinoplasty recovery:

Day 6: Cast comes off. Bruising and swelling are still present. The nose looks wider and less defined than the final result.

Week 2-3: Most patients feel comfortable being seen publicly. Bruising fades.

Month 2-3: Swelling continues to resolve. The shape starts to emerge.

Month 6-12: Final refinements, especially at the tip.
Patience is part of the process. And the result is worth the wait.

Dr. Diana Ponsky | Double Board-Certified Facial Plastic Surgeon
Cleveland, OH
drdianaponsky.com

03/31/2026

Jane Fonda is 88 years old and looks phenomenal! So let’s talk about what a facial plastic surgeon actually sees when she looks at her face.

First, the foundation: Jane has exceptional bone structure. Strong cheekbones and a well-projected chin mean her surgical results hold up beautifully over time. Patients with naturally strong skeletal structure tend to age more gracefully and get more longevity from facial procedures. It’s one of the biggest factors most people don’t think about.

What I suspect she’s had done over the years: at least three facelifts, laser resurfacing or chemical peels to maintain skin quality and even pigmentation, and fat transfer or volume restoration to maintain fullness in the midface and lower face. Skin surgery alone can’t control texture and tone, you need resurfacing for that. And volume loss is one of the biggest drivers of facial aging, so maintaining it is key.

But here’s the honest part: even with the best care, biology catches up. You can see thinning, crepey skin around her laugh lines and forehead. Her eye sockets have deepened as bone resorbs with age, as the orbital cavity gets larger while there’s less fat to fill it. And her nasal skin has thinned enough that you can see the contour of the underlying cartilage, which is called lobulation.

None of this takes away from how incredible she looks. It just shows that aging is a process, not something surgery stops entirely. The goal is always to age well, and Jane Fonda is a masterclass in that.

What celebrity face should I break down next? Comment below.

Schedule your consultation at drdianaponsky.com or click the link in our bio. 💙

We have some exciting news to share! Dr. Diana Ponsky has been selected as a Castle Connolly Exceptional Woman in Medici...
03/26/2026

We have some exciting news to share! Dr. Diana Ponsky has been selected as a Castle Connolly Exceptional Woman in Medicine for 2026.

Castle Connolly is a peer-nominated honor, which means it comes from fellow physicians who recognize clinical excellence and commitment to patient care. It's not something you can buy or apply for, and that's what makes it so meaningful.

Dr. Ponsky has built her career around one philosophy: every patient deserves honest answers, a personalized plan, and results that look like them. Whether it's a rhinoplasty consultation, a facelift, or a conversation about what's possible, her goal is always clarity and confidence, never pressure.

We're so grateful to the patients and colleagues who make this work meaningful every single day.

Considering a consultation? Visit drdianaponsky.com to learn more and book your appointment.

03/26/2026

Detour from BiglSky to ….? Guess

03/25/2026

Marking for a male facelift!

A deep plane facelift/necklift is the same in men and women. It’s just the markings and incision placement is different and the placement of face grafts is different. This is because the male face ages differently than a female face.

This video shows you how we mark out a male aging face and what we do differently for a male than a female.

Learn more or schedule your consultation with Dr. Diana Ponsky at drdianaponsky.com 💙

This is one of the most common things I hear from patients considering blepharoplasty: “My eyes always look tired, no ma...
03/20/2026

This is one of the most common things I hear from patients considering blepharoplasty: “My eyes always look tired, no matter how much sleep I get.”

But here’s what many people don’t realize. Sometimes it’s not just cosmetic. Excess upper eyelid skin can actually weigh down on your lids, affect your field of vision, and make your eyes feel physically fatigued.

That’s exactly what this patient was experiencing.

We performed an upper blepharoplasty to remove the excess skin, along with a partial brow lift to restore a natural, refreshed position to the brow. The result was better vision, lighter lids, and a look that finally matches how she actually feels.

Swipe to see real before and after results from similar blepharoplasty procedures ➡️

One of the things I take the most pride in is what happens after surgery. Your results don’t end in the operating room. The follow-up care, the healing process, the adjustments along the way…that’s where the real relationship is built. 💙

If your upper eyelids feel heavy or your eyes always look tired no matter what you do, it may be worth exploring whether blepharoplasty could help. Sometimes it’s not about looking different, it’s about looking like yourself again.

Schedule a consultation at drdianaponsky.com to find out if blepharoplasty is right for you!

03/15/2026

The Ponytail Lift: what is it, and why is everyone talking about it?

With award season here, terms like “Ponytail Lift” are everywhere. Stars like Emma Stone, Lindsay Lohan, and Anne Hathaway look incredible, and patients are asking whether this procedure is the secret.

Here’s what you should know.

The Ponytail Lift, popularized by Dr. Kao, is a facelift approach that focuses on rejuvenating the upper face through carefully hidden access points. The name comes from the idea that you could wear your hair up without visible scars, which is what most patients want.

How it works depends on your age and anatomy. For younger patients in their 20s and 30s, the technique uses endoscopic access points to lift and rejuvenate the upper third of the face (brow, temples, and midface) with virtually no visible scarring.

For patients with more advanced aging and excess skin, the approach expands to include more conventional incision sites behind the ears and under the chin, but still prioritizes scar concealment.

A few things worth understanding:
The endoscopic techniques behind the Ponytail Lift aren’t brand new. Endoscopic brow lifts and deep plane facelifts have been part of facial plastic surgery for years. What Dr. Kao has done well is package and refine these techniques with a focus on minimal visible scarring, and that resonates with patients.

These procedures can be extensive. Some cases take up to 10 hours depending on how much correction is needed. That’s a significant surgery, not a lunchtime procedure.

The biggest takeaway: there’s no single lift that’s right for everyone. The best approach depends on your anatomy, your goals, and how your face has aged. What works for a 28-year-old is very different from what works for a 55-year-old, and that’s exactly what a personalized consultation is for.

If you’re curious about what facial rejuvenation could look like for you, we’re always happy to talk through your options honestly.

Address

3700 Park East Drive , Suite 160
Beachwood, OH
44122

Opening Hours

Monday 8:30am - 4:30pm
Tuesday 8:30am - 4:30pm
Wednesday 8:30am - 4:30pm
Thursday 8:30am - 4:30pm
Friday 8:30am - 4:30pm

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Our Story

Diana Ponsky, MD, FACS is double board certified in otolaryngology and facial plastic surgery specializing in rhinoplasty, eyelifts, facelifts & injections. Female plastic surgeon in the Cleveland area. Jonathan Frankel, MD, FACS is a double board certified surgeon with a focused interest in facial rejuvenation, rhinoplasty, skin resurfacing, and facial contouring with aesthetic injectables.